2019 ATI Mental Health Proctored Exam with Answers (139 Solved Questions)

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ATI MENTAL HEALTH PROCTORED EXAM 2019WITH NGN QUESTIONS AND VERIFIED SOLUTIONS/A+ GRADE•Anurseisteachingaclientwhohasschizophreniaabouthernewprescriptionforrisperidone.Whichofthefollowing statementsshould thenurseincludeintheteaching?•“Youshouldcontinuethismedicationifyoudevelopmusclerigidity”.•“Youwillexperienceweightlosswhiletakingthismedication.”•“Youwillnoticeyoursymptomsimprovewithin24hoursoftakingthismedication.”•“Youshouldincreaseyourconsumptionofcomplexcarbohydrates.”•Anurseisadmittingaclientwhohasgeneralizedanxietydisorder.Whichofthefollowingactionsshouldthenurseplanto takefirst?•Providetheclientwithaquietenvironment•Determinehowtheclienthandlesstress.•Teachtheclienttouseguidedimagery.•Asktheclienttoidentifyherstrengths•Anurseisconductinganadmissioninterviewwithaclientwhoisexperiencingmania.Whichofthefollowingshouldthenursereport to theprovider?•Statesthathehasn’tbathedin2days•Reportseatingtwiceinthepasttwoweeks.•Makesinappropriatesexualcomments.•Speaksinrhymingsentences.•Anurseisplanningcareforaclientwhohasobsessive-compulsivedisorder.Whichofthefollowingrecommendation should thenurse includeintheclientsplanofcare?•Validation therapy•b.Thoughtstopping•Operantconditioning•Realityorientationtherapy•Anurseiscaringforaclientwhohasbipolardisorderandisexperiencingamanicepisode.Whichofthefollowingactions shouldthenursetake?•Encouragetheclienttojoingroupactivities•b.Dimthelightsintheclientsroom•Providedetailedexplanationstotheclient•Administermethylphenidate•Anurseisleadingacrisisinterventiongroupforadolescentswhowitnessedthesuicideofaclassmate.Which ofthefollowing actions should thenursetakefirst.•Initiatereferrals•Reviewcommunity resources•c.Identifypriorcopingskillsd.Discusstheimportanceofconfidentiality•Anurseoverhearsaclientsaying,"Iamaspy,aspyfortheFBI.IamanI,aneyeforaneyeinthesky.Skyisuphigh."Thenurseshoulddocumenttheclient'sstatementaswhichofthefollowingspeechalterations?•Echolalia•Wordsalad•Neologism•Clangassociation

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•An older adult client is brought to the mental health clinic by her daughter. The daughter reports that hermotherisnoteatingandseemsuninterestedinroutineactivities.Thedaughterstates"I'msoworriedthatmymother isdepressed"whichofthefollowingresponsesshouldthe nursemake?•Everyonegetsdepressedfromtimetotime.•Youshouldn'tworryaboutthisbecausedepressivedisorderiseasilytreated.•Olderadultsareusuallydiagnosedwithdepressivedisorderastheyage.•d.Tellmethereasonsyou thinkyourmotherisdepressed.•Anurseisplanningcareforanadolescentwhohasautismspectrumdisorder.Whichofthefollowingoutcomesshouldthenurseincludeintheplancare?•Meetsownneedswithoutmanipulatingothers.•Initiatessocialinteractionswithcaregivers.•Changesbehaviorasaresultofpeerpressure.•Acknowledgeshisdelusionsarenotreal.•A nurse is providing behavior therapy for a client who has obsessive-compulsive disorder. The clientrepeatedlychecksthatthedoorsarelockedatnight.Whichofthefollowinginstructionsshouldthenursegivetheclientwhenusingthought stoppingtechnique?•Snaparubberbandonyourwristwhenyouthinkaboutcheckingthelocks.•Askafamilymembertocheckthelocksforyouatnight.•Focusonabdominalbreathingwheneveryougotocheckthelocks.•Keepajournalofhowoftenyoucheckthelockseachnight.•Anurseiscaringforaclientwhoisstartingtreatmentforsubstanceusedisorder.Whichofthefollowingactionsindicate thenurse ispracticingtheethical principleofnonmaleficence?•Providetheclientwithqualitycareregardlessoftheirabilitytopayfortreatment.•Educatingtheclientaboutlegalrightsconcerningtreatment.•Withholdingtheprescribedmedicationthatiscausingadverseeffectsfortheclient.•Beingtruthfulwiththeclientaboutthemanifestationsofwithdrawl.•Anurseinagrouphomefacilityiscaringforaclientwhoisdevelopmentallydisabled.Theclienthasbeenstealingbelongingsfromotherclients.Whichofthefollowingtechniquesshouldthenurseuse?•Crisisinterventiontodecreaseanxiety.•Aversiontherapytoprovidedistraction•Positivereinforcementtoincreasedesiredbehavior.•Systematicdesensitizationtoextinguishthebehavior.•Anurseiscaringforaclientwhoisexperiencingapanicattack.Whichofthefollowingactionsshouldthenursetake?•Asktheclienttodiscussprecipitatingevents•Speakstotheclientinahigh-pitchedvoice.•Placetheclientinseclusion•Havetheclientbreatheintoapaperbag.•Thenurseiscaringforaclientfollowingaphysicalassault.Theclientstates"Idon’trememberwhathappenedtome."Thenurseshouldrecognizethattheclientisusingwhichofthefollowingdefensemechanisms?•Repression•Displacement•Rationalization•Denial•Anurseiscaringforaclientwhohasanorexianervosa.Whichofthefollowingfindingsrequireimmediateinterventionby thenurse?a.+2edemaofthelowerextremities•BUN21 mg/dL•Lanugocoveringthebody

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•d.BloodpH7.60•Anurseiscaringforaclientinamentalhealthfacility.Theclientisagitatedandthreatenstoharmherselfandothers.Which ofthefollowingis thepriorityintervention?•Placetheclientinrestraints•Administerananti-anxietymedicationtotheclient•Puttheclientinseclusion•Setlimitsontheclient'sbehavior•DosageCalculationQuestion.•A nurse is caring for a client who was involuntarily committed and is scheduled to receiveelectroconvulsivetherapy(ECT).Theclientrefusesthetreatmentandwillnotdiscusswhywiththehealthcareteam.Which ofthe followingactionsshouldthenursetake?•AsktheclientsfamilytoencouragetheclienttoreceiveECT•InformtheclientthatECTdoesnotrequireaconsent.•Documenttheclient'srefusalofthetreatmentinthemedicalrecord.•Telltheclienthecannotrefusethetreatmentbecausehewasinvoluntarilycommitted.•A nurse in the emergency department is caring for a client who reports feeling sad, worthless, andhopeless9monthsafterthedeathofherson.Whichofthefollowingactionsshouldthenursetakefirst?•Requestamentalhealthconsultfortheclient.•Asktheclientifshehasthoughtaboutharmingherself.•Encouragetheclienttoattendagriefsupportgroup.•d.Discusstheclientscoping skills.•Anurseiscaringforaclientwhohasborderlinepersonalitydisorderandhasbeenengaginginself-mutilation.Thenurseshouldencouragetheclienttoparticipateinwhichofthefollowinggroups.•Dualdiagnosistreatmentgroup•b.Dialecticaltreatmentgroup•Desensitizationtherapy•Co-dependentssupportgroup.•Thenurseisreviewingthemedicationadministrationrecordofaclientwhohasschizophrenia.ThenurseshouldplantoinitiatetheAbnormalInvoluntaryMovementScaletomonitorforadverseeffectsofwhichofthefollowing medications.?•Amantadine•Diphenhydramine•Benztropine•d.Haloperidol•Anurseiscounselingaclientfollowingthedeathofaclientspartner8monthsago.Whichofthefollowingclientstatementsindicatesmaladaptive grieving?•IamsosorryforthetimesIwasangrywithmypartner.•Ifindmyselfthinkingaboutmypartneroften.•c.Istilldon'tfeeluptoreturningtowork.d.Ilikelookingathispersonalitemsinthecloset.•Anurseiscaringforaclientwhohasborderlinepersonalitydisorder.Whichofthefollowingoutcomesshouldthenurseinclude inthetreatmentplan?•Theclientwillreportadecreaseinhallucinations.•Theclientwillcommunicateneeds•Theclientwillverbalizeimprovedmood•Theclientwillattendtopersonalhygiene.•Anurseiscaringforaclientwhoisprescribedmassagetherapytotreatpanicdisorder.Theclientstates"Ican'tstandtobetouchedbyanotherperson."Whichofthefollowingresponsesshouldthenursemake?•Whydon’tyouliketobetouchedbyothers•Don’tworryaboutit.Youranxietywilllessenoncethemassagebegins.•Iwilltellyourprovideryouwouldlikeatreatmentotherthanamassage.

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•Iwillrequestthatthemassagetherapistwearglovesduringyourtreatment.•Anurseiscreatingaplanofcareforaclientwhohasmajordepressivedisorder.Whichofthefollowinginterventionsshouldthe nurseincludein theplan?•Encouragephysicalactivityfortheclientduringtheday•Discouragetheclientfromexpressingfeelingsofanger•Keepabrightlightonintheclient'sroomatnight.•Identifyandschedulealternativegroupactivitiesfortheclient.•Anurseisprovidingcounselingforafamilythatconsistsoftwoparentsandtheirtwoadolescentchildren.Whichofthefollowingfamilymembersshouldthenurseidentifyasactingintheroleasthemonopolizer?•Themotherwhoexpresseshostilitytowardherspouse.•Theadolescentsonwhorefusestosharepersonalfeelings.•Thefatherwhointerveneswheneverthesiblingsargue.•Theadolescentdaughterwhoattemptstodominatetheconversation.•Anurseisdevelopingateachingplanforthefamilyofanolderadultclientwhoistoreceivetranscranialmagneticstimulation.Whichofthefollowinginformationshouldthenurseincludeintheteachingplan?•Theclientmighthaveaheadacheaftertreatment.•Theclientwillexperienceseizureduringtreatment.•Theclientwillrequireintubationaftertreatment.•Theclientisatriskforaspirationduringtreatment.•Anurseisprovidingteachingaboutdisulfiramtoaclientwhohasahistoryofalcoholuse.Whichofthefollowinginstructionsshouldthenurseincludeintheteaching?(Selectallthatapply)•“Youwillneedtotakethemedicationoncedaily”•“youwillreceivetreatmentinaninpatientsetting”•“Youshouldavoidusingmouthwashthatcontainsalcohol”•“youshouldavoiddrinkingcarbonatedbeverageswhiletakingthemedication”•“youcanexpecttodevelopaphysicaldependencetothemedication”•Anurseiscaringforaclientwhoisinthemanicphaseofbipolardisorder.Whichofthefollowingactionsshouldthenursetake?•Avoidpowerstrugglesbyremainingneutral•Allowtheclienttosetlimitsforhisbehavior•Providein-depthexplanationofnursingexpectations•Encouragetheclienttoparticipateingroupactivities•Anurseisassessingayoungadultfemaleclientforschizophrenia.Whichofthefollowingfindingsshouldthenurse identifyasariskfactorfor thiscondition?•Environmentalstress•Gender•Depression•d.Birthorder•Anurseisprovidingdischargeteachingaboutmanifestationsofrelapsetothefamilyofaclientwhohasschizophrenia.Whichofthefollowinginformationshouldthenurseincludeintheteaching?•Theclientexhibitsaninflatedsenseofself•Theclientdevelopsaninabilitytoconcentrate•Theclientincreasesparticipationinsocialactivities•Theclientbeginssleepingmorethanusual•Anurseisassessingaclientwhoisrestlessandconstantlymutterstohimself.Whichofthefollowingfindingsshouldleadthenursetosuspectdelirium?•Theclientisunabletorecognizeobjects.

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•Theclientmanifestationsdevelopedsuddenly•Theclienthasaflataffect•Theclient’sspeechisslowandrepetitious•Anurseiscaringforaclientinaninpatientmentalhealthfacility.Theclienttellsthenursethatthegovernmentisreadinghermail.Whichofthefollowingresponsesshouldthenursemake?•“Youknowthat’snottrue,becauseitisagainstthelawforotherstoreadyourmail”•“Allofyourletterscomesealed,sothatseemsunlikely”•“Itmustbefrightenedtothinkthatsomeoneisreadingyourmail”•“Whydoyouthinkthegovernmentwantstoreadyourmail?”•Anurseisassessingaclientwhohasneurolepticmalignantsyndrome.Whichofthefollowingclinicalfindingsshouldthenurse expect?•Heartrate48/min•Temperature40C(104F)•WBC3,000/mm3•Hypotonicity•A nurse is reviewing the medical record of a client who is taking clozapine. For which of the followingfindingsshouldthenursewithholdthemedicationandnotifytheprovider?(Clickonthe“Exhibit”buttonforadditionalinformationabouttheclient.Therearethreetabsthatcontainseparatecategoriesofdata.)•WBCcount•Bloodglucoselevel•Reportofphotosensitivity•HeartRate•Anurseiscaringforaclientwhohaspersonalitydisorderandisusingtransferencetocope.Whichofthefollowingbehaviorsshould thenurseexpect?•Talkingnegativelyaboutotherstaffmembers•Expressingfrustrationregardingunitrules•Reactingtothenurseasthoughshewerehismother•Refusingtoparticipateingroupactivities•Anurseinamentalhealthfacilityiscaringforanewlyadmittedclient.Whichofthefollowingresourcesshouldthenurse recommendtohelptheclientadapttothehealth caresetting?•Acommunitymeeting•Amedicationgroup•Aself-helpmeeting•Asymptom-managementgroup•Anurseisassistingwithobtaininginformedconsentforaclientwhohasbeendeclaredlegallyincompetent. Whichofthefollowingactionsshouldthenurse take?•Requestthattheclient’sguardiansigntheconsent•Askthechargenursetoobtaininformedconsent•Contactthefacilitysocialworkertoobtaintheconsent•Explainimpliedconsenttotheclient’sfamily•Anurseiscaringforaclientwhohascocaineusedisorder.Whichofthefollowingmanifestationsshouldthenurse expecttheclienttohaveduringwithdrawal?•Handtremors•Rapidspeech•Fatigue•Seizures•Anurseisprovidingteachingaboutdisordermanagementforaclientwhohasposttraumaticstressdisorder(PTSD).Whichofthefollowingstatementsshouldthenurseincludeintheteaching?•“AvoidingstimulithattriggermemoriesofthetraumacanhelpyouovercomeyourPTSD”•“Talkingaboutthetraumaticexperienceisrecommended”•“ResponsepreventionisaneffectivetreatmentforPTSD”

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