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ATI MENTAL HEALTH EXAM 2025
LATEST REAL QUESTIONS AND
CORRECT ANSWERS GRADE A
The withdrawal signs and symptoms of ________________ are the same as those seen in alcohol withdrawal. - CORRECT ANSWER barbituates How long does it typically take for alcohol withdrawal symptoms to take place? When do they peak? - CORRECT ANSWER 4 - 12 hours after last drink; 24- 48 hours MILD toxic effects of cocaine/CNS stimulants: (4) - CORRECT ANSWER dizziness, irritability, tremors, blurred vision SEVERE toxic effects of cocaine/CNS stimulants: (6) - CORRECT ANSWER hallucinations, seizures, extreme fever, tachycardia, cardiovascular collapse Characteristic withdrawal syndrome from COCAINE: (6) - CORRECT ANSWER depression, fatigue, craving, excessive sleeping or insomnia, dramatic unpleasant dreams, psychomotor retardation or agitation
Characteristic withdrawal syndrome from COCAINE occurs within __ hour to __________ days of cessation of drug use - CORRECT ANSWER 1 hour to several days Is characteristic withdrawal syndrome from COCAINE lifethreatening? - CORRECT ANSWER NO, but there is a risk for suicidal ideation toxic effects from amphetamines - CORRECT ANSWER acute cardiovascular effects (tachycardia, increased BP) which could cause death The withdrawal symptoms from ___________________ are similar to those from cocaine. - CORRECT ANSWER amphetamines An antidote, __________________ is available IV to releive symptoms of opioid overdose - CORRECT ANSWER naloxone (Narcan) Withdrawal from ______________ is very unpleasant, but not life-threatening, and is self-limiting to 7-10 days - CORRECT ANSWER opiods This screening tool asks questions of the client to determine how the client perceives his current substance abuse - CORRECT ANSWER CAGE-AID The nurse must ________-__________ his own feelings regarding abuses as those feelings may be transferred to
Clients with eating disorders with a body weight of less than ____% of expected normal weight are diagnosed with anorexia nervosa. - CORRECT ANSWER 85% Tthere are two types of anorexia nervosa behaviors: restricting type and ______________ ________ - CORRECT ANSWER purging type type of eating disorder behavior: the individual drastically limits food intake and does not binge or purge - CORRECT ANSWER restricting type type of eating disorder behavior: the individual eats large quantities of food and self-induces vomiting or other aids of elimination to rid the body of excess calories - CORRECT ANSWER binge-eating/purging type Most clients with bulimia maintain a weight within a _____________ range or _____________ ______________. - CORRECT ANSWER normal; slightly higher There are two types of eating disorder behaviors with bulimia nervosa: - CORRECT ANSWER purging and non-purging bulimia nervosa behavior most often seen in males; compensates for bingeing through other means such as
excessive exercise or misuse of laxatives/diuretics - CORRECT ANSWER nonpurging type Treatment modalities for eating disorders focus on _____________ ____________ ____________ and beginning to address the issues raised by the illness. - CORRECT ANSWER normalizing eating patterns The client with an eating disorder may demonstrate a high interest in __________ and ___________ food, but not eating. - CORRECT ANSWER cooking, preparing Vital signs to expect for a client with an eating disorder: ________ BP with possible _____________ _____________, __________ pulse, ______________ temperature - CORRECT ANSWER low BP with possible orthostatic hypotension, decreased pulse, decreased temperature Reproductive status: Anorexia is accompanied by amenorrhea for at least ____________ consecutive cycles
- CORRECT ANSWER three Anorexia labs: there is a direct loss of _________________ due to purging. - CORRECT ANSWER potassium For inpatient treatment of eating disorders, what can the nurse do to prevent purging? - CORRECT ANSWER
Posturing: neck and elbow extension. wrist and finger flexion - CORRECT ANSWER decerebrate rigidity used to objectively assess the client's cognitive status - CORRECT ANSWER Mini-Mental Status Examination used to obtain a baseline assessment of the clients LOC and for ongoing assessment - CORRECT ANSWER Glasgow Come Scale Glasgow Coma Scale: 15 - CORRECT ANSWER highest possible score, awake and responding appropriately Glasgow Come Scale: 3 - CORRECT ANSWER comatose state Axis I - CORRECT ANSWER all mental health diagnoses except personality Axis II - CORRECT ANSWER personality disorders and mental retardation Axis III - CORRECT ANSWER medical diagnoses Axis IV - CORRECT ANSWER pertinent psychosocial problems
Axis V - CORRECT ANSWER GAF What GAF score would you give to someone who was at near or normal function? - CORRECT ANSWER 80 - 100 What GAF score would you give to someone who shows serious mental disability and/or functioning impairments? - CORRECT ANSWER 40 and below a wrongful act of injury committed by a person against another person or another person's property - CORRECT ANSWER tort this related to the quality of doing good and can be described as charity (Ex: A nurse helps a newly admitted client with psychosis feel safe on the unit) - CORRECT ANSWER beneficience refers to the client's right to make their own decisions (Ex: Rather than giving advice to a client who has difficulty making decisions, the nurse helps the client explore all alternatives) - CORRECT ANSWER autonomy this relates to loyalty and faithfulness to the client and one's duty (Ex: A client askes a nurse to be present when she talks to her mother for the first time in several years and the nurse stays) - CORRECT ANSWER fidelity
ANSWER 24 hours example of tort: confining a client to a specific area, such as a seclusion room as a convenience to the staff - CORRECT ANSWER false imprisonment example of tort: making a threat to a client, such as approaching the client in a threatening manner with a syringe in hand - CORRECT ANSWER assault example of tort: actually TOUCHING the client in a harmful or offensive way, such as threatening and then GIVING an unconsented injection - CORRECT ANSWER battery Healthy ego defense mechanisms include ____________, _____________, ______________, and ______________. - CORRECT ANSWER altruism, humor, sublimation, and suppression. ego defense: dealing with anxiety by reaching out to others (A nurse who has lost a family member in a fire becomes a volunteer firefighter) HEALTHY - CORRECT ANSWER altruism ego defense: dealing with unacceptable feelings or impulses by unconsciously substituting acceptable forms of expression (like going to work out when you are having
a bad day) HEALTHY - CORRECT ANSWER sublimation ego defense: voluntarily denying unpleasant thoughts and feelings (A person who lost his job states he will worry about paying his bills next week.) - CORRECT ANSWER supression ego defense: putting unacceptable ideas, thoughts, and emotions out of conscious awareness (A person who has a fear of the dentist's drill continually "forgets" his appts) - CORRECT ANSWER repression ego defense: shifting feelings related to an object, person or situation to another that is less threatening (A person hwo is angry about losing his job comes home and kicks his dog) - CORRECT ANSWER displacement ego defense: developing a physical symptom in place of anxiety - CORRECT ANSWER somatization ego defense: overcompensating or demonstrating the opposite behavior of what is felt (A boy who has a crush on a girl actually teases and humiliates her instead) - CORRECT ANSWER reaction formation ego defense: performing an act to make up for prior behavior - CORRECT ANSWER undoing
accomplishments) - CORRECT ANSWER idealization ego defense: demonstrating an inability to reconcile negative and positive attributes of self or others (A client tells a nurse that she is the only one who cares about her, yet the following day the same client refuses to talk to the nurse) - CORRECT ANSWER splitting ego defense: blaming others for unacceptable thoughts and feelings - CORRECT ANSWER projection ego defense: pretending the truth is not reality to manage the anxiety of acknowledging what is real - CORRECT ANSWER denial level of anxiety: occurs in normal experience of everyday living/ increases focus and perception - CORRECT ANSWER mild level of anxiety: reduced perception/ ability to think clearly is hampered but learning and problem solving can still occur/usually benefits from direction from others - CORRECT ANSWER moderate level of anxiety: perceptual field is greatly reduced/ learning and problem solving do not occur/ feelings of
impending doom and confusion/usually NOT able to take direction from others - CORRECT ANSWER severe level of anxiety: characterized by markedly disturbed behavior/ client not able to process what is occurring in the environment/ client experiences extreme fright and horror, possible hallucinations, inability to sleep - CORRECT ANSWER panic-level ____________ _____________ creates an environment that is supportive, therapeutic, and safe. - CORRECT ANSWER Milieu therapy phase of the nurse-client relationship: set the contract, setting goals with client/exploring client's ideas, needs, strengths and weaknesses - CORRECT ANSWER orientation phase of the nurse-client relationship: performing ongoing assessment to plan and evaluate therapeutic measures/recognize transference and countertransference issues/client describes major conflicts and/or defenses - CORRECT ANSWER working phase of the nurse-client relationship: summarize goals and achievements/discuss palns to continue new
type of behavioral therapy: therapist or others serve as role models for the client, who learns improved behavior by imitation - CORRECT ANSWER modeling type of behavioral therapy: positive rewards are given for positive behavior (reinforcement) - CORRECT ANSWER operant conditioning type of behavioral therapy: the planned, progressive exposure to anxiety-provoking stimuli - CORRECT ANSWER desensitization type of behavioral therapy: a maladaptive behavior is paired with a punishment or unpleasant stimuli to change the behavior - CORRECT ANSWER aversion therapy type of behavioral therapy: teaching a cleint, when negative thoughts or compulsive behaviors arise to say or shout "STOP" and substitute a positive thought - CORRECT ANSWER thought stopping type of behavioral therapy: assists the cleint to change irrational or unrealistic thoughts to thoughts that are more realistic - CORRECT ANSWER cognitive therapy A client thinking he is" a terrible father to my daughter" being helped to change this thinking into "I've made some mistakes as a parent, but I've learned from them and have improved my parenting skills" This is an example of ______________ ________________. - CORRECT
ANSWER cognitive reframing client is guided through a series of images to promote relaxation - CORRECT ANSWER guided imagery A nurse or other healthcare professional trained in this method can assist the cleint to gain voluntary control of such autonomic functions as HR and BP - CORRECT ANSWER biofeedback ______ delivers an electrical current that produces a grand mal seizure. - CORRECT ANSWER Electroconvulsive therapy (ECT) ________ ___________, ______________, and _______ __________ ___________ are indications for ECT (*remember that it is only done after all other treatment options have been unsuccessful) - CORRECT ANSWER severe depression, schitzophrenia, and acute manic episodes Which type of schizophrenia is less responsive to neuroleptics, and therefore are more likely to indicate ECT? - CORRECT ANSWER catatonic schizophrenia What are the contraindications to electroconvulsive therapy (ECT)? - CORRECT ANSWER THERE ARE NONE if it is deemed necessary to save a client's life.
client has fasted for - hours. - CORRECT ANSWER early in the morning; 8- 12 A client has just arrived onto the unit folllowing an ECT procedure. What position should the nurse make sure he is in during the initial postoperative period? - CORRECT ANSWER on his side The client is usually awake and ready for transfer back to the mental health unit or other facility within - minutes after an ECT. - CORRECT ANSWER 30 - 60 Because confusion and short-term memory loss are common during the recovery phase following an ECT, what should the nurse know to do? - CORRECT ANSWER orient the client frequently Three (3) nursing actions following ECT: - CORRECT ANSWER 1 Provide frequent orientation 2 Provide a safe environment to prevent injury 3 Assist with personal hygiene as needed ______-_______ ___________ ________, _______________, and ____________ may occur immediately following ECT procedures. - CORRECT ANSWER Short-term memory loss, confusion, and disorientation Memory loss following ECT is typically short term. (T/F) - CORRECT ANSWER T
ECT is used for cleints who have bipolar disorder with rapid cycling (_______ or more episodes of acute mania within ____________) and very destructive behavior. - CORRECT ANSWER 4; 1 year DSM-IV-TR: the client experiences recurrent panic attacks
- CORRECT ANSWER Panic disorder DSM-IV-TR: the client fears a specific object or situations to an unreasonable level - CORRECT ANSWER Phobia DSM-IV-TR: the cleint has intrusive thoughts of unrealistic obsessions and tries to control these thoughts with compulsive behaviors (repetitive cleaning or washing of hands) - CORRECT ANSWER OCD DSM-IV-TR: the client experiences uncontrollable, excessive worry for more than 6 months - CORRECT ANSWER GAD DSM-IV-TR: exposure to a traumatic event causes numbing, detachment, and amnesia about the event for not more than 4 weeks following the event - CORRECT ANSWER acute stress disorder DSM-IV-TR: exposure to a traumatic event causes intense fear, horror, flashbacks, feelings of detachment, and foreboding, restricted affect, and impairment for longer than 1 month after the event/symptoms may last for years
