ATI Mental Health Proctored 2026 Exam – 100% Accurate Solutions & Rationales

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ATI MENTAL HEALTH PROCTORED 2026
EXAM WITH 100% ACCURATE
SOLUTIONS
1.A client is fearful of driving and enters a behavioral therapy
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program to help him overcome his anxiety. Using systematic
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desensitization, he is able to drive down a familiar street without j j j j j j j j j j




experiencing a panic attack. The nurse should recognize that to j j j j j j j j j




continue positive results, the client should participate in which of
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the following?j




a. Biofeedback
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b. Therapist modeling
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c. Frequent pacing
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d. Positive reinforcement ......ANSWER.....a. Biofeedback
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2. A nurse is counseling a client following the death of the client's
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partner 8 months ago. Which of the following client statements
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indicates maladaptive grieving? j j




a. "I am so sorry for the times I was angry with my partner."
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b. "I like looking at his personal items in the closet."
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c. "I find myself thinking about my partner often."
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d. "I still don't feel up to returning to work." ......ANSWER.....d. "I still don't feel up
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to returning to work."
j j j

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Rationale: 8 months too long Maladaptive Grief: . Distorted or exaggerated grief r
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esponse - unable to j j j




perform activities of daily living. j j j j




RISK FACTORS FOR MALADAPTIVE GRIEVING
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●● Being dependent upon the deceased
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●● Unexpected death at a young age, through violence, or by a socially unaccepta
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ble manner j




●● Inadequate coping skills or lack of social support
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●● Pre- j


existing mental health issues, such as depression or substance use disorder
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3./21 A nurse in an inpatient mental health facility is assessing a
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client who has schizophrenia and is taking haloperidol (antipsychotic,
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1st gen). j




Which of the following clinical findings is the nurse's priority?
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a. Headache
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b. Insomnia (sedation)
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c. Urinary hesitancy (Complication → ANTIcholinergic effects)
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d. High fever (Complication → agranulocytosis) ......ANSWER.....d. High fever (
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Complication → agranulocytosis) j j




Other complications: Acute dystonia, Pseudoparkinsonism, Akathisia, Tardive
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dyskinesia,

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Neuroendocrine effects (Gynecomastia, Weight gain, Menstrual irregularities), j j j j j j j


NMS,
Orthostatic Hypotension, Sedation, Sexual dysfunction, Skin effects, Liver impa
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irment


4. A nurse is planning care for a client who has obsessive
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compulsive disorder. Which of the following recommendations
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should the nurse include in the client's plan of care?
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a. Reality Orientation therapy (re-orient to reality)
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b. Operant Conditioning (receives positive rewards for positive behavior)
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c. Thought Stopping (say "stop" when compulsive behaviors arise & substitute
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w/ positive thought)
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d. Validation Therapy (acknowledging pt's feelings) ......ANSWER.....c. Thought
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Stopping (say "stop" when compulsive behaviors arise & substitute
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w/ positive thought)
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5. A nurse is caring for a client who is in the manic phase of
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bipolar disorder. Which of the following actions should the
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nurse take? j




a. Provide in depth explanation of nursing expectations
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(inability to focus - give concise explanations)
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b. Encourage the client to participate in group activities
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(decrease stimulation) j




c. Avoid power struggles by remaining neutral (do not react
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personally to pt's comments) j j j

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d. Allow the client to set limits for his behavior (nurse sets limits) ......ANSWER....
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.c. Avoid power struggles by remaining neutral (do not react
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personally to pt's comments) j j j




6. A nurse is providing behavioral therapy for a client who has
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OCD. The client repeatedly checks that the doors are locked at
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night. Which of the following instructions should the nurse give
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the client when using thought stopping technique?
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a. "Keep a journal of how often you check the locks each
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night."
b. "Ask a family member to check the locks for you at night."
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c. "Focus on abdominal breathing whenever you go to
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check the locks." j j




d. "Snap a rubber band on your wrist when you think about
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checking the locks." ......ANSWER.....d. "Snap a rubber band on your wrist when y
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ou think about j j




checking the locks." j j




Thought stopping: teach pt to say "stop" when negative
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thoughts/compulsive behaviors arise & substitute positive thought - j j j j j j j


goal forpt use command silently over time
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7. A nurse is caring for a client who has a cocaine use disorder.
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Which of the following manifestations should the nurse expect
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the client to have during withdrawal?
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