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ATI MENTAL HEALTH PROCTORED EXAM
LATEST REAL QUESTIONS AND CORRECT
ANSWERS GRADE A
A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? a. Negotiate with the client how much weight she should gain each week. b. Decrease the client's daily intake of fiber c. Weight the client weekly for the first month d. Notify the client about designated time for meals - CORRECT ANSWER d. Notify the client about designated time for meals A client is fearful of driving and enters a behavioral therapy program to help him overcome his anxiety. Using systematic desensitization, he is able to drive down a familiar street without experience a panic attack. The nurse should recognize that to continue positive results, the client should participate in which of the following? a. Therapist modeling b. Positive reinforcement c. Frequent practice d. Biofeedback - CORRECT ANSWER d. Biofeedback A nurse in the emergency department is counseling a client who reports experiencing intimate partner violence. Which of the following actions should the nurse take?
a. Request permission from the client to take photographs of the injuries b. Offer to help the client escape from the partner the next time violence occurs c. Determine what the client did to trigger the violent incident d. Tell the client that staying with the partner shows a lack of judgment - CORRECT ANSWER a. Request permission from the client to take photographs of the injuries A nurse is caring for a client who has prescription for phenelzine. The nurse should instruct the client to avoid which of the following over-the- counter medications? a. Ranitidine b. Pseudoephedrine c. Ibuprofen d. Docusate sodium - CORRECT ANSWER b. Pseudoephedrine A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take? a. Avoid asking direct questions about the client's experience b. Convey sympathy for the client's experience c. Tell her client her experience is not real d. Focus the client on reality-based activities - CORRECT ANSWER d. Focus the client on reality-based activities A nurse is caring for a client who has just returned to the unit after receiving an electroconvulsive therapy treatment. Which of the
a. "I should drink at least 6 liters of water per day" b. "I should be on a low-sodium diet" c. "I will call my doctor if I have diarrhea" d. "I will see my doctor to check my lithium levels annually" - CORRECT ANSWER c. "I will call my doctor if I have diarrhea" A nurse in an acute care mental health facility is planning discharge care for a client who sustained a traumatic brain injury. For which of the following needs should the nurse collaborate with a clinical psychologist? a. The client needs a prescription for medication to promote nighttime sleep while in the facility b. The client needs to find a place to live after discharge c. The client needs to begin a group therapy program prior to discharge d. The client needs to relearn how to perform skills that require fine motor coordination 61. - CORRECT ANSWER c. The client needs to begin a group therapy program prior to discharge A nurse is reviewing the laboratory report of a client who is taking carbamazepine for bipolar disorder. Which of the following laboratory results should the nurse report to the provider? a. Urine specific gravity 1. b. Platelets 90,000 per mm c. Urine pH 5.
d. RBC 4.7 per mm3 - CORRECT ANSWER b. Platelets 90, per mm A nurse is teaching the caregiver of a client who has advanced Alzheimer's disease about home safety. Which of the following statements by the caregiver indicates an understanding of the teaching? a. I will ensure the bedroom is dark while he is sleeping at night b. I will place a sliding bolt lock just above the doorknob c. I will notify law enforcement within 2 hours if he cannot be found d. I will give his most recent photo to the police - CORRECT ANSWER b. I will place a sliding bolt lock just above the doorknob A nurse is teaching a client who has a new prescription for phenelzine to treat depression. The nurse instructs the client to avoid foods with tyramine to prevent which of the following? a. Hypertensive crisis b. Cardiac toxicity c. Serotonin Syndrome d. Urinary retention - CORRECT ANSWER a. Hypertensive crisis A nurse in an outpatient clinic is assessing a client who has anorexia nervosa. Which of the following findings indicates the need for hospitalization? a. Potassium 3.8mEq per L b. Heart Rate 56 per min
a. Rationalization b. Displacement c. Dissociation d. Repression - CORRECT ANSWER a. Rationalization A nurse is providing teaching to a client who has depressive disorder and a new prescription for doxepin. Which of the following instructions should the nurse include in the teaching? a. sit on the side of the bed for a few minutes before standing b. decrease the prescribed dose by half when mood improves c. avoid over the counter magnesium when taking this medication d. eat a snack before going to bed - CORRECT ANSWER a. sit on the side of the bed for a few minutes before standing A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse include in the plan? a. give detailed instructions for completion of self-care activities b. confront the client when he exhibits inappropriate behavior c. provide finger foods to enhance caloric intake d. remove clocks from the client's room - CORRECT ANSWER c. provide finger foods to enhance caloric intake A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of the following statements should the nurse include in the teaching? a. "You should discontinue this medication if you develop muscle rigidity." b. "You will experience weight loss while taking this medication."
c. "You will notice your symptoms improve within 24 hours of taking this medication." d. "You should increase your consumption of complex carbohydrates." - CORRECT ANSWER a. "You should discontinue this medication if you develop muscle rigidity." A nurse is providing teaching to the daughter of an older client who has obsessive-compulsive disorder. Which of the following statements by the daughter indicated an understanding of the teaching? a. "I will provide my mother with detailed instructions about how to perform self-care." b. "I will limit my mother's clothing choices when she is getting dressed." c. "I will wake my mother up a couple of times in the night to check on her." d. "I will discourage my mother from talking about her physical complaints." - CORRECT ANSWER b. "I will limit my mother's clothing choices when she is getting dressed." A nurse is planning care for a client who has anorexia nervosa and is admitted to an inpatient eating disorder unit. Which of the following is an appropriate intervention? a. Use systematic desensitization to address the client's fears regarding weight gain. b. Allow the client to select mealtimes. c. Initiate a relationship built on trust with the client. d. Negotiate with the client the opportunity to reweigh. - CORRECT ANSWER c. Initiate a relationship built on trust with the client.
d. Ask the client to identify her strengths - CORRECT ANSWER a. Provide the client with a quiet environment A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following should the nurse report to the provider? a. States that he hasn't bathed in 2 days b. Reports eating twice in the past two weeks. c. Makes inappropriate sexual comments. d. Speaks in rhyming sentences. - CORRECT ANSWER b. Reports eating twice in the past two weeks. A nurse is planning care for a client who has obsessivecompulsive disorder. Which of the following recommendation should the nurse include in the client's plan of care? a. Validation therapy b. Thought stopping c. Operant conditioning d. Reality orientation therapy - CORRECT ANSWER b. Thought stopping A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following actions should the nurse take? a. Encourage the client to join group activities b. Dim the lights in the client's room c. Provide detailed explanations to the client d. Administer methylphenidate - CORRECT ANSWER b. Dim
the lights in the client's room A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first? a. Initiate referrals b. Review community resources c. Identify prior coping skills d. Discuss the importance of confidentiality - CORRECT ANSWER c. Identify prior coping skills A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye for an eye in the sky. Sky is up high." The nurse should document the client's statement as which of the following speech alterations? a. Echolalia b. Word salad c. Neologism d. Clang association - CORRECT ANSWER d. Clang association An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states "Im so worried that my mother is depressed" which of the following responses should the nurse make? a. Everyone gets depressed from time to time. b. You shouldn't worry about this because the depressive disorder is easily treated.
A nurse is caring for a client who is starting treatment for substance use disorder. Which of the following actions indicates the nurse is practicing the ethical principle of nonmaleficence? a. Provide the client with quality care regardless of their ability to pay for treatment. b. Educating the client about legal rights concerning treatment. c. Withholding the prescribed medication that is causing adverse effects for the client. d. Being truthful with the client about the manifestations of withdrawal. - CORRECT ANSWER c. Withholding the prescribed medication that is causing adverse effects for the client. A nurse in a group home facility is caring for a client who is developmentally disabled. The client has been stealing belongings from other clients. Which of the following techniques should the nurse use? a. Crisis intervention to decrease anxiety. b. Aversion therapy to provide distraction c. Positive reinforcement to increase desired behavior. d. Systematic desensitization to extinguish the behavior. - CORRECT ANSWER c. Positive reinforcement to increase desired behavior. A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? a. Ask the client to discuss precipitating events b. Speaks to the client in a high-pitched voice. c. Place the client in seclusion
d. Have the client breathe into a paper bag. - CORRECT ANSWER d. Have the client breathe into a paper bag. The nurse is caring for a client following a physical assault. The client states "I don't remember what happened to me." The nurse should recognize that the client is using which of the following defense mechanisms? a. Repression b. Displacement c. Rationalization d. Denial - CORRECT ANSWER a. Repression A nurse is caring for a client who has anorexia nervosa. Which of the following findings require immediate intervention by the nurse? a. +2 edema of the lower extremities b. BUN 21 mg dL c. Lanugo covering the body d. Blood pH 7.60 - CORRECT ANSWER d. Blood pH 7. A nurse is caring for a client in a mental health facility. The client is agitated and threatens to harm herself and others. Which of the following is the priority intervention? a. Place the client in restraints b. Administer an anti-anxiety medication to the client c. Put the client in seclusion d. Set limits on the client's behavior - CORRECT ANSWER d. Set limits on the client's behavior
should encourage the client to participate in which of the following groups. a. Dual diagnosis treatment group b. Dialectical Behavior treatment group c. Desensitization therapy - CORRECT ANSWER b. Dialectical Behavior treatment group The nurse is reviewing the medication administration record of a client who has schizophrenia. The nurse should plan to initiate the Abnormal Involuntary Movement Scale to monitor for adverse effects of which of the following medications.? a. Amantadine b. Diphenhydramine c. Benztropine d. Haloperidol - CORRECT ANSWER d. Haloperidol A nurse is counseling a client following the death of a client's partner 8 months ago. Which of the following client statements indicates maladaptive grieving? a. I am so sorry for the times I was angry with my partner. b. I find myself thinking about my partner often. c. I still don't feel up to returning to work. d. I like looking at his personal items in the closet. - CORRECT ANSWER c. I still don't feel up to returning to work.
A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan? a. The client will report a decrease in hallucinations. b. The client will communicate needs c. The client will verbalize improved mood d. The client will attend to personal hygiene. - CORRECT ANSWER c. The client will verbalize improved mood A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states "I can't stand to be touched by another person." Which of the following responses should the nurse make? a. Why don't you like to be touched by others b. Don't worry about it. Your anxiety will lessen once the massage begins. C. I will tell your provider you would like a treatment other than a massage. d. I will request that the massage therapist wear gloves during your treatment. - CORRECT ANSWER C. I will tell your provider you would like a treatment other than a massage. A nurse is creating a plan of care for a client who has a major depressive disorder. Which of the following interventions should the nurse include in the plan? a. Encourage physical activity for the client during the day b. Discourage the client from expressing feelings of anger c. Keep a bright light on in the client's room at night.
b. "you will receive treatment in an inpatient setting" c. "You should avoid using mouthwash that contains alcohol" d. "you should avoid drinking carbonated beverages while taking the medication" e. "you can expect to develop a physical dependence on the medication" - CORRECT ANSWER a, c a. "You will need to take the medication once daily" c. "You should avoid using mouthwash that contains alcohol" A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the following actions should the nurse take? a. Avoid power struggles by remaining neutral b. Allow the client to set limits for his behavior c. Provide in-depth explanation of nursing expectations d. Encourage the client to participate in group activities - CORRECT ANSWER a. Avoid power struggles by remaining neutral A nurse is assessing a young adult female client for schizophrenia. Which of the following findings should the nurse identify as a risk factor for this condition? a. Environmental stress b. Gender c. Depression d. Birth order - CORRECT ANSWER d. Birth order A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?
a. The client exhibits an inflated sense of self b. The client develops an inability to concentrate c. The client increases participation in social activities d. The client begins sleeping more than usual - CORRECT ANSWER b. The client develops an inability to concentrate A nurse is assessing a client who is restless and constantly mutters to himself. Which of the following findings should lead the nurse to suspect delirium? a. The client is unable to recognize objects. b. The client manifestations developed suddenly c. The client has a flat affect d. The client's speech is slow and repetitious - CORRECT ANSWER b. The client manifestations developed suddenly A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make? a. " You know that's not true, because it is against the law for others to read your mail" b. "All of your letters come sealed, so that seems unlikely" c. "It must be frightened to think that someone is reading your mail" d. "why do you think the government wants to read your mail?" - CORRECT ANSWER c. "It must be frightened to think that someone is reading your mail" A nurse is assessing a client who has neuroleptic malignant syndrome. Which of the following clinical findings should the
