ATI MENTAL HEALTH PROCTORED EXAM QUESTIONS AND ANSWERS 2023 LATEST UPDATE

ATI MENTAL HEALTH PROCTORED EXAM QUESTIONS AND ANSWERS 2023 LATEST UPDATE A nurse is assisting with obtaining an informed consent for a client that has been declared legally incompetent. Which of the following actions should the nurse take? Request that the client’s guardian sign the consent A home health nurse visits a client who lost their partner 2 years ago. Which of the following behaviors by the client indicate a maladaptive grief response? The client is unable to perform basic hygiene tasks A nurse in a long-term care facility is caring for a client. The nurse should identify which of the following conditions places the client at an increased risk for developing delirium? WBC 13000/mm A nurse is caring for a client who has just received a terminal diagnosis from his provider. Which of the following actions should the nurse take? Allow the client unlimited time for grieving process A nurse is caring for a client who is admitted to a mental health facility after attempting suicide. Which of the following actions should the nurse take first? Implement continuous one on one observation A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression? I don’t feel like anything but numbness anymore A nurse is reviewing the medical record of a client who has anorexia. Which of the following should the nurse report to the provider? Heart rhythm A nurse is leading a critical incident stress debriefing with a group of staff members following a mass trauma incident. Which of the following interventions should take place first? Reassure staff members that the debriefing is confidential A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to assistive personnel? Assist the client to ambulate for the first time following the procedure A nurse is reviewing the laboratory report of a client who has a panic disorder and is taking clonazepam. Which of the following laboratory results should the nurse report to the provider? WBC count 8000/mm3 A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan? Encourage physical activity for the client during the day A nurse is caring for a client that has borderline personality disorder and has been engaging in self-mutilation. The nurse should encourage the client to participate in which of the following groups? Dialectical behavior treatment group A nurse is receiving a change of shift report for four clients. Which of the following clients should the nurse see first? A client who is taking clozapine and reports a sore throat A nurse in an in-patient facility is caring for a client who has an anxiety disorder. Which of the following actions should the nurse take while the client is experiencing an acute panic attack? Administer a dose of alprazolam to the client A nurse is reviewing the medical record of a client who is to begin to take aripiprazole. The nurse should identify that which of the following is a contraindication for aripiprazole therapy? Seizure disorder A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline. The nurse should recognize that which of the following medications are contraindicated when taking selegiline? Fluoxetine A nurse is caring for a client whose partner died 6 months ago. Which of the following is the nurse’s priority finding? The client states that he is unable to eat more that one time a day A nurse in a mental health facility is making plans for a client’s discharge. Which of the following interdisciplinary team members should the nurse contact to assist the client with housing placement? Social worker A nurse is caring for a client who has a personality disorder and is using transference to cope. Which of the following behaviors should the nurse expect? Reacting to a nurse as if she were her mother A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted another client. Which of the following actions should the nurse take? Have the provider assess the patient within 1 hour after the restraints are applied A nurse is assessing a client who has a history of substance abuse and states “people are out to get me.” The client has tachycardia and hypertension. The nurse should expect acute toxicity of the following substances. Cocaine A nurse is assessing a client who has anorexia. Which of the following findings should the nurse expect? SATA Bradycardia, Hypotension, Lanugo A nurse is assessing a client that is restless and constantly mutters to himself. Which of the following should lead the nurse to suspect delirium? The clients’ manifestations developed suddenly A nurse is caring for a client who is involuntary admitted for a major depressive disorder and refuses to take a prescribed oral antianxiety medication. Which of the following actions should the nurse take? Offer the client the medication at the next scheduled dose time A nurse is teaching a newly licensed nurse about contributing factors that can lead to the development of conduct disorder. Which of the following factors relate to family dynamics should the nurse include in the teachings? The client has several siblings A nurse is conducting an admission assessment with a new client who tells the nurse “my life is so stressful. I cant take it anymore.” Which of the following responses should the nurse make first? Let’s talk more about what you are feeling. A nurse has placed a client who has become physically aggressive into seclusion. Which of the following actions should the nurse take? Document the client’s behavior every 15 minutes A nurse is caring for a client who is seeking treatment for opioid use disorder. Which of the following actions should the nurse take first? Cage assessment A nurse is caring for a client who states “ I am too embarrassed to tell anyone what I did last night.” Which of the following responses should the nurse make? Lets discuss what you feel embarrassed about A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take? Remain with the client 1 hour after meals A nurse is caring or a client who was involuntarily committed and is scheduled to receive ECT. The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should take? Document the client’s refusal of treatment on the medical record A nurse manager is observing a newly licensed nurse preparing to administer an IM medication to a client that is manic and refuses the medication. Which of the following actions should the nurse manager take first? Stop the newly license nurse from administering the medication A nurse is caring for a client that has schizophrenia. The client’s employer calls to discuss the clients condition. Which of the following is the appropriate nurse action? Consult the client A nurse is caring for a client who receives lamotrigine daily for bipolar disorder and reports a rash on his arm. Which of the following actions should the nurse take? Withhold the next dose of medication A nurse is assessing a client who has schizophrenia. Which of the following should the nurse document as positive symptoms? SATA Delusions of grandeur, Flight of ideas, Auditory hallucinations A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder. Which is a priority to report? Significant weight loss A nurse is caring for a school aged child who has conduct disorder and requires wrist restraints. Which of the following actions should the nurse take? Monitor the child’s vital signs every 15 minutes. A nurse is planning care for a newly admitted client with anorexia nervosa. Which of the following interventions should the nurse plan? Negotiate with the client how much weight to gain each week A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the clients refusal? Autonomy A nurse is providing behavioral therapy for client who has OCD. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique? “Snap a rubber band on your wrist when you think about checking the locks.” A nurse in a long-term care facility is assessing a client who has dementia. Which of the following findings should the nurse identify as a risk for this client? The room has an area rug A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is taking haloperidol. Which is a priority finding? High fever A nurse is caring for a client who has Alzheimer’s disease. Which of the following findings should the nurse expect? Failure to recognize familiar objects A nurse in mental health facility is interviewing a new client. Which of the following outcomes must occur if the nurse is to establish a therapeutic nurse-client relationship? The nurse maintains confidentiality unless the client’s safety is compromised. A nurse is teaching a client who has a new prescription for disulfiram. Which of the following statements by the client indicates an understanding of the teaching? “I can continue to eat aged cheeses and chocolate”. A nurse is planning care for a client who has narcissistic personality disorder. Which of the following actions is appropriate for the nurse to include in the plan of care? Remain neutral when communicating with the client. A nurse is reviewing the lab report of a client who is taking carbamazepine for bipolar disorder. Which of the following lab results should the nurse report to the provider? Platelets 90,000/mm3 Normal: 150,000 to 400,000 A nurse is providing teaching about relapse prevention to a client who has schizophrenia. This statement indicates understanding. “I should let my counselor know if I am having trouble sleeping.” A nurse is assessing a client for negative manifestations of schizophrenia. Anergia A nurse is caring for a school-age child who has a fractured arm. The child has other injuries that cause the nurse to suspect abuse. Which of the following actions is appropriate for the nurse to take when assessing the child’s situation? Direct the parents to the waiting room before interviewing the child. A nurse is assessing a client who has delirium. Which of the following findings requires immediate intervention by the nurse? Command hallucinations A nurse is developing a teaching plan for the family of an older adult client who is to receive transcranial magnetic resonance stimulation. Which of the following information should the nurse include in the teaching plan? The client might have a headache after treatment. A nurse is obtaining a medical history from a client who is requesting a prescription for Alzheimer's for smoking cessation. Report history to provider: Recent head injury A nurse is developing a plan of care for a client who has paranoid personality disorder. Include this in the plan of care: Provide written information about the client’s treatment plan A nurse is caring for a client who begins yelling and pacing around the room. The nurse should: Identify the clients stressors., Talk to the client in short simple sentences A nurse is developing a plan of care for a school-age child who has autism spectrum disorder. Intervention to be included in the plan f care: Use a reward system for appropriate behavior. A nurse is caring for a client who has PTSD. Findings associated with this disorder. Hypervigilance A nurse is teaching a client about the use of cognitive reframing for stress management. This indicates understanding of the teaching: I will practice replacing negative thoughts with positive self-statements. A nurse is caring for a client who has schizophrenia and has been taking chlorpromazine for 5 years. Which of the following assessment tools should the nurse use to determine if the client is experiencing adverse effects? Abnormal Involuntary Movement Scale (AIMS) extrapyramidal symptoms A nurse in a mental health facility is assessing a client for suicide risk factors using the SAD PERSONS scale. Which of the following findings indicates a risk for suicide? The client has diabetes mellitus. A nurse is providing crisis intervention for a client who was involved in a casualty situation in the community. Which of the following actions should the nurse take during the initial session with the client? Identify the client's usual coping style A nurse in an emergency department is assessing a client who reports recently using cocaine. Which of the following clinical manifestations should the nurse expect? Hypertension A nurse is caring for a client who has severe depression and is scheduled to receive electroconvulsive therapy. The nurse should recognize that the client will receive succinylcholine to prevent which of the following adverse effects? ● Muscle distress A nurse in an outpatient clinic is assessing a client who has anorexia nervosa. Which of the following findings indicates the need for hospitalization? Temperature 35.6° C (96.1° F) A nurse on a mental health unit is leading a therapy session for a group of clients. One client challenges the nurse and shows no empathy for others in the group. Which of the following actions should the nurse take? Ask the client privately what is causing the anger. A nurse in a mental health clinic is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect? Intense efforts to avoid abandonment A nurse in a long-term care facility is assessing an older adult client for depression. Which of the following findings should the nurse expect? Insomnia A nurse is assessing a client who has been taking thioridazine for 2 weeks. The client reports an inability to be still. Which of the following adverse effects should the nurse suspect? Akathisia A nurse is interviewing a client who was recently sexually assaulted. The client cannot recall the attack. The nurse should identify that the client is using which of the following defense mechanisms? Repression A nurse is assessing a client who has antisocial personality disorder. Which of the following client behaviors should the nurse expect? Manipulative A nurse is caring for a client who has physical restraints applied. The nurse determines that the restraints should be removed when which of the following occurs? The client is able to follow commands. A nurse is caring for a client who states, "Things will never work out. " Which of the following responses should the nurse make? Have you been thinking about harming yourself? " A nurse in an emergency department is caring for a client who reports a recent sexual assault by her partner. Which of the following statements is the priority for the nurse to make? "I want you to know that you are in a safe place here. " After assessing a client in a crisis situation, a nurse determines the client is safe. Which of the following actions should the nurse take first? Assist the client to lower his anxiety level A nurse is assessing a client who has bulimia nervosa. Which of the following findings should the nurse expect? Hyponatremia A nurse is caring for a client who reports smoking marijuana several times per day. The client tells the nurse, "I don't know what the big deal is. Marijuana is a harmless herb. " The nurse should identify that the client is displaying which of the following mechanisms? Rationalization A nurse is teaching the family of a client who has Alzheimer's disease about safety interventions for nighttime wandering. Which of the following interventions should the nurse include? Place the client's mattress on the floor, Install sensors, put locks A nurse in a mental health facility is reviewing the laboratory results of a client who is taking lithium carbonate. Which of the following findings places the client at risk for lithium toxicity? Sodium 132 mEq/L A nurse in an acute care facility is planning care for a client who has a history of alcohol use disorder and is admitted while intoxicated. Which of the following interventions should the nurse plan for the client? Implement seizure precaution A nurse is developing a safety plan for a client who has experienced intimate partner abuse. Which of the following items should the nurse include in the plan that will provide immediate safety for the client and her children? A code phrase to use when it is time to leave the house A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating? Displacement . A nurse is planning care for a client who demonstrates prolonged depression related to the loss of her partner 6 months ago. Which of the following actions should the nurse take? Explain that it can take a year or more to learn to live with a loss. A nurse is caring for a client who has bipolar disorder. The client is walking in and out of rooms, speaking inappropriately, and giggling. Which of the following actions should the nurse take? Lead the client outside for a walk. A nurse is admitting a client who has a new diagnosis of schizophrenia and a history of aggression. Which of the following actions should the nurse include in the client's initial plan of care? Provide a physical exercise activity for the client A nurse is caring for a client who has bipolar disorder and is exhibiting mania. Which of the following findings should the nurse expect? Disorganized speech A nurse is providing teaching to a client who is prescribed methylphenidate for ADHD. Which of the following statements by the client indicates an accurate understanding of this medication effects? "I know that I will be able to think more clearly now. " 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, "I'm so worried that my mother is depressed. " Which of the following responses should the nurse make? “Tell me the reasons you think your mother is depressed. " A nurse is providing teaching to a client who has a new prescription for tranylcypromine. Which of the following overthe-counter medications should the nurse instruct the client to avoid taking due to adverse interactions? Pseudoephedrine A nurse in the emergency department is admitting a client who has a history of alcohol use disorder. The client has a blood alcohol level of 0.26 g/dL. The nurse should anticipate a prescription for which of the following medications? Chlordiazepoxide (ACUTE withdrawal ---- Maintenance drugs) A nurse is building a therapeutic relationship with a client who has an eating disorder. Which of the following activities should the nurse initiate during the relationship's orientation phase? Mutually deciding and agreeing on the goals of the relationship A nurse is assessing a client who has schizophrenia. The client tells the nurse, "My heart exploded, and my blood is draining out. " The nurse should interpret this statement as which of the following manifestations? A somatic delusion A nurse is interviewing a client who has schizophrenia. The client states, "Aliens are going to abduct me at midnight tonight. " Which of the following responses should the nurse make? "Believing that aliens will abduct you must be scary. A nurse is caring for a client who has generalized anxiety disorder and a history of substance use disorder. Which of the following medications should the nurse expect the provider to prescribe? ● Buspirone A nurse in an emergency department is creating a plan of care for a client who reports experiencing intimate partner violence. Which of the following interventions should the nurse include as the priority? Help the client devise a safety plan. A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take? Ask the client if he intends to harm others A nurse in the emergency department is caring for a client who has serotonin syndrome. The nurse should assess the client for which of the following manifestations? Hyperpyrexia (very high fever) A nurse is caring for a school-age child who has conduct disorder and is being physically aggressive toward other children on the unit. Which of the following actions should the nurse take first? Use a therapeutic hold technique A nurse is caring for a client who has a new diagnosis of bulimia nervosa. Which of the following diagnostic procedures should the nurse anticipate the provider to prescribed during the medical evaluation? ECG A nurse is caring for a client who exhibits excessive compliance, passivity, and self-denial. The nurse should recognize that these findings are associated with which of the following personality disorders? Borderline A nurse is caring for a client in the emergency department who states that she was beaten and sexually assaulted by her partner. After a rapid assessment, which of the following actions should the nurse plan to take? Offer prophylactic medication to prevent STIs A nurse is caring for a client who has major depressive disorder. After discussing the treatment with his partner, the client verbally agrees to ECT but will not sign the consent form. Which of the following actions should the nurse take? Cancel the scheduled ECT procedure. A nurse is advising assistive personnel on the care of a client who has major depressive disorder. The AP states that he is irritated by the client’s depression. Which of the following statements by the nurse is appropriate? “It is important that the client feels safe verbalizing how she is feeling.” A nurse is assessing a child in the emergency department. Which of the following findings places the child at greatest risk for physical abuse? The child has cystic fibrosis A nurse is assessing a client who is experiencing alcohol withdrawal. For which of the following findings should the nurse anticipate administration of lorazepam? Hypertension A nurse is creating a plan of care for a client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? Encourage the client to participate in family therapy A nurse is planning care for a 3-year-old child who has autism spectrum disorder. Which of the following findings should the nurse expect? Attachment to objects that spin A nurse is planning care for a client who has bipolar disorder. The client reports not sleeping for 3 days and is exhibiting a euphoric mood. The nurse should identify which of the following as the priority intervention? Limit loud noises in the client’s environment. A nurse is caring for a client who has depression following a recent job loss. Which of the following questions should the nurse ask to assess the client’s personal coping skills? How have you dealt with similar situations in the past? A school nurse is caring for an adolescent client whose teacher reports changes in school performance and withdrawal from interaction with classmates. Which of the following interventions is the nurse priority at this time? Ask the adolescent if he is considering hurting himself. A nurse is assessing a client who is withdrawing from heroin. Which of the following manifestations should the nurse expect? Hyperthermia The healthcare provider would expect to observe irritability and nausea. Heart rate and blood pressure will be baseline or elevated, and temperature will be unchanged. A nurse is assessing a client who has histrionic personality disorder. Which of the following findings should the nurse expect? Attention-seeking A nurse is providing teaching to the daughter of an older adult client who has OCD. Which of the following statements by the daughter indicates an understanding of the teaching? “I will limit my mother’s clothing choices when she is getting dressed.” A nurse in a mental health facility is caring for a client who has borderline personality disorder. Which of the following findings should the nurse expect? Self-mutilation A nurse is reviewing the laboratory results of an adolescent who has anorexia nervosa. Which of the following findings should the nurse expect? Hgb 10g/dl A nurse is teaching about benztropine to a client who has schizophrenia. Which of the following statements should the nurse include in the teaching? “This medication is given to help with extrapyramidal side effects.” . A nurse is planning care for a client who has acute delirium. Which of the following instructions should the nurse include in the plan? Reinforce the client’s orientation with calendar. A nurse is caring for a client who has PTSD to military service. Which of the following actions should the nurse take? Assign he same staff to care for the client each day. A nurse is providing a teaching for a school-age child and his parent regarding anew prescription for risperidone. This indicates understanding of the teaching. “I should contact my doctor if my son urinates excessively.” A nurse is caring for a client who has lithium level of 0.8meq/L. The nurse should: Administer the next dose of lithium A nurse in a community mental health clinic is caring for a group of clients. The nurse should encourage participation in cognitive-behavioral family therapy in response to which of the following client statements? “I want to learn how to change the way I react to problems within my family.” A nurse is giving a presentation about intimate partner abuse for a community group. Which of the following statements by a group member indicates an understanding of the teaching? Survivors of abuse often feel guilty.” A nurse is planning care for a client who has experienced intimate partner abuse. The nurse should identify which of the following outcomes as the priority? The client develops a safety plan. A nurse is developing a behavioral contract with a client who has antisocial personality disorder. Which of the following client goals should the nurse include in the contract? ● Decrease the number of verbal outbursts. A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to report to the provider? Sore throat, Heart rate 104 A nurse is counseling an adult client whose parent just died. The client states, “My son is 4 and I don’t know how he’ll react when he finds out that his grandpa died.” The nurse should inform the client that the preschool-age child commonly has which concept of death? Death is not permanent and the loved one may come back to life A nurse is reviewing the medical records of four clients. Which of the following findings should the nurse identify as a risk factor for violent behavior? Schizoid personality disorder A nurse in a mental health facility is caring for a client. Which of the following actions should the nurse take during the working phase of the nurse-client relationship? Promote problem-solving skills. A nurse is caring for a client who suddenly directs profanities at her, then abruptly hangs his head and says, “Please forgive me, I’m not sure what came over me! I don’t know why I said those things.” The nurse interprets this behavior as which of the following? Emotional lability A nurse is providing teaching for the family of a client who has dementia. Which of the following should the nurse include in the teaching as a contributing factor for this disorder? Alcohol use disorder A nurse is caring for a client who has been taking valproic acid. Expected outcome? The client has decreased euphoric mood. . A nurse is teaching a client who has major depressive disorder about electroconvulsive therapy. Which of the following information should be included? “You might experience confusion for a few hours after treatment.” A nurse in the emergency assessing a client who has major depressive disorder. Which of the following actions should the nurse take? Ask the client if she has eaten foods containing tyramine. A nurse is caring for a client who has schizophrenia and started taking clozapine 2 months ago. Report lab result of: WBC 3,000/mm3 A nurse as assessing the boundaries of a client’s family. One of the family members says to the client, “I know exactly what you’re thinking right now.” The nurse should recognize that the family member is displaying which of the following types of family boundaries? Enmeshed A nurse is assessing a client who requested bupropion for smoking cessation. Which of the following findings in the client’s history should the nurse recognize as a contraindication for taking this medication? ● Seizures A nurse is caring for a client who has Alzheimer’s disease. Which of the following actions should the nurse take? Use symbols to assist the client in locating room. A nurse is assessing a newly admitted client who has schizophrenia and takes thioridazine. Which of the following findings should the nurse document as an adverse effect of this medication? Contractions of the jaw A nurse is speaking with a client. Which of the following responses by the nurse demonstrates the communication technique of reflection? “You feel upset when this happens?” A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression? “I don’t feel anything but numbness anymore.” A nurse is teaching the parent of a school-age child who has ADHD and a prescription for atomoxetine 40 mg daily. Which of the following information should the nurse include in the teaching? Administer the medication before the child goes to school in the morning 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? Encourage the client to participate in physical activities. A nurse is performing a mental examination for a client who has schizophrenia. The nurse should recognize that which of the following actions requires the client to think abstractly? Determine the meaning of a proverb A nurse is developing a plan of care for a school-age child who has ADHD. Which of the following interventions should the nurse include in the plan? Institute consequences for deliberate behaviors. A nurse is planning to conduct a support group for adolescents who have cancer. Which of the following actions should the nurse include during the orientation phase? Establish a rapport with group members. A nurse is assessing a client who recently started antidepressant therapy for the treatment of major depressive disorder. Which of the following findings indicates the client is at an increased risk for suicide? Increased energy A nurse in a rehab unit is caring for a client who has a traumatic-brain injury. To which of the following members of the client’s interprofessional team should the nurse refer the client in order to help him relearn how to use eating utensils? Occupational Therapist A nurse is caring for a group of clients on a mental health unit. For which of the following clients is the nurse considered a mandated reporter to the appropriate agency? A client who reports that her partner ties their child to a bed as punishment. A charge nurse is orienting a newly licensed nurse and observes the newly licensed nurse imitating her behaviors. The nurse should recognize this behavior as which defense mechanisms? Identification A nurse is teaching about deep-breathing exercises with a client who reports experiencing intense stress at work. Which of the following statements by the client indicates an understanding of the teaching? “I will hold my breath for 5 or 6 seconds each time.” A nurse is conducting an education class for a group of clients who have schizophrenia and a new prescription for clozapine. Which of the following statements by a client indicates an understanding of the teaching? “I should discontinue the medication if I have adverse effects.” A nurse is providing teaching for a client who has a new prescription for a monoamine oxidase inhibitor. Which of the following foods should the nurse instruct the client to avoid? Pepperoni A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. The nurse should monitor the client for which of the following manifestations? Hyperthermia A nurse is caring for a client who has a new prescription for citalopram. The nurse should recognize that this medication can result in an adverse interaction when taken with which of the following over-the-counter supplements? St. Johns wort A nurse is caring for a client who has anorexia nervosa. Which of the following findings requires immediate intervention by the nurse? Blood ph of 7.6 A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to assistive personnel? Assist the client to ambulate for the first time following the procedure A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following findings indicates the client’s adherence to the treatment plan? The client states that she knows she can’t be perfect A nurse is caring for a school-age child who has a new diagnosis of attention-deficit hyperactivity disorder. The nurse should anticipate a prescription for which of the following medications? Methylphenidate A nurse is providing counselling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify in the role of monopolize? The adolescent daughter who attempts to dominate the discussion A nurse is performing an admission assessment for a client who was transferred from another mental health facility. The nurse suspects negligence. Which of the following actions should the nurse take? Complete an incident report and include it in the client’s medical record. A nurse is assessing a client who has bipolar disorder and is taking lamotrigine. Which of the following findings is the nurse’s priority to report? Platelets 200, 000/ mm3 A nurse is caring for a client who has borderline personality disorder. Which of the following actions should the nurse take? Provide consistent boundaries for the client a nurse is assessing a client who recently experienced the loss of their partner. Which of the following questions is the priority for the nurse to ask during this situational crisis? “Are you having thoughts about harming yourself?” A charge nurse is making room assignments for new client admissions. Which of the following clients should the nurse place closest to the nurse’s station? A client who has moderate- stage Alzheimer’s disease A home health nurse is caring for a client who is in the continuation phase of major depressive disorder. The client states, “I feel unmotivated and don’t feel like leaving my home.” Which of the following recommendations should the nurse make to address the client’s social isolation? Join a low – impact exercise class A charge nurse is educating a newly licensed nurse about various defense mechanisms. Which of the following examples should the charge nurse provide when discussing rationalization? A client who states she did not get a promotion because her boss dislikes her A nurse on an acute care unit is caring for a newly- admitted client who has anorexia nervosa. When the nurse prepares to obtain a morning weight, the client becomes agitated. Which of the following statement should the nurse make? “if you think you’ve gained too much weight, we can adjust your meal intake.” 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) To assess cognitive ability, I should ask the client to count backward by sevens;"To assess affect, I should observe the client's facial expression;"To assess language ability, I should instruct the client to write a sentence." 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? The client arouses briefly in response to a sternal rub. A nurse is planning a peer group discussion about the DSM-5. Which of the following information is appropriate to include in the discussion? (Select all that apply) The DSM-5 establishes diagnostic criteria for individual mental health disorders.; The DSM-5 assists nurses in planning care for client's who have mental health disorders; E. The DSM-5 indicates expected assessment findings of mental health disorders.