2023 ATI Mental Health Proctored Exam with Answers (60 Solved Questions)

Study confidently with 2023 ATI Mental Health Proctored Exam with Answers, a collection of carefully selected past exams.

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NGN ATI MENTAL HEALTH PROCTORED EXAM 2023ACTUAL EXAM QUESTIONS WITH VERIFIED SOLUTIONSWhen admitting a client to an inpatient mental health facility, a nursenoticesthattheclientseemswithdrawnandappearsfearful.Toestablishatrustingnurse-clientrelationship,thenurseshouldfirstIntroducetheclienttootherclientsinthedayroom(workingphase)Informtheclientthatheradmissionwillbeconfidential(orientationphase)Assisttheclientinfacilitatingbehavioralchange(workingphase)Determinecopingstrategiesthattheclienthasusedinthepast(workingphase)A nurse is reviewing the potential adverse effects of lithium with a clientwhobeganthemedication2weeksago.Forwhichofthefollowingshouldthenurseinstructtheclienttomonitorandreporttotheprovider?HearinglossDrypersistentcoughBruisingCoarsehandtremor(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’spriorityinterventionistouseatherapeuticholdingtechniquetode-escalatethebehaviorandpreventinjury)

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A nurse in a mental health facility observes a client who is experiencingpaniclevelofanxiety.Whichofthefollowingactionsshouldthenursetakefirst?Teachtheclientarelaxationtechnique(aftertheattackhassubsidedtopreventfurtherescalationsofanxiety)Establishanexerciseroutinefortheclient(aftertheattackhassubsidedtopreventfurtherescalationsanxiety)AssisttheclienttoidentifyanxietytriggersAccompanytheclienttoaquietroomAnurseiscaringforaclientwhoistakingchlorpromazineforschizophrenia.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.)1.5mLA 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)Inhalants(centralnervoussystemdepression)

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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.Thenursemustassisttheclienttolearnthese 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?InabilitytocommunicatewithothersFeelingsofabsenceofself-worthLackofmotivationtoperformdailytasks

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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,Ileaveinthe 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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