ATI MENTAL HEALTH PROCTORED EXAM

1) 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 continue 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.” 2) A nurse is admitting a client who has generalized anxiety disorder. Which of the following actions should the nurse plan to take first? a. Provide the client with a quiet environment b. Determine how the client handles stress. c. Teach the client to use guided imagery. d. Ask the client to identify her strengths 3) 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. This study source was downloaded by from CourseH on :03:52 GMT -05:00 ATI MENTAL HEALTH PROCTORED EXAM d. Speaks in rhyming sentences. 1. A nurse is planning care for a client who has borderline personality disorder who selfmutilates. Which of the following test approaches should the nurse plan to take? a. Restrict participation in group therapy sessions. The nurse should encourage the client who has borderline personality disorder to participate in group therapy sessions to encourage appropriate interaction with other clients. b. Establish consequences for self-mutilation. The nurse should respond to self-mutilation with a neutral affect and encourage the client to write down feelings that occurred leading up to the incident. c. Maintain close observation of the client. Clients who have borderline personality disorder are at risk for self-harm during times of increased anxiety. Maintaining close observation reduces the client's risk of injury. d. Provide an unstructured environment. Providing an unstructured environment for a client who has borderline personality disorder is not an effective treatment approach because it does not provide a safe environment to protect the client from impulsive and self-injurious behavior. A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply) A. "To assess cognitive ability, I should ask the client to count backward by sevens." B. "To assess affect, I should observe the client's facial expression." C. "To assess language ability, I should instruct the client to write a sentence." D. "To assess remote memory, I should have the client repeat a list of objects." E. "To assess the client's abstract thinking, I should ask the client to identify our most recent presidents." This study source was downloaded by from CourseH on :03:52 GMT -05:00 A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention? A. Assist the client with systematic desensitization therapy. B. Teach the client appropriate coping mechanisms. C. Assess the client for comorbid health conditions. D. Monitor the client for adverse effects of the medications. A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as the priority? A. Coordinate holistic care with social services. B. Identify the client's perception of her mental health status. C. Include the client's family in the interview. D. Teach the client about her current mental health disorder. A nurse is told during change of shift report that a client is stuporous. When assessing the client, which of the following findings should the nurse expect? A nurse in an emergency department is caring for an 18-month-old toddler who has a fractured left femur. Which of the following statements by the toddler's parent should cause the nurse to suspect child abuse "My child fell down the stairs." The nurse should identify that 18-month-old toddlers are at a high risk for accidental injury due to falls because of increased mobility and curiosity; therefore, this report by the parent does not indicate child abuse. "My child was riding a bicycle and fell off."