ATI Mental Health Proctored Exam with Answers (96 Solved Questions)

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ATI Mental Health Proctored Exam with Answers (96 Solved Questions) - Page 1 preview image

ATI MENTAL HEALTH PROCTORED EXAM QUESTIONS WITHVERIFIED CORRECT SOLUTIONS/A+ GRADE ASSURED•A charge nurse is discussing mental status examinations with a newly licensednurse. Which of thefollowingstatementsbythenewlylicensednurseindicatesanunderstandingoftheteaching?(SATA)•A)ToassesscognitiveabilityIshouldasktheclienttocountbackwardbysevens•Toassessaffect,Ishouldobscuretheclient'sfacialexpression•Toassesslanguageability,Ishouldinstructtheclienttowriteasentence•Toassessremotememory,Ishouldhavetheclientassessourmostrecentpresidents•Anurseisplanningcareforaclientwhohasamentalhealthdisorder.Whichofthefollowingactionsshouldthenurseinclude asa psychobiologicalintervention.•Assisttheclientwithsystematicdesensitizationtherapy•Teachtheclientappropriatecopingmechanisms•Assesstheclientforcomorbidhealthconditions•Monitortheclientforadverseeffectsofmedications•A nurse in an outpatient mental health clinic is preparing to conduct an initialinterview. Whenconductingtheinterview,whichofthefollowingactionsshouldthenurseidentifyasthepriority?•Coordinateholisticcarewithsocialservices•Identifytheclient'sperceptionofhermentalhealthstatus•Includetheclient'sfamilyintheinterview•Teachtheclientabouthercurrentmentalhealthdisorder•A nurse is planning a peer group discussion about the Diagnostic and StatisticalManual of MentalDisorders,5thedition.Whichofthefollowinginformationisappropriatetoincludeinthediscussion?(SATA)•TheDSM-5includesclienteducationhandoutsformentalhealthdisorders•TheDSM-5establishesdiagnosticcriteriaforindividualmentalhealthdisorders•TheDSM-5indicatesrecommendedpharmacologicaltreatmentformentalhealthdisorders•D)TheDSM-5assistsnursesinplanningcareforclient'swhohavementalhealthdisorders•E)TheDSM-5indicatesexpectedassessmentfindingsof mentalhealthdisorders•Anurseinanemergencymentalhealthfacilityiscaringforagroupofclients.Thenurseshouldidentifythatwhichofthefollowingclients requiresatemporaryemergencyadmission?•Aclientwhohasschizophreniawithdelusionsofgrandeur•Aclientwhohasmanifestationsofdepressionandattemptedsuicideayearago•Aclientwhohasborderlinepersonalitydisorderandassaultedahomelessmanwithametalrod•Aclientwhohasbipolardisorderandpacesquicklyaroundtheroomwhiletalkingtohimself

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•A nurse decides to put a client who has a psychotic disorder in seclusion overnightbecause the unit isveryshort-staffed,andtheclientfrequentlyfightswithotherclients.Thenurse'sactionsareanexampleof which ofthe followingtorts?A) Invasion of privacyB)FalseImprisonment•Assault•Battery•Aclienttellsanurse"Don'ttellanyone,butIhidasharpknifeundermymattressinordertoprotectmyself from my roommate, who is always yelling at me andthreatening me." Which of the followingactionsshould the nursetake?•Keeptheclient'scommunicationconfidential,buttalktotheclientdaily,usingtherapeuticcommunicationto convincehimtoadmittohiding theknife•Keeptheclient'scommunicationconfidential,butwatchtheclientandhisroommateclosely•Telltheclientthatthismustbereportedtothehealthcareteambecauseitconcernsthehealthandsafetyofothers•Reporttheincidenttothehealthcareteam,butdonotinformtheclientoftheintenttodoso.•ANurseiscaringforaclientwhoisinmechanicalrestraints.Whichofthefollowingstatementsshouldthenurseincludein thedocumentation?(SATA)•"Clientatemostofhisbreakfast"•"Clientwasoffered8ozofwatereveryhour"•"Clientshoutedobscenitiesatassistivepersonnel"•"Clientreceivedchlorpromazine15mgbymouthat1000."•"Clientactedoutafterlunch"•Anursehearsanewlylicensednursediscussingaclient'shallucinationsinthehallwaywithanothernurse. Whichofthefollowing actionsshould thenurse takefirst?•Notifythenursemanager•Tellthenursetostopdiscussingthebehavior•Provideanin-serviceprogramaboutconfidentiality•Completeandincidentreport•A charge nurse is conducting a class on therapeutic communication to a group ofnewly licensednurses.Whichofthefollowingaspectsofcommunicationshouldthenurseidentifyasacomponentofverbalcommunication?•Personalspace•Posture•Eye contact•D.Intonation•Anurseiscommunicatingwithaclientontheacutementalhealthfacility.Theclientstates,"Ican'tsleep. I stay up all night." The nurse responds, "You arehaving difficulty sleeping?" Which of thefollowingtherapeuticcommunicationtechniquesisthenursedemonstrating?

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•Offeringgeneralleads•Summarizing•Focusing•D.Restating•Anurseiscommunicatingwithanewlyadmittedclient.Whichofthefollowingisabarriertotherapeuticcommunication?•Offeringadvice•Reflectingmeaning•Listeningattentively•Givinginformation•Anurseiscaringforaclientwho hasanorexianervosa.Whichofthefollowingexamplesdemonstratesthenurse’s useofinterpersonalcommunication?•Thenursediscussestheclient’sweightlossduringahealthcareteammeeting.•Thenurseexaminestheirownpersonalfeelingsaboutclientswhohaveanorexianervosa.•Thenurseaskstheclientaboutpersonalbodyimageperception.•Thenursepresentsaneducationalsessionaboutanorexianervosatoalargegroupofadolescents.•A nurse is caring for the parents of a child who has demonstrated recent changes inbehavior andmood.Whenthemotherofthechildasksthenurseforreassuranceaboutherson'scondition,whichofthefollowing responses shouldthe nursemake?•"Ithinkyoursonisgettingbetter.Whathaveyounoticed?"•"I'msureeverythingwillbeokay.Itjusttakestimetoheal."•"I'mnotsurewhat'swrong.Haveyouaskedthedoctoraboutyourconcerns?"•"Iunderstandyou'reconcerned.Let'sdiscusswhatconcernsyouspecifically."•A nurse is caring for a client who smokes and has lung cancer. The client reports,"I'm coughingbecauseIhavethatcoldthateveryonehasbeengetting."Thenurseshouldidentifythattheclientisusingwhichofthefollowingdefensemechanisms?A. Reaction formationB. DenialC.DisplacementD.Sublimation•A nurse is providing preoperative teaching for a client who was just informed that sherequiresemergencysurgery.Theclient,hasarespiratoryrate30/min,andsays,"Thisisdifficulttocomprehend.I feel shaky and nervous." The nurse should identify that theclient is experiencing which of thefollowinglevelsofanxiety?•Mild•Moderate•Severe•Panic

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•A nurse is caring for a client who is experiencing moderate anxiety. Which of thefollowing actionsshouldthenursetakewhentryingtogivenecessaryinformationtotheclient?(Selectallthatapply.)•Reassuretheclientthateverythingwillbeokay.•Discussprioruseofcopingmechanismswiththeclient.•Ignoretheclient'sanxietysothatshewillnotbeembarrassed.•Demonstrateacalmmannerwhileusingsimpleandcleardirections.•Gatherinformationfromtheclientusingclosed-endedquestions.•Anurseistalkingwithaclientwhoisatriskforsuicidefollowingthedeathofhisspouse.Whichofthefollowingstatementsshould thenursemake?•"Ifeelverysorryforthelonelinessyoumustbeexperiencing."•"Suicide is not the appropriate way tocope with loss."•C."Losingsomeoneclosetoyoumustbeveryupsetting."D."Iknowhowdifficultitistolosealovedone."•Achargenurseisdiscussingthecharacteristicsofanurse-clientrelationshipwithanewlylicensednurse. Whichofthefollowing characteristicsshould thenurseincludeinthediscussion?(Selectallthatapply.)•Theneedsofbothparticipantsaremet.•Anemotionalcommitmentexistsbetweentheparticipants.•C. Itis goal-directed.D. Behavioral change is encouraged.E.Aterminationdateisestablished.•Anurseisintheworkingphaseofatherapeuticrelationshipwithaclientwhohasmethamphetamineusedisorder. Whichofthefollowingactionsindicatestransferencebehavior?•Theclientasksthenursewhethershewillgoouttodinnerwith him.•Theclientaccusesthenurseoftellinghimwhattodojust like hisex-girlfriend.•Theclientremindsthenurseofafriendwho diedfromasubstance overdose.•Theclientbecomesangryandthreatensharmtohimself.•Anurseisplanningcarefortheterminationphaseofanurse-clientrelationship.Whichofthefollowingactionsshould thenurseincludeinthe planofcare?•Discussingwaystousenewbehaviors•Practicingnewproblemsolvingskills•Developinggoals•Establishingboundaries•Anurseisorientinganewclienttoamentalhealthunit.Whenexplainingtheunit'scommunitymeetings, whichof thefollowing statementsshouldthenursemake?•"Youandagroupofotherclientswillmeettodiscussyourtreatmentplans."

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•"Community meetings have a specific agenda that isestablished by staff."•C."Youandtheotherclientswillmeetwithstafftodiscusscommonproblems."D."Communitymeetingsareanexcellentopportunitytoexploreyourpersonalmentalhealthissues."•Anurseiscaringforseveralclientswhoareattendingcommunity-basedmentalhealthprograms.Whichof thefollowingclients shouldthenurseplantovisitfirst?•Aclientwhorecentlyburnedherarmwhileusingahotironathome•Aclientwhorequeststhatherantipsychoticmedicationbechangedduetosomenewadverseeffects•Aclientwhosaysheishearing avoicethattellshimheisnotworthyoflivinganymore•Aclientwhotellsthenurseheexperiencedmanifestationsofsevereanxietybeforeandduringajobinterview•A community mental health nurse is planning care to address the issue ofdepression among olderadultclientsinthecommunity.Whichofthefollowinginterventionsshouldthenurseplanasamethodof tertiaryprevention?•Educatingclientsonhealthpromotiontechniquestoreducetheriskofdepression•Performingscreeningsfordepressionatcommunityhealthprograms•Establishingrehabilitationprogramstodecreasetheeffectsofdepression•Providingsupportgroupsforclientsatriskfordepression•Anurseisworkinginacommunitymentalhealthfacility.Whichofthefollowingservicesdoesthistypeof program provide? (Selectallthat apply.)•Educationalgroups•Medicationdispensingprograms•C.IndividualcounselingprogramsD.DetoxificationprogramsE. Familytherapy•A nurse in an acute mental health facility is assisting with discharge planning for aclient who has aseverementalillnessandrequiressupervisionmuchofthetime.Theclient'swifeworksalldaybutishome by late afternoon. Which of the followingstrategies should the nurse suggest as appropriatefollow-upcare?•Receivingdailycarefromahomehealthaide•Havingaweeklyvisitfromanursecaseworker•C.AttendingapartialhospitalizationprogramD.Visitingacommunitymentalhealthcenteronadailybasis•Anurseiscaringforagroupofclients.Whichofthefollowingclientsshould anurseconsiderforreferraltoan assertivecommunity treatment(ACT)group?•Aclientinanacutecarementalhealthfacilitywhohasfallenseveraltimeswhilerunningdownthehallway•Aclientwholivesathomeandkeeps"forgetting"tocomeinforhismonthlyantipsychoticinjectionforschizophrenia

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