ATI RN MENTAL HEALTH PROCTORED
EXAM CLOSING SCRIPT UPDATED
QUESTIONS AND ANSWERS VIEW AHEAD
PREP MATERIAL SOLVED
⩥ A nurse is updating the plan of care for a client who has bulimia
nervosa and is 5% above their ideal body weight. Which of the
following interventions should the nurse include in the plan?
1. Include a liquid supplement with meals.
2. Identify the client's trigger foods.
3. Allow the client at least 1 hr for each meal.
4. Weigh the client at bedtime each day..
Answer: Correct = 2. Identify the client's trigger foods.
- The nurse should identify the trigger foods that initiate the client's
binge and assist the client to understanding their thoughts and behavior
that relate to the food.
The nurse should limit the client's meal times to about 30 min to prevent
putting excessive focus on food.
,The nurse should weigh the client immediately after they wake up and
void and prior to oral intake. The nurse should weigh the client daily for
the first week and then three times per week.
*The nurse should include a liquid supplement for a client who is below
their ideal body weight and might not be able to eat solid foods at first or
might need the additional nutrition to gain weight.
⩥ A nurse is caring for a client whose child has a terminal illness. The
client requests information about how to deal with the upcoming loss.
Which of the following statements should the nurse make?
1. "It will be better for you to keep busy to avoid thinking about your
child's death."
2. "You will complete the grieving process about a year after your child's
death."
3. "The grief process will start once your child actually dies."
4. "It is not uncommon to feel angry toward yourself or others.".
Answer: Correct = 4. "It is not uncommon to feel angry toward yourself
or others."
- Feelings of blame and anger toward oneself or others are an expected
reaction when a client is experiencing a loss.
The grief process has no timeline. It varies for each individual.
,The client can begin anticipatory grieving during the child's illness.
⩥ A nurse in a mental health clinic is planning care for a client who has
a new prescription for olanzapine. Which of the following interventions
should the nurse identify as the priority?
1. Advise the client to take frequent sips of water.
2. Recommend that the client exercise regularly.
3. Consult a dietitian for a calorie-controlled diet plan.
4. Instruct the client to avoid driving during initial therapy..
Answer: Correct = 4. Instruct the client to avoid driving during initial
therapy.
- The greatest risk to this client is injury resulting from drowsiness or
dizziness. Therefore, the nurse's priority intervention is to instruct the
client to avoid activities that require mental alertness during initial
medication therapy.
The nurse should advise the client to take frequent sips of water due to
the adverse effect of dry mouth. However, this is not the nurse's priority
intervention.
The nurse should advise the client to exercise regularly due to the
adverse effects of weight gain and constipation. However, this is not the
nurse's priority intervention.
, The nurse should consult a dietitian for a calorie-controlled diet plan due
to the adverse effect of weight gain. However, this is not the nurse's
priority intervention.
⩥ A nurse is counseling an adolescent who has anorexia nervosa and
reports excessive laxative use and fear of gaining weight. The Client
states, "I'm so fat I can't even stand to look at myself.". Which of the
following therapeutic responses demonstrates the nurse's use of
summarizing?
1. "You've discussed several concerns about your weight. Let's go back
and talk about your belief that you are fat."
2. "You're saying that you think you are fat and are using laxatives
because you are afraid of gaining weight."
3. "You don't want to look at yourself because you think you are fat."
4. "You and I can work together to overcome your fears of gaining
weight.".
Answer: Correct = 2. "You're saying that you think you are fat and are
using laxatives because you are afraid of gaining weight."
- The nurse is using the therapeutic technique of summarizing to review
the key points of the discussion.
⩥ A nurse is admitting a client who has schizophrenia to an acute care
setting. When the nurse questions the client regarding their admission,
EXAM CLOSING SCRIPT UPDATED
QUESTIONS AND ANSWERS VIEW AHEAD
PREP MATERIAL SOLVED
⩥ A nurse is updating the plan of care for a client who has bulimia
nervosa and is 5% above their ideal body weight. Which of the
following interventions should the nurse include in the plan?
1. Include a liquid supplement with meals.
2. Identify the client's trigger foods.
3. Allow the client at least 1 hr for each meal.
4. Weigh the client at bedtime each day..
Answer: Correct = 2. Identify the client's trigger foods.
- The nurse should identify the trigger foods that initiate the client's
binge and assist the client to understanding their thoughts and behavior
that relate to the food.
The nurse should limit the client's meal times to about 30 min to prevent
putting excessive focus on food.
,The nurse should weigh the client immediately after they wake up and
void and prior to oral intake. The nurse should weigh the client daily for
the first week and then three times per week.
*The nurse should include a liquid supplement for a client who is below
their ideal body weight and might not be able to eat solid foods at first or
might need the additional nutrition to gain weight.
⩥ A nurse is caring for a client whose child has a terminal illness. The
client requests information about how to deal with the upcoming loss.
Which of the following statements should the nurse make?
1. "It will be better for you to keep busy to avoid thinking about your
child's death."
2. "You will complete the grieving process about a year after your child's
death."
3. "The grief process will start once your child actually dies."
4. "It is not uncommon to feel angry toward yourself or others.".
Answer: Correct = 4. "It is not uncommon to feel angry toward yourself
or others."
- Feelings of blame and anger toward oneself or others are an expected
reaction when a client is experiencing a loss.
The grief process has no timeline. It varies for each individual.
,The client can begin anticipatory grieving during the child's illness.
⩥ A nurse in a mental health clinic is planning care for a client who has
a new prescription for olanzapine. Which of the following interventions
should the nurse identify as the priority?
1. Advise the client to take frequent sips of water.
2. Recommend that the client exercise regularly.
3. Consult a dietitian for a calorie-controlled diet plan.
4. Instruct the client to avoid driving during initial therapy..
Answer: Correct = 4. Instruct the client to avoid driving during initial
therapy.
- The greatest risk to this client is injury resulting from drowsiness or
dizziness. Therefore, the nurse's priority intervention is to instruct the
client to avoid activities that require mental alertness during initial
medication therapy.
The nurse should advise the client to take frequent sips of water due to
the adverse effect of dry mouth. However, this is not the nurse's priority
intervention.
The nurse should advise the client to exercise regularly due to the
adverse effects of weight gain and constipation. However, this is not the
nurse's priority intervention.
, The nurse should consult a dietitian for a calorie-controlled diet plan due
to the adverse effect of weight gain. However, this is not the nurse's
priority intervention.
⩥ A nurse is counseling an adolescent who has anorexia nervosa and
reports excessive laxative use and fear of gaining weight. The Client
states, "I'm so fat I can't even stand to look at myself.". Which of the
following therapeutic responses demonstrates the nurse's use of
summarizing?
1. "You've discussed several concerns about your weight. Let's go back
and talk about your belief that you are fat."
2. "You're saying that you think you are fat and are using laxatives
because you are afraid of gaining weight."
3. "You don't want to look at yourself because you think you are fat."
4. "You and I can work together to overcome your fears of gaining
weight.".
Answer: Correct = 2. "You're saying that you think you are fat and are
using laxatives because you are afraid of gaining weight."
- The nurse is using the therapeutic technique of summarizing to review
the key points of the discussion.
⩥ A nurse is admitting a client who has schizophrenia to an acute care
setting. When the nurse questions the client regarding their admission,
