ATI RN Mental Health Proctored Exam NGN Version 13 With Answers (70 Solved Questions)

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VERSION 131.A nurse is reviewing the medication administration record of a client who has major depressive disorderand a new prescription for selegiline. The nurse should recognize that which of the following clientmedications is contraindicated when taken with selegiline?a.Wafarinb.Fluoxetinec.Calcium carbonated.Acetaminophen2.A nurse in a long-term care facility is assessing a client who has dementia. Which of the following findingsshould the nurse identify as a risk for this client?a.Outside doors have locksb.The bed is in the low positionc.Hallways are long distancesd.The room has an area rug3.A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The clientrepeatedly checks that the doors are locked at night. Which of the following instructions should the nursegive the client when using thought stopping technique?a.“Ask a family member to check the locks for you at night”b.“Keep a journal of how often you check the locks each night”

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c.“Snap a rubber band on your wrist when you think aboutchecking the locks”d.“Focus on abdominal breathing whenever you go to check the locks”4.A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is takinghaloperidol. Which of the following clinical findings is the nurse’s priority?a.Insomniab.Urinary hesitancyc.Headached.High fever5.A nurse is caring for a client who has Alzheimer’s disease. Which of the following findings should thenurse expect?a.Failure to recognize familiar objectsb.Altered level of consciousnessc.Excessivemotor activityd.Rapid mood swings6.A nurse in a mental health facility is interviewing a new client. Which of the following outcomes mustoccur if the nurse is to establish a therapeutic nurse-client relationship?a.The nurse is seen as an authority figureb.Awritten contract is established to clarify the steps of the treatment planc.The nurse maintains confidentiality unless the client’s safety is compromisedd.The nurse is seen as a friend7.A nurse is teaching a client who has a new prescription for disulfiram. Which of the following statementsby the client indicates an understanding of the teaching?a.“If I cut myself, I can clean the wound with isopropyl alcohol”b.“I can wear my cologne on special occasions”c.“When I bake my favorite cookies, I can use pure vanillaextract for flavoring”d.“I can continue to eat aged cheese and chocolate”8.A nurse is planning care for a client who has narcissistic personality disorder. Which of the followingactions is appropriate for the nurse to include in the plan of care?a.Askthe client to sign a no-suicide contractb.Remain neutral when communicating with the clientc.Request an antipsychotic medication from the providerd.Provide the client with high-calorie finger foods9.A nurse is reviewing the laboratory report of a client who istaking carbamazepine for bipolar disorder.Which of the following laboratory results should the nurse report to the provider?a.Urine specific gravity 1.029b.Platelets 90,000/mm3c.Urine pH 5.6d.RBC 4.7/mm310.A nurse is providing teaching about relapseprevention to a client who has schizophrenia. Which of thefollowing statements by the client indicates an understanding of the teaching?a.“I should avoid being around others if I think I’m having a relapse”b.“I should let my counselor know if I am having trouble sleeping”c.“I shouldn’t worry about the voices because they are a part of my illness”d.“I should increase my carbohydrate intake to maintain my energy level”11.A nurse is assessing a client for negative manifestations of schizophrenia. Which of the following findingsshould the nurse expect?a.Echopraxiab.Delusionsc.Anergiad.Tangentiality12.A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who hasmajor depressive disorder. Which of the following findings obtained during the initial assessment is thepriority to report to other disciplines?

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a.Poor problem-solving skillsb.Markedly neglected hygienec.Significant weight lossd.Psychomotor retardation13.A nurse is preparing to administer methylphenidate 25 mg PO to a school agechild who has ADHD.Available is methylphenidate 10mg/5mL liquid. How many mL should the nurse administer? (Round tonearest tenth)a.12.514.A nurse is caring for a school age child who has a fractured arm. The child has other injuries that cause thenurse tosuspect abuse. Which of the following actions is appropriate for the nurse to take when assessingthe child’s situation?a.Ask the parents directly if the child’s fracture is due to physical abuseb.Direct the parents to the waiting room before interviewing the childc.Interview the child with the provider and social worker presentd.Ask clarifying questions as the child explains how the injuries occurred15.A nurse is assisting with obtaining consent for a client who has been declared legally incompetent. Whichof the following actions should the nurse take?a.Ask the charge nurse to obtain informed consentb.Contact the facility social worker to obtain consentc.Request that the client’s guardian sign the consentd.Explain implied consent to the clients family16.A nurse in a mental health facility is reviewing a client’s medical record. Which of the following actionsshould the nurse take first? (Click on the exhibit button for additional information about the client. Thereare 3 tabs that contain separate categories of data)a.Teach the client about nutritional needsb.Initiate 0.9% sodium chloride with 40 mEq potassium chloridec.Administer acetaminophen 500 mg POd.Encourage the client to attend group therapy sessions17.A nurse is assessing a client who has delirium. Which of the following findings requires immediateintervention by the nurse?a.Rapid mood swingsb.Command hallucinationsc.Impaired memoryd.Inappropriate speech patterns18.A nurse is developing a teach plan for the family of an older adult client who is to receivetranscranialmagnetic stimulation. Which of the following information should the nurse include n the teaching plan?a.The client is at risk for aspiration during treatmentb.The client will experience a seizure during treatmentc.The client will require intubation after treatmentd.The client might have a headache after treatment19.A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion forsmoking cessation. Which of the following assessment findings in the client’s history should the nursereport to the provider?a.Recent head injuryb.Hypothyroidismc.Knee arthroplasty 1 month agod.Hepatitis B infection20.A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of thefollowing actions shouldthe nurse include in the plan?a.Provide written information about the client’s treatment planb.Monitor the client for splitting behaviorsc.Encourage countertransference when developing the nurse-client relationshipd.Isolate the client from social or group interactions

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