2019 ATI Mental Health Proctored Exam with Answers (210 Solved Questions)

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ATI MENTAL HEALTH PROCTORED EXAM 2019 WITH NGNQUESTIONS AND VERIFIED SOLUTIONS/ A+ GRADEUPDATEDAclientisfearfulofdrivingandentersabehavioraltherapyprogramtohelphimovercomehis anxiety. Using systematic desensitization, he is able to drive down a familiar streetwithout experiencing a panic attack. The nurse should recognize that to continue positiveresults, the client should participate in which of the following?a. Biofeedback or d. PositivereinforcementAnurseiscounselingaclientfollowingthedeathoftheclient’spartner8monthsago.Which of the following client statements indicates maladaptive grieving?d. “I still don’t feelup to returning to work.”A nurse in an inpatient mental health facility is assessing a client who hasschizophreniaandistakinghaloperidol (antipsychotic, 1st gen). Whichof thefollowingclinicalfindingsisthenurse’spriority?d.Highfever(Complicationagranulocytosis)Anurseisplanningcareforaclientwhohasobsessivecompulsivedisorder.Whichofthe following recommendations shouldthenurseinclude intheclient’s plan ofcare?c.ThoughtStoppingAnurseisprovidingteachingtothedaughterofanolderclientwhohasobsessive-compulsive disorder. Which of the following statements by the daughter indicates anunderstanding of the teaching?b. “I will limit my mother’s clothing choices when she isgetting dressed.”Anurseiscaringforaclientwhoisinthemanicphaseofbipolardisorder.Whichofthe following actions should the nurse take?c.Avoid power struggles by remainingneutralA nurse is providing behavioral therapy for a client who has OCD. The client repeatedlychecksthatthedoorsarelockedatnight.Whichofthefollowinginstructionsshouldthenurse give theclient when using thought stopping technique?d. “Snap arubber band onyour wrist when you think about checking the locks.”A nurse is caring for a client who has a cocaineuse disorder.Which of thefollowing manifestationsshouldthenurseexpecttheclienttohaveduringwithdrawal?b.Fatigue

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Anurseisreviewingthemedicalrecordofaclientwhoistakingclozapine.Forwhichofthe following findings should the nurse withhold the medication and notify the provider?a.WBCAnurseiscreatingaplanofcareforaclientwhohasmajordepressivedisorder.Whichofthe following interventions should the nurse include in the plan?b. Encourage physicalactivity for the client during the dayAnurseisassessing aclientwhoisexperiencingacutealcoholwithdrawal.Whichofthe following findings should the nurse expect?c. InsomniaA nurse is caring for a client who has schizophrenia and displays severe symptoms ofthe disorder.Whichofthefollowingactionsshouldthenursetake?d.Directtheclienttoperformher own daily hygiene and grooming tasksA nurse is caring for a client who was involuntarily committed and is scheduled toreceive electroconvulsive therapy. The client refuses the treatment and will discuss whywith the healthcareteam.Whichofthefollowingactionsshouldthenursetake?a.Documenttheclient’s refusal of the treatment in the medication recordA nurse is providing crisis intervention for a client who was involved in a violent masscasualtysituationinthecommunity.Whichofthefollowingactionsshouldthenursetakeduring the initial session with the client?a. Identify the client’s usual coping style.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 followingactions shouldthenursetakefirst?d.Asktheclientifshehasthoughtaboutharmingherselfgiven-.Anurseisplanningcareforanadolescentwhohasautismspectrumdisorder.Whichofthe following outcomes should the nurse include in the plan of care?c. Initiate socialinteractions with caregiverAnurseiscaringforaclientwhoisexperiencingactiveauditoryhallucination.Whichofthe following should the nurse take?d. Focus the client on reality based activitiesAnurseisconductinganadmissioninterviewwithaclientwhoisexperiencingmania.Which of the following findings the nurse reports to the provider?a. Reports eating twice inthe past week 't bathed in 2 daysAnurseiscaringforaclientwhohasanorexianervosa.Whichofthefollowingfindings requires immediate intervention by the nurse?c. +2 edema of the lowerextremities

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A nurse is planning care for a client who has a recent diagnosis of antisocial personalitydisorder.Whichofthefollowingoutcomesshouldthenurseinthecareplan?a.Theclienttreats others with respectAnurseiscaringforaclientwhoisprescribedmassagetherapytotreatpanicdisorder.The client states “I can't stand to be touched by another person”. Which of the followingresponse should the nurse make?c. I will tell your provider know that you would like a treatother than a message(avoid triggers)??(doubled)21. A nurse in a group home facility is caring for a client who is developmentallydisabled.Theclienthasbeenstealingbelongingsfromtheotherclients.Whichofthefollowingtechniques should the nurse use? b. Positive reinforcementA nurse in a mental facility is caring for a newly admitted client. Which of the followingresourcesshouldthenurserecommendtohelptheclientadapttothehealthcaresetting?a.A Community meetingAnurseisteachingthecaregiverof aclientwhohasadvancedAlzheimer’sdiseaseabout homesafety.Whichofthefollowingstatementsbythecaregiverindicatesanunderstandingof the teaching? b. I will place a sliding bolt lock just above the doorknobA nurse is beginning a therapeutic relationship with a client. The nurse should plan toaccomplishwhichofthefollowingtasksduringtheworkingphase?b.Evaluateprogresstoward predetermined goalsA nurse Is planning care for a client who has anorexia nervosa and is admitted to aninpatienteatingdisorderunit.Whichofthefollowingisanappropriateintervention?(p.167)c. Initiate a relationship built on trust with the client.A nurse is providing discharge teaching about manifestations of relapse to the family ofa clientwhohasschizophrenia.Whichofthefollowinginformationshouldthenurseincludeinthe teaching a. The client develops an inability to concentrateAnurseinamentalhealthfacilityiscaringforaclient.Whichofthefollowingactionsshould the nurse take during the working phase of the nurse-client relationship? c. Promoteproblem-solving skills.Anurseisplanningcareforaclientwhohasdementia.Whichofthefollowinginterventions should the nurse include in the plan? d. Provide finger food to enhancecaloric intake (ensure adequate food/fluid intake)Anurseisdeveloping ateaching planforthefamilyof anolderadultclientwhoistoreceive transcranialmagneticstimulation.Whichofthefollowinginformationshouldthe

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nurseincludein the teaching plans? a. The client might have a headache after treatment(a/e mild discomfort and tingling sensation at the site of the electromagnet)Anurseoverhearsaclientsaying,“Iamaspy,aspyfortheFBI.IamanI,aneyeforan eye, aneye inthesky. Skyisuphigh.Thenurseshould documenttheclient’sstatement as which of the following speech alterations? a. Clang associationA nurse is assessing a client who has neuroleptic malignant syndrome. Which ofthe followingclinicalfindingsshouldthenurseexpect?b.Temperature40(104F)(suddenhighfever)A nurse in an acute care mental health facility is planning discharge care for a clientwho sustainedatraumaticbraininjury.Forwhichofthefollowingneedsshouldthenursecollaborate with a clinical psychologist? a.The client needs to begin a group therapyprogram prior todischargeA nurse is caring for a client who reports that he is angry with his partner because sheis thinking he is just trying to gain attention. When the nurse attempts to talk to the client,he becomesangryandtellshertoleave.Whichofthefollowingdefensemechanismsistheclient demonstrating? b. Displacement???34. A nurse isteaching aclient who has schizophrenia about hernew prescriptionfor risperidone.Whichofthefollowingstatementsshouldbeincludedintheteaching?a.You should discontinue this medication if you develop muscle rigidityAnurseistalkingtoaclientfollowingagrouptherapysession.Theclienttellsthenursethat one of the other clients in the group made an inappropriate comment. Which of thefollowing responses should the nurse make? a. You sound upset about today’s sessionAnurseisreviewingthelaboratoryreportofaclientwhoistakingcarbamazepineforbipolar disorder. Which of the following laboratory results should the nurse report to theprovider? b. Platelets 90,000/mmAnurseisprovidingteachingaboutdisordermanagementforaclientwhohasPTSD.Which of the following statements should the nurse include in the teaching?c. Talking aboutthe traumatic experience is recommended37.A nurse is providing teaching about disulfiram to a client who has a history of alcohol use.Whichofthefollowinginstructionsshouldthenurseincludeintheteaching?a.Youwillneedto take the medication once daily e. You should avoid using mouthwash that contain alcohol

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Anurseinamentalhealthfacilityismaking plansforaclient'sdischarge.Whichofthe following interdisciplinary team members should the nurse contact to assist theclient with housing placement? a. Social workerAnurseisprovidingteachingtoaclientwhohasdepressivedisorderandanewprescription for doxepin. Which of the following instructions should the nurse include in theteaching? b. Sit on the side of the bed for a few minutes before standingAnurseiscaringforaclientwhohasborderlinepersonalitydisorderandhasbeenengaging in self-mutilation. The nurse should encourage the client to participate in which ofthe following groups? d. Dialectical Behavior TreatmentAnurseiscaringforaclientfollowing aphysicalassault.Theclient states,“Idon'tremember whathappenedtome.”Thenurseshouldrecognizethattheclientisusing whichofthefollowing defense mechanisms? b.RepressionAnurseispreparingtoadministerhaloperidol7mgIMtoaclientwhoisseverelyagitated.Availableishaloperidolinjection5mg/mL.HowmanymLshouldthenurseadminister?1.4mLA charge nurse is discussing the care of a client who has a substance use disorder witha staffnurse.Whichofthefollowingstatementsbythestaffnurseshouldthechargenurseidentify as countertransference? a. The client is just like my brother who finally overcome hishabitAnurseisteaching aclientwhohasanewprescriptionforphenelzinetotreatdepression. Thenurseinstructstheclient toavoidfoodswithtyraminetoprevent whichofthefollowing?b. Hypertensive crisisAnurseiscaringforaclientwhohasapersonalitydisorderandisusingtransferenceto cope.Whichofthefollowingbehaviorsshouldthenurseexpect?b.Reactiontothenurseas though she were his mother***46. Anurseisadmittingaclient who hasgeneralized anxiety disorder. Whichof thefollowing actions should the nurse plan to take first? a. Determine how the client handlesstress I’m just thinking thiscuzit saidfirst andthisseems like anassessmentwhich is whatyou dofirst b. Ask theclienttoidentifyherstrengthsc.Providetheclient withaquietenvironmentatthesametime it is important to provide them with a calm quiet environment,but I think this one is if they are experiencing panic-level anxiety. Idk. I might be overthinkingd. Teach the client to use guidedimagery47. A nurse is teaching a client who has bipolar disorder and a new prescription for lithiumcarbonate.Whichofthefollowingstatementsbytheclientindicatesanunderstandingoftheteaching? d. I will call my doctor if I have a diarrhea

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**48.Anurseiscaringforaclientwhoisexperiencingapanicattack.Whichofthefollowingactions should the nursetake? a. Place the client in seclusion c. breathe into paper bag49.A nurse is caring for a client who is starting treatment for substance use disorder.Whichof thefollowingactionsindicatesthenurseispracticingtheethicalprincipleofnonmaleficence?b. Withholding a prescribed meds that is causing adverse effects for theclient50.A nurse is caring for a client who has just returned to the unit after receivingelectroconvulsivetherapytreatments.Whichofthefollowingassessmentsisthenurse’spriority? d. Presence of gag reflex***51. A nurse in the emergency department is counseling a client who reports experiencingintimate partner violence. Which of the following actions should the nurse take? a. Requestpermissionfromtheclienttotakephotographsoftheinjuries.b.Offertohelptheclientescape from the partner the next time violence occurs c. determine what the client did totrigger the violent incident. d.Tell the client that staying with the partner shows a lack ofjudgment.Anurseisreviewingthemedicationadministrationrecordofaclientwhohasschizophrenia.Thenurseshouldplantoinitiatetheabnormalinvoluntarymovementscaletomonitorforadverse effects of which of the following medications? a. Amantadine b. Benztropine c.Diphenhydramine d. Haloperidol (Antipsychotic)A nurse is planning overall strategies to address problems for a client who hasborderline personalitydisorder.Whichofthefollowingstrategiesisthepriorityforthenursetoincorporate in the plan of care? c. Implement measures to prevent intentional self-inflicted injuryA nurseis obtaining amedical historyfrom a client who is requesting aprescriptionfor bupropionforsmokingcessation.Whichofthefollowingassessmentfindingsintheclient’s history should the nurse report to the provider? c. Recent head injuryAnurseiscaringforaclientwhohasbipolardisorderandisexperiencingamanicepisode. Which of the following actions should the nurse take? c. Dim the lights in theclient’s roomA nurse is caring for a client who is admitted to a mental health facility after attemptingsuicide.Whichofthefollowingactionsshouldthenursetakefirst?a.Implementcontinuousone to one observation
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