RN ATI MENTAL PROCTORED EXAM WITH NGN - EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A nurse is admitting a client who has schizophrenia.
The client states, "I'm hearing voices." Which of the following
responses is the priority for the nurse to state?
A. "What are the voices telling you?"
B. "I realize the voices are real to you, but I don't hear anything."
C. "Have you taken your medication today?"
D. "How long have you been hearing the voices?"
Answer:
a. "What are the voices telling you?" - Assess for command
hallucinations - priority safety
Question 2: A nurse is caring for a client who requires seclusion to
prevent harm to others on the unit. Which of the following is an
appropriate action for the nurse to take?
A. Document the client's behavior prior to being placed in seclusion.
B. Assess the client's behavior once every hour.
C. Offer fluids every 2 hr.
D. Discuss with the client his inappropriate behavior prior to
seclusion.
Answer:
c. Offer fluids every 2 hr. - Need to meet physical needs, assess
every 15 min, document
Question 3: A parish nurse is leading a support group for clients
whose family members have committed suicide. Which of the
,following strategies should the nurse plan to use during the group
session?
A. Encourage clients to establish a timeline for their own grieving
process.
B. Initiate a discussion with clients about ways to cope with changes
in family dynamics.
C. Assist clients in identifying ways suicide could have been
prevented.
D. Discourage clients from sharing negative aspects of their
relationship with the deceased persons.
Answer:
b. Initiate a discussion with clients about ways to cope with changes
in family dynamics.
Question 4: The nurse is planning care for an older adult who has
dementia. Which of the following intervention should the nurse
include in the plan of care? Select all that apply.
A. Give the client one simple direction at a time.
B. Refute the client's delusions using logic.
C. Allow the client to choose among a variety of activities each day.
D. Reinforce orientation to time, place, and person.
E. Establish eye contact when communicating with the client.
Answer:
a. Give the client one simple direction at a time, d. Reinforce
orientation to time, place, and person, e. Establish eye contact when
communicating with the client.
Question 5: A therapist recently convicted of multiple counts of
selling drugs and patient abuse states during the court hearing that
he did not remember any of the incidents. The therapist actions
, should the nurse use to document the therapist's behavior?
A. Negativism
B. Dissociative amnesia
C. Repression
D. Dissociative identity disorder
E. Dissociative fugue
Answer:
c. Repression - unconscious forgetting
Question 6: A nurse is caring for a client in the emergency
department who states she was beaten and sexually assault by her
partner. After a rapid assessment, which of the following actions
should the nurse plan to take next?
A. Conduct a pregnancy test
B. Requests mental health consultation for the client
C. Provide a trained advocate to stay with the client
D. Offer prophylactic medication to prevent STI's
Answer:
d. Offer prophylactic medication to prevent STI's - also provide
advocate, but STI prophylaxis is priority in this list
Question 7: A nurse is caring for a client who has major depressive
disorder. After discussing the treatment with his partner, the client
verbally agrees to electroconvulsive therapy (ECT) but will not sign
the consent form. Which of the following actions should the nurse
take?
A. Request that the client's partner sign the consent form
B. Cancel the scheduled ECT procedure
C. Proceed with the preparation for ECT based on implied consent
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: A nurse is admitting a client who has schizophrenia.
The client states, "I'm hearing voices." Which of the following
responses is the priority for the nurse to state?
A. "What are the voices telling you?"
B. "I realize the voices are real to you, but I don't hear anything."
C. "Have you taken your medication today?"
D. "How long have you been hearing the voices?"
Answer:
a. "What are the voices telling you?" - Assess for command
hallucinations - priority safety
Question 2: A nurse is caring for a client who requires seclusion to
prevent harm to others on the unit. Which of the following is an
appropriate action for the nurse to take?
A. Document the client's behavior prior to being placed in seclusion.
B. Assess the client's behavior once every hour.
C. Offer fluids every 2 hr.
D. Discuss with the client his inappropriate behavior prior to
seclusion.
Answer:
c. Offer fluids every 2 hr. - Need to meet physical needs, assess
every 15 min, document
Question 3: A parish nurse is leading a support group for clients
whose family members have committed suicide. Which of the
,following strategies should the nurse plan to use during the group
session?
A. Encourage clients to establish a timeline for their own grieving
process.
B. Initiate a discussion with clients about ways to cope with changes
in family dynamics.
C. Assist clients in identifying ways suicide could have been
prevented.
D. Discourage clients from sharing negative aspects of their
relationship with the deceased persons.
Answer:
b. Initiate a discussion with clients about ways to cope with changes
in family dynamics.
Question 4: The nurse is planning care for an older adult who has
dementia. Which of the following intervention should the nurse
include in the plan of care? Select all that apply.
A. Give the client one simple direction at a time.
B. Refute the client's delusions using logic.
C. Allow the client to choose among a variety of activities each day.
D. Reinforce orientation to time, place, and person.
E. Establish eye contact when communicating with the client.
Answer:
a. Give the client one simple direction at a time, d. Reinforce
orientation to time, place, and person, e. Establish eye contact when
communicating with the client.
Question 5: A therapist recently convicted of multiple counts of
selling drugs and patient abuse states during the court hearing that
he did not remember any of the incidents. The therapist actions
, should the nurse use to document the therapist's behavior?
A. Negativism
B. Dissociative amnesia
C. Repression
D. Dissociative identity disorder
E. Dissociative fugue
Answer:
c. Repression - unconscious forgetting
Question 6: A nurse is caring for a client in the emergency
department who states she was beaten and sexually assault by her
partner. After a rapid assessment, which of the following actions
should the nurse plan to take next?
A. Conduct a pregnancy test
B. Requests mental health consultation for the client
C. Provide a trained advocate to stay with the client
D. Offer prophylactic medication to prevent STI's
Answer:
d. Offer prophylactic medication to prevent STI's - also provide
advocate, but STI prophylaxis is priority in this list
Question 7: A nurse is caring for a client who has major depressive
disorder. After discussing the treatment with his partner, the client
verbally agrees to electroconvulsive therapy (ECT) but will not sign
the consent form. Which of the following actions should the nurse
take?
A. Request that the client's partner sign the consent form
B. Cancel the scheduled ECT procedure
C. Proceed with the preparation for ECT based on implied consent
