2023 ATI Mental Health Proctored Exam with Answers (59 Solved Questions)

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NGN ATI MENTAL HEALTH PROCTORED EXAM 2023ACTUAL EXAM QUESTIONS WITH VERIFIED SOLUTIONS•When admitting a client to an inpatient mental health facility, a nursenoticesthattheclientseemswithdrawnandappearsfearful.Toestablishatrustingnurse-clientrelationship,thenurseshouldfirst•Introducetheclienttootherclientsinthedayroom(workingphase)•Informtheclientthatheradmissionwillbeconfidential(orientationphase)•Assisttheclientinfacilitatingbehavioralchange(workingphase)•Determinecopingstrategiesthattheclienthasusedinthepast(workingphase)•A nurse is reviewing the potential adverse effects of lithium with a clientwhobeganthemedication2weeksago.Forwhichofthefollowingshouldthenurseinstructtheclienttomonitorandreporttotheprovider?•Hearingloss•Drypersistentcough•Bruising•Coarsehandtremor(indicationtoxicity)•Anurseiscaringforachildwhohasconductdisorderandisbehavinginadestructive manner, throwing objects, and kicking others. Which of thefollowingtherapeuticnursinginterventionsisthehighestpriority?•Encourageexpressionoffeelings(acknowledgethem)•Promoteattendanceatanassertivenesstraininggroup(howtobeassertiveratherthanaggressive)•Assist the client to perform relaxation breathing (assist the child tocalmdown)•Use a therapeutic holding technique(the greatest risk to this childandothersisharm?Therefore,thenurse’spriorityinterventionisto useatherapeuticholdingtechniquetode-escalatethebehaviorandpreventinjury)

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•A nurse in a mental health facility observes a client who is experiencingpaniclevelofanxiety.Whichofthefollowingactionsshouldthenursetakefirst?•Teachtheclientarelaxationtechnique(aftertheattackhassubsidedtopreventfurtherescalationsofanxiety)•Establishanexerciseroutinefortheclient(aftertheattackhassubsidedtopreventfurtherescalationsanxiety)•Assisttheclienttoidentifyanxietytriggers•Accompanytheclienttoaquietroom•Anurseiscaringforaclientwhoistakingchlorpromazineforschizophrenia.Which ofthe following assessment findings indicates that the client isexperiencingextrapyramidaladverseeffects?•Feverandsorethroat(indicateagranulocytosis)•Urinaryretention(Anticholinergicsideeffect)•Posturalhypotension(cardiovascularsideeffect)•Lipsmackingandtonguerolling(indicatelong-termextrapyramidalsideeffectsassociatedwithtypicalantipsychoticmedications)•A nurse is preparing to administer diazepam 7.5 mg IV bolus to a client foralcoholwithdrawal. Available is diazepam injection 5 mg/ml. How many mLshouldthenurseadminister?(roundtheanswertothenearesttenth.Usealeadingzeroifapplicable.Donotuseatrailingzero.)1.5mL•A nurse is assessing a client in the emergency department. The clientappearsagitated, his blood pressure is 152/94 mm Hg, his heart rate is104/min,andhispupilsaredilated.Thenurseshouldsuspectintoxicationwith which ofthefollowingsubstances?•Heroin(intoxicationconstrictedpupils,decreasebloodpressure)•Cocaine(intoxicationcausetachycardia,elevatedbloodpressure,dilatedpupils and agitation)•Benzodiazepines(decreasedbloodpressure)

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•Inhalants(centralnervoussystemdepression)•A nurse is educating the parent of a child who has a new diagnosis ofautismspectrumdisorder.Whichofthefollowingcharacteristicsofthisdisordershouldthenurseincludein the teaching?•Fearofabandonment(separationanxietydisorder)•Languagedelay(autismspectrumdisorder)•Hostilebehavior(oppositionaldefiantdisorder)•Motorandverbaltics(Tourette’sdisorder)•Anurseisleadingagrouptherapysessionwhenaclientbecomesagitatedand yells,“Listening to all of you is making me worse!” which of thefollowingisanappropriateresponse?•“You sound angry and frustrated. Tell us more about how you arefeeling?”(thenurseismakingobservationsandexploringtheclient’sfeelingstodemonstrate caring)•“Maybeyouwouldliketogotoanothergroupfromnowon.”(nurse’sresponseis showing disapproval of the client and can make all of theclientsdefensive)•“Let’s not talk about this now. We will talk more about this in ourindividualsession.”(minimizingtheclient’simmediateconcernsandfeelings)•“Do any of the other group members feel this way?”(showingdisapprovaloftheclientandcanmakealloftheclientsdefensive)•A home health nurse is assessing an older adult client who lives alone.Whichofthefollowingfindingshouldindicatetothenursethattheclientisexperiencingdelirium?•Suddenonset(suddenlyoverhourstodays)•Euthymicmood(clientswhohavedeliriumhaverapidmoodswings)•Flataffect(demonstrateexpressionsoffeelings)•Slowspeech(raid,inappropriatespeechandlanguage)•A nurse is caring for a client who has schizophrenia. The treatment plan isfortheclienttoincreasehisautonomyfromhisparents.Priortodischarge,thenurse shouldplanto

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•Stresstotheclientthatheneedtobemoreindependent(doesnotgivehimskillstogainautonomy.Thenursemustassisttheclientto learnthese skills)•Scheduleafamilyconference(Allowsthenursetoworkwithboththeclient and his family to make an action plan for increasedautonomy.Thisisapositivestepfortheclientpriortodischarge)•Tell the client not to visit his family so often (The client needsemotionalsupportfromhisfamily.Decreasingfamilyvisitscouldbeobstructive to hisemotional well-being and would not necessarilyincreaseautonomy)•Arrangehousingplacementfortheclientinanothertown(Theclientneedsemotionalsupportfromhisfamily.Movinghimtoanothercitycould isolatehim from this support an d would not necessarilyincreaseautonomy)•A nurse in a provider’s office is talking with a client who has diabetesmellitusandanHbA1cof8.5%.Theclientstatesthatsheisunderalotofstressandthatshedoesn’twanttotalkaboutherdiabetesmellitusrightnow. Based on thesecomments, the nurse should note that the client isdemonstratingwhichofthefollowingdefensemechanisms?•Suppression(theclientissuppressingherfeelingsaboutdealingwithhaving achronic illness when she consciously denies her currenthealth status)•Conversion(theclientdemonstratesconversionifsheunconsciouslyconvertedheranxietyintophysicalsymptoms)•Displacement (the client demonstrates displacement if shetransferredherfeelingsaboutherillnesstoanotherlessthreateningsituation)•Reaction formation (The client demonstrates reaction formation ifshedemonstratedtheoppositebehaviorofwhatsheisreallyfeeling)•A nurse is caring for a client who has schizophrenia in a mental healthfacility.Whichofthefollowingplacestheclientatgreatestriskforself-directedinjuryorinjuring others?•Inabilitytocommunicatewithothers•Feelingsofabsenceofself-worth•Lackofmotivationtoperformdailytasks

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•Command hallucinations(A client who has schizophrenia and isexperiencingcommandhallucinationsmaybetoldtohurthimselforothers.Therefore, a client who is experiencing commandhallucinations is at greatestrisk for self-directed injury or injuringothers)•A nurse is performing an assessment on a 78-year-old client who hasinjuriesconsistentwithsuspectedabuse.Whichofthefollowingstatementsindicatesthegreatestpotentialriskfactorforabuse?•“Mychildrenmanagemyfinances,butIstillhavetosignthechecks.”•“Mysonenjoysacoupleofdrinkseachnighttounwind.”•“Mydaughter-in-lawisexpectinganotherbabysoon.”•“Iplanonlivingonyownwiththehelpofhomehealthservices.”•Anurseisobtainingahealthhistoryduringaclient’sadmissiontoamentalhealthfacility. The client begins to talk on her cell phone. When the clientfinishestalking,shereportstothenurse“Thatwasthepresident,Ileavein the morning on my newmission.” Which of the following is an appropriateresponse?•“Doyouwanttoleavesosoon?”•“Idonotthinkthepresidentwillneedyouonthismission.”•“Howlonghaveyoubeenhavingconversationswiththepresident?”•“Ithinkyouneedtotalktoyourprovideraboutthemission.”•Aclientrecentlydiagnosedwithbipolardisorderisplacedinaroomwithaclient whohas severe depression reports to the nurse, “That man in myroom never sleeps and hekeeps me up, too.” Which of the following is anappropriateinterventionforthenursetotake?•Movetheclientwhohasbipolardisordertoprivateroom(clientswhohave bipolar disorder can disrupt the therapeutic milieu forotherclients; therefore, the nurse should move this client to aprivate room)•Administersleepmedicationtotheclientwhohasbipolardisorder(notanappropriate intervention)

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