2023 ATI RN Proctored Exam with Answers (58 Solved Questions)

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ATI MENTAL HEALTHPROCTORED EXAMREVIEWQUESTIONS WITH CORRECTANSWERS2023-2024A+GRADEA charge nurse is discussing mental status exams with a newly licensed nurse.Whichofthefollowingstatementsbythenewlylicensednurseindicatesanunderstanding oftheteaching?(Selectall thatapply).A."Toassesscognitiveability,Ishouldasktheclienttocountbackwardbysevens."B."Toassessaffect,Ishouldobservetheclient'sfacialexpression.C. "To assess language ability, I should instruct the client to write asentence."D."Toassessremotememory, Ishouldhavetheclientrepeatalistof objects."E. "To assess the client's abstract thinking, I should ask the client to identify our mostrecentpresidents."-ANSWER-A."Toassesscognitive ability,I shouldasktheclienttocountbackward bysevens."B."Toassessaffect,Ishouldobservethe client'sfacialexpression.C."Toassesslanguageability,Ishould instructtheclienttowriteasentence."A nurseisplanningcareforaclientwhohasamentalhealthdisorder.Whichofthefollowingactionsshouldthenurseincludeasapsychobiologicalintervention?A.Assisttheclientwithsystematicdesensitizationtherapy.B.Teachthe clientappropriate copingmechanismsC.Assesstheclientforcomorbidhealthconditions.D. Monitor the client for adverse effects of the medications.-ANSWER-D. Monitortheclientforadverseeffects ofthemedications.A nurse in an outpatient mental health clinic is preparing to conduct an initialclientinterview. When conducting the interview, which of the following actionsshould thenurse identifyas thepriority?•Coordinateholisticcarewith socialservices•Identifytheclient'sperceptionofhermentalhealthstatus.C. Includetheclient'sfamilyintheinterview.D. Teach the client about her current mental health disorder.-ANSWER-B. Identifytheclient's perceptionofhermentalhealth status.Anurseistoldduringchangeofshiftreportthataclientisstuporous.Whenassessingtheclient,whichof thefollowingfindingsshould thenurseexpect?

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A. The client arouses briefly in response to a sternalrub.B.Theclienthasaglasgowcoma scalescore lessthan7.C.Theclientexhibitsdecorticaterigidity.D. The client is alert but disoriented to time and place.-ANSWER-A. The clientarousesbrieflyin response toasternal rub.Anurseisplanningapeergroup discussionaboutthe DSM-5.Which of thefollowinginformationisappropriate toincludeinthediscussion?(Selectallthatapply)•TheDSM-5includesclienteducationhandoutsformentalhealthdisorders.•The DSM-5 establishes diagnostic criteria for individual mental healthdisorders.C.TheDSM-5indicatesrecommendedpharmacologicaltreatmentformentalhealthdisorders.D.TheDSM-5assistsnursesinplanningcareforclient'swhohavementalhealthdisorders.E. The DSM-5 indicates expected assessment findings of mental healthdisorders.-ANSWER-B. The DSM-5 establishes diagnostic criteria for individualmental healthdisorders.D.TheDSM-5assistsnursesinplanningcareforclient'swhohavementalhealthdisorders.E.TheDSM-5indicatesexpectedassessmentfindingsofmentalhealthdisorders.Anursein anemergencymentalhealthfacilityis caringfor a groupofclients.Thenurseshould identify that which of the following clients requires a temporaryemergencyadmission?•Aclientwhohasschizophreniawithdelusionsof grandeur•Aclientwhohasmanifestationsofdepressionandattemptedsuicideayearago•Aclientwhohasborderlinepersonalitydisorderandassaultedahomelessmanwithametal rod•A client who has bipolar disorder and paces quickly around the room while talkingtohimself-ANSWER-C. A client who has borderline personality disorder andassaulted ahomelessman withametal rodA nurse decides to put a client who has a psychotic disorder in seclusion overnightbecause the unit is very short-staffed, and the client frequently fights with otherclients.Thenurse'sactionsareanexampleofwhichofthefollowingtorts?

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A. Invasion ofprivacyB. FalseimprisonmentC.AssaultD.Battery-ANSWER-B.FalseimprisonmentA client tells a nurse, "Don't tell anyone but I hid a sharp knife under my mattress inordertoprotectmyselffrommyroommate,who isalwaysyellingatmeandthreateningme."Whichof thefollowingactionsshouldthe nursetake?•Keeptheclient'scommunicationconfidential,buttalktotheclientdaily,usingtherapeuticcommunicationto convincehim to admittohidingtheknife•Keeptheclient'scommunicationconfidential,butwatchtheclientandhisroommateclosely.•Telltheclientthatthismustbereportedtothe healthcareteambecauseitconcernsthehealthandsafetyof the clientandothers.•Report the incident to the health care team, but do not inform the client of theintentiontodoso.-ANSWER-D.Reporttheincidenttothehealthcareteam,butdonotinformtheclientoftheintention to doso.A nurseiscaringforaclientwhoisinmechanicalrestraints.Whichofthefollowingstatementsshouldthenurseincludeinthedocumentation?(Selectallthatapply)•"Clientatemostofhisbreakfast."•"Clientwasoffered8ozofwatereveryhr."•"Clientshoutedobscenitiesatassistivepersonnel."•"Clientreceivedchlorpromazine15mgbymouthat1000."•"Clientactedoutafterlunch."-ANSWER-B."Clientwasoffered8ozof watereveryhr."C."Clientshoutedobscenitiesatassistivepersonnel."D."Clientreceivedchlorpromazine 15mgbymouthat1000.Anursehearsanewlylicensednursediscussinga client'shallucinations inthehallwaywithanothernurse.Which ofthefollowing actionsshouldthenursetakefirst?•Notifythenursemanager.•Tellthenursetostopdiscussingthebehavior.•Provideanin-serviceprogramaboutconfidentiality.•Complete an incident report.-ANSWER-B. Tell the nurse to stop discussingthebehaviorA nurse is caring for the parents of a child who has demonstrated changes in behaviorandmood.Whenthemotherof thechildasksthenurseforreassuranceaboutherson'scondition,whichofthefollowingresponses should thenursemake?

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A. "I think your son is getting better. What have younoticed."B."I'msureeverythingwillbeokay.Itjusttakestimetoheal."C. "I'm not sure whats wrong. Have you asked the doctor about yourconcerns?"D. "I understand you're concerned. Let's discuss what concerns youspecifically."-ANSWER-D. "I understand you're concerned. Let's discuss whatconcerns youspecifically."Anurseiscaringforaclientwhosmokesandhaslungcancer.Theclientreports,"I'mcoughing because I have that cold that everyone has been getting." The nurseshouldidentifythatthe clientisusingwhichof thefollowing defensemechanisms?A. ReactionformationB. DenialC.DisplacementD.Sublimation-ANSWER-B.DenialA nurse is providing preoperative teaching for a client who was just informed thatsherequiresemergencysurgery. Theclienthasarespiratoryrate30/minandsays,"Thisisdifficult to comprehend. I feel shaky and nervous." The nurse should identifythat theclient isexperiencingwhich ofthefollowinglevels ofanxiety?•Mild•ModerateC. SevereD.Panic-ANSWER-B.ModerateA nurse is caring for a client who is experiencing moderate anxiety. Which of thefollowingactionsshouldthenursetakewhentryingtogivenecessaryinformationtotheclient? (Select allthatapply.)•Reassuretheclientthateverythingwillbeokay.•Discussprioruseofcopingmechanismswiththeclient.•Ignoretheclient'sanxietysothatshewillnotbeembarrassed.•Demonstrateacalmmannerwhileusingsimpleandcleardirections.•Gather information from the client using closed-ended questions.-ANSWER-B.Discussprior useofcoping mechanismswiththe client.D.Demonstrateacalmmannerwhileusingsimpleandcleardirections.Anurseistalkingwitha client whoisatriskforsuicidefollowingthedeathofhisspouse.Whichofthefollowing statementsshould thenursemake?A."Ifeelverysorryforthelonelinessyoumustbeexperiencing."B."Suicideisnottheappropriatewayto copewith loss."C."Losingsomeoneclosetoyoumustbeveryupsetting."

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D. "I know how difficult it is to lose a loved one."-ANSWER-C. "Losing someonecloseto you mustbe veryupsetting."A charge nurse is discussing the characteristics of a nurse-client relationship with anewlylicensed nurse.Whichofthefollowingcharacteristicsshouldthenurseincludeinthediscussion? (Select allthatapply)•Theneedsofbothparticipantsaremet.•Anemotionalcommitmentexistsbetweentheparticipants.C. It is goal-directed.D.Behavioralchangeisencouraged.E. A termination date is established.-ANSWER-C. It is goal-directed.D. Behavioral change isencouraged.E.Aterminationdateisestablished.A nurse is in the working phase of a therapeutic relationship with a client who hasmethamphetamineusedisorder.Whichofthefollowingactionsindicatestransferencebehavior?•Theclientasksthenurse whethershewillgoouttodinnerwithhim.•The client accuses the nurses of telling him what to do just like his ex-girlfriend.C.Theclientremindsthenurseofafriendwhodiedfromasubstanceoverdose.D. The client becomes angry and threatens to harm himself.-ANSWER-B. Theclientaccusesthenursesoftellinghim what todo justlike hisex-girlfriend.A nurse is planning care for the termination phase of a nurse-client relationship.Whichofthefollowing actionsshould thenurseincludeintheplanofcare?A.DiscussingwaystousenewbehaviorsB. Practicing new problem-solving skillsC. DevelopinggoalsD.Establishingboundaries-ANSWER-A.DiscussingwaystousenewbehaviorsAnurseisorientinganewclienttoamentalhealthunit.Whenexplainingtheunit'scommunitymeetings,whichofthefollowingstatements shouldthenursemake?A. "You and a group of other clients will meet to discuss your treatmentplans.B. "Community meetings have a specific agenda that is establishedby staff.C."Youandtheotherclients willmeetwithstafftodiscusscommonproblems.D. "Community meetings are an excellent opportunity to explore your personalmentalhealth issues."-ANSWER-C. "You and the other clients will meet with staffto discusscommonproblems.

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A nurse is caring several clients who are attending community-based mentalhealthprograms.Whichofthefollowingclients should thenurseplantovisitfirst?•Aclientwhorecentlyburnedherarmwhileusingahotironathome.•Aclientwhorequeststhatherantipsychoticmedicationbechangedduetosomenewadverseeffects.•Aclientwhosaysheishearinga voicethattellshim heisnotworth livinganymore.D. A client who tells the nurse he experienced manifestations of severeanxiety beforeand during a job interview.-ANSWER-C. A client who says he ishearing a voice thattellshimhe isnotworthlivinganymore.A community mental health nurse is planning care to address the issue of depressionamongolderadultclientsinthecommunity.Whichofthefollowinginterventionsshouldthenurseplanasamethodoftertiaryprevention?•Educatingclientsonhealthpromotiontechniquestoreducetheriskofdepression•Performingscreeningsfordepressionatcommunityhealthprograms•Establishingrehabilitationprogramstodecreasetheeffectsofdepression•Providing support groups for clients at risk for depression-ANSWER-C.EstablishingrehabilitationprogramstodecreasetheeffectsofdepressionAnurseisworkinginacommunitymentalhealthfacility.Whichof thefollowingservicesdoesthis typeofprogram provide? (Select allthatapply)•Educationalgroups•Medicationdispensingprograms•C. Individual counselingprograms•D. DetoxificationprogramsE. Family therapy-ANSWER-A. EducationalgroupsB. MedicationdispensingprogramsC.IndividualcounselingprogramsE. FamilytherapyAnursein anacutementalhealthfacilityisassistingwith dischargeplanningfor aclientwho has a severe mental illness and requires supervision much of the time. Theclient'swife works all day but is home by late afternoon. Which of the followingstrategiesshouldthenurse suggestasappropriatefollow-up care?A. Receiving daily care from a home healthaideB.HavingaweeklyvisitfromanursecaseworkerC.Attendingapartialhospitalizationprogram

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D. Visiting a community mental health center on a daily basis-ANSWER-C.Attending apartialhospitalization programA nurseiscaringforagroupofclients.Whichofthefollowingclientsshouldanurseconsiderforreferraltoanassertivecommunitytreatment(ACT)group?•Aclientinancutecarementalhealthfacilitywhohasfallenseveraltimeswhilerunningdown the hallway•Aclientwho livesathomeandkeeps"forgetting" tocomeinforhismonthlyantipsychoticinjectionfor schizophrenia•Aclientinadaytreatmentprogram whosaysheisbecomingmoreanxiousduringgrouptherapy•A client in a weekly grief support group who says she still misses her deceasedhusband who has been dead for 3 months-ANSWER-B. A client who loves athomeand keeps "forgetting" to come in for his monthly antipsychotic injection forschizophreniaAnurseisteachingaclient whohasananxietydisorderandisscheduledtobeginclassical psychoanalysis. Which of the following client statements indicates anunderstandingofthisform of therapy?A."Evenifmyanxietyimproves,Iwillneedtocontinuethistherapyfor6weeks.B."Thetherapistwillfocus onmypastrelationshipsduringoursessions."C."Psychoanalysiswillhelpmereducemyanxietybychangingmybehaviors."D."Thistherapywilladdressmyconsciousfeelingsaboutstressfulexperiences."-ANSWER-B."Thetherapistwillfocusonmypastrelationshipsduringoursessions."A nurse is discussing free association as a therapeutic tool with a client who hasmajordepressivedisorder.Whichofthefollowingclientstatementsindicatesunderstandingofthistechnique?•"Iwillwrite downmydreamsassoonasIwake up."•"Imaybegintoassociatemytherapistwithimportantpeopleinmylife."C. "Ican learntoexpressmyselfinanonaggressivemanner."D. "I should say the first thing that comes to my mind."-ANSWER-D. "I should saythefirstthingthatcomestomymind."27. A nurse is preparing to implement cognitive reframing techniques for a clientwhohasananxietydisorder.Whichofthefollowingtechniquesshouldthenurseincludeintheplanof care?(Select all thatapply)

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A. PriorityrestructuringB.MonitoringthoughtsC. DiaphragmaticbreathingD. Journal keepingE.Meditation-ANSWER-A.PriorityrestructuringB. MonitoringthoughtsD.JournalkeepingAnurseiscaringforaclientwhohasanewprescriptionfordisulfiramfor treatmentofalcohol use disorder. The nurse informs the client that this medication can causenausea and vomiting if he drinks alcohol. Which of the following types of treatmentisthismethodanexample?A. AversiontherapyB. FloodingC.BiofeedbackD.Dialecticalbehaviortherapy-ANSWER-A.AversiontherapyAnurseisassistingwithsystematicdesensitizationforaclientwhohasanextremefearof elevators.Whichofthefollowingactionsshouldthenurseimplementwiththisformoftherapy?A.Demonstrateridinginanelevator,andthenasktheclienttoimitatethebehavior.B. Advise the client to say "stop" out loud every time he begins to feelan anxietyresponserelatedtoanelevator.C.Graduallyexposetheclienttoanelevatorwhilepracticingrelaxationtechniques.D. Stay with the client in an elevator until his anxiety responsediminishes.-ANSWER-C.Graduallyexposethe clienttoanelevatorwhilepracticingrelaxationtechniques.A nurse wants to use democratic leadership with a group whose purpose is to learnappropriateconflictresolutiontechniques.Thenurseiscorrectinimplementingthisformofgroupleadershipwhenshedemonstrateswhichofthefollowingactions?•Observesgrouptechniqueswithoutinterferingwiththegroupprocess•DiscussesatechniqueandthendirectsmemberstopracticethetechniqueC.AsksforgroupsuggestionsoftechniquesandthensupportdiscussionD.SuggeststechniquesandasksgroupmemberstoreflectontheiruseE. Democratic leadership supports group interaction and decision making to solveproblems.-ANSWER-A.Observesgrouptechniqueswithoutinterferingwiththegroupprocess

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A nurse is planning group therapy for clients dealing with bereavement. Which ofthefollowingactivitiesshouldthenurseincludeintheinitialphase?(Selectallthatapply)A.EncouragethegrouptoworktowardgoalsB. Definethepurposeofthe group•Discussterminationofthegroup•Identifyinformalrolesofmemberswithinthegroup•Establish an expectation of confidentiality within the group-ANSWER-B. Definethepurposeofthe groupC.Discussterminationof thegroupE.EstablishanexpectationofconfidentialitywithinthegroupA nurse working on an acute mental health unit forms a group to focus on self-management of medications. At each of meetings, two of the members use theopportunitytodiscusstheircommoninterestingamblingonsports.Thisisanexampleofwhichof thefollowingconcepts?A. TriangulationB. Group processC. SubgroupD.Hiddenagenda-ANSWER-D.HiddenagendaA nurse is conducting a family therapy session. The adolescent son tells the nursethatheplanswaystomakehissisterlookbadsohisparentswillthinkhe'sthebettersibling,which he believes will give him more privileges. The nurse should identify thisdysfunctionalbehavioras whichofthefollowing?•Placation•Manipulation•C. BlamingD.Distraction-ANSWER-B.ManipulationAnurseisworkingwithanestablishedgroupandidentifiesvariousmemberroles.Whichof thefollowingshouldthenurseidentifyasan individualrole?•Amemberwhopraisesinputfromothermembers•AmemberwhofollowsthedirectionofothermembersC.Amemberwhobrags aboutaccomplishmentsD. A member who evaluates the group's performance toward a standard-ANSWER-C.Amember who bragsaboutaccomplishments

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Anurseispreparingtoprovideaneducationalseminaronstresstoothernursingstaff.Whichof thefollowing informationshouldthenurseinclude inthediscussion?A.Excessivestressorscausetheclienttoexperiencedistress.B.Thebody's initialadaptiveresponse tostressisdenial.C.Absenceofstressorsresultsinhomeostasis.D. Negative, rather than positive, stressors produce a biological response.-ANSWER-A. Excessive stressorscausetheclienttoexperiencedistress.A nurse is discussing acute vs prolonged stress with a client. Which of thefollowingeffectsshouldthenurseidentifyasanacutestressresponse?(Selectallthatapply)•Chronicpain•DepressedimmunesystemC. Increased bloodpressureD.PanicattacksE. Unhappiness-ANSWER-A. ChronicpainB. Depressed immunesystemE.UnhappinessAnurseisteachinga clientaboutstress-reductiontechniques.Whichofthefollowingclient statements indicatesunderstandingof the teaching?A."Cognitivereframingwillhelpmechangemyirrationalthoughtstosomethingpositive."B."Progressivemuscle relaxationusesamechanicaldevicetohelpmegaincontrolovermypulserate."C."BiofeedbackcausesmybodytoreleaseendorphinssothatIfeellessstressandanxiety."D."Mindfulnessallows metoprioritize thestressorsthatIhaveinmylifesothatIhaveless anxiety."-ANSWER-A. "Cognitive reframing will help me change myirrationalthoughtstosomethingpositive."A client says she is experiencing increased stress because her significant other is"pressuring me and my kids to go live with him. I love him, but I'm not ready to dothat."Whichofthefollowingrecommendationsshouldthenursemaketopromoteachangeintheclient's situation?A.LearntopracticemindfulnessB.UseassertivenesstechniquesC. Exercise regularly

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D.Relyonthesupportof aclosefriend-ANSWER-B.UseassertivenesstechniquesA nurse is caring for a client who states, "I'm so stressed at work because of mycoworker. He expects me to finish his work because he's too lazy!" When discussingeffectivecommunication,whichofthefollowingstatementsbytheclienttohiscoworkerindicatesclientunderstanding?A."Youreallyshouldcompleteyourownwork.Idon'tthinkit'srighttoexpectmetocomplete your responsibilities."B."Whydoyouexpectmetofinishyourwork?YoumustrealizethatIhavemyownresponsibilities."C."Itisnotfairtoexpectmetocompleteyourwork.If youcontinue,thenIwillreportyourbehavior toour supervisor."D."WhenIhavetopick upextra work,Ifeelveryoverwhelmed.Ineedtofocusonmyown responsibilities."-ANSWER-D. "When I have to pick up extra work, I feel veryoverwhelmed.Ineed to focusonmyown responsibilities."Anurseisprovidingteachingforaclient whoisscheduledtoreceiveECTforthetreatment of major depressive disorder. Which of the following client statementsindicatesunderstandingoftheteaching?A."ItiscommontotreatdepressionwithECTbeforetryingmedications."B."Icanhavemydepression curedifIreceiveaseriesofECTtreatments."C. "IshouldreceiveECT oncea weekfor 6weeks."D. "I will receive a muscle relaxant to protect me from injury during ECT."-ANSWER-D."I willreceivea musclerelaxanttoprotectmefrominjuryduringECT."AchargenurseisdiscussingTMSwithanewlylicensednurse.Which ofthefollowingstatementsbythenewlylicensednurseindicatesanunderstandingof theteaching?A."TMSisindicatedforclientswhohaveschizophreniaspectrumdisorders."B."Iwillprovidepostanesthesia carefollowingTMS."C."TMStreatmentsusuallylast5-10minutes."D. "I will schedule the client for daily TMS treatments for the first severalweeks."-ANSWER-"I will schedule the client for daily TMS treatments for thefirst severalweeks."Anurseisassessingaclientimmediatelyfollowingan ECTprocedure.Whichofthefollowingfindingsshould thenurseexpect?(Selectallthat apply)A. HypotensionB. Paralytic ileusC. Memory lossD. Nausea

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E. Confusion-ANSWER-C. MemorylossD. NauseaE.ConfusionAnurseisleadingapeer groupdiscussion abouttheindicationsforECT.Whichofthefollowingindications should thenurseincludein thediscussion?•Borderlinepersonalitydisorder•AcutewithdrawalrelatedtoasubstanceusedisorderC. Bipolar disorderwithrapidcyclingD.Dysphoricdisorder-ANSWER-C.BipolardisorderwithrapidcyclingAnurseisplanningcareforaclientfollowingsurgical implantationofaVNSdevice.Thenurse should plan to monitor for which of the following adverse effects? (Select allthatapply)A. Voice changesB. Seizure activityC.DisorientationD. DysphagiaE. Neck pain-ANSWER-A. VoicechangesD. DysphagiaE. NeckpainA nurse observes a client who has OCD repeatedly applying, removing, and thenreapplyingmakeup.The nurseidentifiesthatrepetitivebehaviorinaclientwhohasOCDis dueto whichofthefollowingunderlyingreasons?•Narcissisticbehavior•FearofrejectionfromstaffC.AttempttoreduceanxietyD.Adverseeffectofantidepressantmedication-ANSWER-C.AttempttoreduceanxietyAnurseiscaringforaclientwhoisexperiencingapanicattack.Whichofthefollowingactionsshould thenurse take?•Discussnewrelaxation techniques•Showthe clienthowtochangehisbehaviorC. DistracttheclientwithatelevisionshowD. Stay with the client and remain quiet-ANSWER-D. Stay with the client andremainquiet

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