ATI Mental Health Proctored Exam 20191.A client is fearful of driving and enters abehavioral therapy programtohelp him overcome hisanxiety. Using systematic desensitization, he is ableto drive down a familiar street withoutexperiencing a panic attack. Thenurse should recognize that to continue positive results, the client shouldparticipate in which of the following?a. Biofeedbackb. Therapist modelingc. Frequent pacingd. Positive reinforcement2. A nurse is counseling a client following the death of the client’s partner8months ago.Which of the following client statements indicatesmaladaptive grieving?a. “I am so sorry for the times I was angry with my partner.”b. “I like looking at his personal items in the closet.”c. “I find myself thinking about my partner often.”d. “I still don’t feel up to returning to work.”Rationale: 8 months too long Maladaptive Grief: . Distorted or exaggerated grief response - unable toperform activities of daily living.RISK FACTORS FOR MALADAPTIVE GRIEVING●● Being dependent upon the deceased●● Unexpected death at a young age, through violence, or by a socially unacceptable manner●● Inadequate coping skills or lack of social support●● Pre-existing mental health issues, such as depression or substance use disorder3./21 A nurse in an inpatient mental health facility is assessing a client whohasschizophreniaand is takinghaloperidol(anti-psychotic, 1st gen).Which of the following clinical findings is the nurse’s priority?a. Headacheb. Insomnia(sedation)c. Urinary hesitancy(Complication → ANTIcholinergic effects)d. High fever(Complication → agranulocytosis)Other complications:Acute dystonia, Pseudoparkinsonism, Akathisia, Tardive dyskinesia,Neuroendocrine effects (Gynecomastia, Weight gain, Menstrual irregularities), NMS, OrthostaticHypotension, Sedation, Sexual dysfunction, Skin effects, Liver impairmentlOMoARcPSD|9700590Preview Mode
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