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

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    ATI MENTAL HEALTH PROCTORED EXAM 2019 WITH NGN QUESTIONS AND VERIFIED SOLUTIONS/ A+ GRADE • A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of the following statements should the nurse include in the teaching? • “You should continue this medication if you develop muscle rigidity”. • “You will experience weight loss while taking this medication.” • “You will notice your symptoms improve within 24 hours of taking this medication.” • “You should increase your consumption of complex carbohydrates.” • A nurse is admitting a client who has generalized anxiety disorder. Which of the following actions should the nurse plan to take first? • Provide the client with a quiet environment • Determine how the client handles stress. • Teach the client to use guided imagery. • Ask the client to identify her strengths • A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following should the nurse report to the provider? • States that he hasn’t bathed in 2 days • Reports eating twice in the past two weeks. • Makes inappropriate sexual comments. • Speaks in rhyming sentences. • A nurse is planning care for a client who has obsessive - compulsive disorder. Which of the following recommendation should the nurse include in the clients plan of care? • Validation therapy • b. Thought stopping • Operant conditioning • Reality orientation therapy • A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following actions should the nurse take? • Encourage the client to join group activities • b. Dim the lights in the clients room • Provide detailed explanations to the client • Administer methylphenidate • A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first. • Initiate referrals • Review community resources • c. Identify prior coping skills d. Discuss the importance of confidentiality • A nurse overhears a client saying, "I am a spy, a spy for the FBI. I am an I, an eye for an eye in the sky. Sky is up high." The nurse should document the client's statement as which of the following speech alterations? • Echolalia • Word salad • Neologism • Clang association

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    • An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states "I'm so worried that my mother is depressed" which of the following responses should the nurse make? • Everyone gets depressed from time to time. • You shouldn't worry about this because depressive disorder is easily treated. • Older adults are usually diagnosed with depressive disorder as they age. • d. Tell me the reasons you think your mother is depressed . • A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan care? • Meets own needs without manipulating others. • Initiates social interactions with caregivers. • Changes behavior as a result of peer pressure. • Acknowledges his delusions are not real. • A nurse is providing behavior therapy for a client who has obsessive - compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique? • Snap a rubber band on your wrist when you think about checking the locks. • Ask a family member to check the locks for you at night. • Focus on abdominal breathing whenever you go to check the locks. • Keep a journal of how often you check the locks each night. • A nurse is caring for a client who is starting treatment for substance use disorder. Which of the following actions indicate the nurse is practicing the ethical principle of nonmaleficence? • Provide the client with quality care regardless of their ability to pay for treatment. • Educating the client about legal rights concerning treatment. • Withholding the prescribed medication that is causing adverse effects for the client. • Being truthful with the client about the manifestations of withdrawl. • A nurse in a group home facility is caring for a client who is developmentally disabled. The client has been stealing belongings from other clients. Which of the following techniques should the nurse use? • Crisis intervention to decrease anxiety. • Aversion therapy to provide distraction • Positive reinforcement to increase desired behavior. • Systematic desensitization to extinguish the behavior. • A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? • Ask the client to discuss precipitating events • Speaks to the client in a high - pitched voice. • Place the client in seclusion • Have the client breathe into a paper bag. • The nurse is caring for a client following a physical assault. The client states "I don’t remember what happened to me." The nurse should recognize that the client is using which of the following defense mechanisms? • Repression • Displacement • Rationalization • Denial • A nurse is caring for a client who has anorexia nervosa. Which of the following findings require immediate intervention by the nurse? a. +2 edema of the lower extremities • BUN 21 mg/dL • Lanugo covering the body

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    • d. Blood pH 7.60 • A nurse is caring for a client in a mental health facility. The client is agitated and threatens to harm herself and others. Which of the following is the priority intervention? • Place the client in restraints • Administer an anti - anxiety medication to the client • Put the client in seclusion • Set limits on the client's behavior • Dosage Calculation Question. • A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take? • Ask the clients family to encourage the client to receive ECT • Inform the client that ECT does not require a consent. • Document the client's refusal of the treatment in the medical record. • Tell the client he cannot refuse the treatment because he was involuntarily committed. • A nurse in the emergency department is caring for a client who reports feeling sad, worthless, and hopeless 9 months after the death of her son. Which of the following actions should the nurse take first? • Request a mental health consult for the client. • Ask the client if she has thought about harming herself. • Encourage the client to attend a grief support group. • d. Discuss the clients coping skills. • A nurse is caring for a client who has borderline personality disorder and has been engaging in self - mutilation. The nurse should encourage the client to participate in which of the following groups. • Dual diagnosis treatment group • b. Dialectical treatment group • Desensitization therapy • Co - dependents support group. • The nurse is reviewing the medication administration record of a client who has schizophrenia. The nurse should plan to initiate the Abnormal Involuntary Movement Scale to monitor for adverse effects of which of the following medications.? • Amantadine • Diphenhydramine • Benztropine • d. Haloperido l • A nurse is counseling a client following the death of a clients partner 8 months ago. Which of the following client statements indicates maladaptive grieving? • I am so sorry for the times I was angry with my partner. • I find myself thinking about my partner often. • c. I still don't feel up to returning to work. d. I like looking at his personal items in the closet. • A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan? • The client will report a decrease in hallucinations. • The client will communicate needs • The client will verbalize improved mood • The client will attend to personal hygiene. • A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states "I can't stand to be touched by another person." Which of the following responses should the nurse make? • Why don’t you like to be touched by others • Don’t worry about it. Your anxiety will lessen once the massage begins. • I will tell your provider you would like a treatment other than a massage.

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    • I will request that the massage therapist wear gloves during your treatment. • A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan? • Encourage physical activity for the client during the day • Discourage the client from expressing feelings of anger • Keep a bright light on in the client's room at night. • Identify and schedule alternative group activities for the client. • A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify as acting in the role as the monopolizer? • The mother who expresses hostility toward her spouse. • The adolescent son who refuses to share personal feelings. • The father who intervenes whenever the siblings argue. • The adolescent daughter who attempts to dominate the conversation . • A nurse is developing a teaching plan for the family of an older adult client who is to receive transcranial magnetic stimulation. Which of the following information should the nurse include in the teaching plan? • The client might have a headache after treatment. • The client will experience seizure during treatment. • The client will require intubation after treatment. • The client is at risk for aspiration during treatment. • A nurse is providing teaching about disulfiram to a client who has a history of alcohol use. Which of the following instructions should the nurse include in the teaching? (Select all that apply) • “You will need to take the medication once daily” • “you will receive treatment in an inpatient setting” • “You should avoid using mouthwash that contains alcohol” • “you should avoid drinking carbonated beverages while taking the medication” • “you can expect to develop a physical dependence to the medication” • A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the following actions should the nurse take? • Avoid power struggles by remaining neutra l • Allow the client to set limits for his behavior • Provide in - depth explanation of nursing expectations • Encourage the client to participate in group activities • A nurse is assessing a young adult female client for schizophrenia. Which of the following findings should the nurse identify as a risk factor for this condition? • Environmental stress • Gender • Depression • d. Birth order • A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching? • The client exhibits an inflated sense of self • The client develops an inability to concentrate • The client increases participation in social activities • The client begins sleeping more than usual • A nurse is assessing a client who is restless and constantly mutters to himself. Which of the following findings should lead the nurse to suspect delirium? • The client is unable to recognize objects.

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    • The client manifestations developed suddenly • The client has a flat affect • The client’s speech is slow and repetitious • A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make? • “ You know that’s not true, because it is against the law for others to read your mail” • “All of your letters come sealed, so that seems unlikely” • “It must be frightened to think that someone is reading your mail” • “Why do you think the government wants to read your mail?” • A nurse is assessing a client who has neuroleptic malignant syndrome. Which of the following clinical findings should the nurse expect? • Heart rate 48/min • Temperature 40 C (104 F) • WBC 3,000/mm 3 • Hypotonicity • A nurse is reviewing the medical record of a client who is taking clozapine. For which of the following findings should the nurse withhold the medication and notify the provider? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.) • WBC count • Blood glucose level • Report of photosensitivity • Heart Rate • A nurse is caring for a client who has personality disorder and is using transference to cope. Which of the following behaviors should the nurse expect? • Talking negatively about other staff members • Expressing frustration regarding unit rules • Reacting to the nurse as though she were his mother • Refusing to participate in group activities • A nurse in a mental health facility is caring for a newly admitted client. Which of the following resources should the nurse recommend to help the client adapt to the health care setting? • A community meeting • A medication group • A self - help meeting • A symptom - management group • A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take? • Request that the client’s guardian sign the consent • Ask the charge nurse to obtain informed consent • Contact the facility social worker to obtain the consent • Explain implied consent to the client’s family • A nurse is caring for a client who has cocaine use disorder. Which of the following manifestations should the nurse expect the client to have during withdrawal? • Hand tremors • Rapid speech • Fatigue • Seizures • A nurse is providing teaching about disorder management for a client who has posttraumatic stress disorder (PTSD). Which of the following statements should the nurse include in the teaching? • “Avoiding stimuli that trigger memories of the trauma can help you overcome your PTSD” • “Talking about the traumatic experience is recommended” • “Response prevention is an effective treatment for PTSD”

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