ATI RN MENTAL HEALTH
PROCTORED EXAM With NGN Latest
version 2024
A nurse is planning overall strategies to address problems for a client who
has a borderline personality disorder. Which of the following strategies is the
priority for the nurse to incorporate into the plan of care?
a. discuss the appropriate use of assertive behavior with the client
b. encourage the client to attend weekly support group meetings
c. assist the client to maintain awareness of her thoughts and feelings
d. implement measures to prevent intentional self-inflicted injury - -ANSWER--d.
implement measures to prevent intentional self-inflicted injury
A nurse is admitting a client who has a 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 - -ANSWER--a. Provide the client with a quiet
environment
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.
d. Speaks in rhyming sentences. - -ANSWER--b. Reports eating twice in the past two
weeks.
A nurse is planning care for a client who has obsessive-compulsive disorder. Which of
the following recommendation should the nurse include in the client's plan of care?
,a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy - -ANSWER--b. Thought stopping
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?
a. Encourage the client to join group activities
b. Dim the lights in the client's room
c. Provide detailed explanations to the client
d. Administer methylphenidate - -ANSWER--b. Dim the lights in the client's room
A nurse is leading a crisis intervention group for adolescents who witnessed the suicide
of a classmate. Which of the following actions should the nurse take first?
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality - -ANSWER--c. Identify prior coping skills
A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye for an
eye in the sky. Sky is up high." The nurse should document the client's statement as
which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association - -ANSWER--d. Clang association
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 "Im so worried that my mother is depressed" which of the following
responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldn't worry about this because the depressive disorder is easily treated.
c. Older adults are usually diagnosed with the depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed. - -ANSWER--d. Tell me the
reasons you think your mother is depressed.
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of
the following outcomes should the nurse include in the plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
, c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real. - -ANSWER--b. Initiates social interactions
with caregivers.
A nurse is providing behavior therapy for a client who has obsessive-compulsive
disorder. 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?
a. Snap a rubber band on your wrist when you think about checking the locks.
b. Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check the locks.
d. Keep a journal of how often you check the locks each night. - -ANSWER--a. Snap a
rubber band on your wrist when you think about checking the locks.
A nurse is caring for a client who is starting treatment for substance use disorder. Which
of the following actions indicates the nurse is practicing the ethical principle of
nonmaleficence?
a. Provide the client with quality care regardless of their ability to pay for treatment.
b. Educating the client about legal rights concerning treatment.
c. Withholding the prescribed medication that is causing adverse effects for the client.
d. Being truthful with the client about the manifestations of withdrawal. - -ANSWER--c.
Withholding the prescribed medication that is causing adverse effects for the client.
A nurse is planning care for a client who has a recent diagnosis of antisocial personality
disorder. Which of the following outcomes should the nurse include in the care plan?
a. The client recognizes the importance of others
b. The client conforms to social norms regarding clothing choices
c. The client reduces self-dramatization
d. The client treats others with respect - -ANSWER--d. The client treats others with
respect
A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of
the following interventions should the nurse include in the plan?
a. Negotiate with the client how much weight she should gain each week.
b. Decrease the client's daily intake of fiber
c. Weight the client weekly for the first month
d. Notify the client about designated time for meals - -ANSWER--d. Notify the client
about designated time for meals
A client is fearful of driving and enters a behavioral therapy program to help him
overcome his anxiety. Using systematic desensitization, he is able to drive down a
PROCTORED EXAM With NGN Latest
version 2024
A nurse is planning overall strategies to address problems for a client who
has a borderline personality disorder. Which of the following strategies is the
priority for the nurse to incorporate into the plan of care?
a. discuss the appropriate use of assertive behavior with the client
b. encourage the client to attend weekly support group meetings
c. assist the client to maintain awareness of her thoughts and feelings
d. implement measures to prevent intentional self-inflicted injury - -ANSWER--d.
implement measures to prevent intentional self-inflicted injury
A nurse is admitting a client who has a 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 - -ANSWER--a. Provide the client with a quiet
environment
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.
d. Speaks in rhyming sentences. - -ANSWER--b. Reports eating twice in the past two
weeks.
A nurse is planning care for a client who has obsessive-compulsive disorder. Which of
the following recommendation should the nurse include in the client's plan of care?
,a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy - -ANSWER--b. Thought stopping
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?
a. Encourage the client to join group activities
b. Dim the lights in the client's room
c. Provide detailed explanations to the client
d. Administer methylphenidate - -ANSWER--b. Dim the lights in the client's room
A nurse is leading a crisis intervention group for adolescents who witnessed the suicide
of a classmate. Which of the following actions should the nurse take first?
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality - -ANSWER--c. Identify prior coping skills
A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye for an
eye in the sky. Sky is up high." The nurse should document the client's statement as
which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association - -ANSWER--d. Clang association
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 "Im so worried that my mother is depressed" which of the following
responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldn't worry about this because the depressive disorder is easily treated.
c. Older adults are usually diagnosed with the depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed. - -ANSWER--d. Tell me the
reasons you think your mother is depressed.
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of
the following outcomes should the nurse include in the plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
, c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real. - -ANSWER--b. Initiates social interactions
with caregivers.
A nurse is providing behavior therapy for a client who has obsessive-compulsive
disorder. 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?
a. Snap a rubber band on your wrist when you think about checking the locks.
b. Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check the locks.
d. Keep a journal of how often you check the locks each night. - -ANSWER--a. Snap a
rubber band on your wrist when you think about checking the locks.
A nurse is caring for a client who is starting treatment for substance use disorder. Which
of the following actions indicates the nurse is practicing the ethical principle of
nonmaleficence?
a. Provide the client with quality care regardless of their ability to pay for treatment.
b. Educating the client about legal rights concerning treatment.
c. Withholding the prescribed medication that is causing adverse effects for the client.
d. Being truthful with the client about the manifestations of withdrawal. - -ANSWER--c.
Withholding the prescribed medication that is causing adverse effects for the client.
A nurse is planning care for a client who has a recent diagnosis of antisocial personality
disorder. Which of the following outcomes should the nurse include in the care plan?
a. The client recognizes the importance of others
b. The client conforms to social norms regarding clothing choices
c. The client reduces self-dramatization
d. The client treats others with respect - -ANSWER--d. The client treats others with
respect
A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of
the following interventions should the nurse include in the plan?
a. Negotiate with the client how much weight she should gain each week.
b. Decrease the client's daily intake of fiber
c. Weight the client weekly for the first month
d. Notify the client about designated time for meals - -ANSWER--d. Notify the client
about designated time for meals
A client is fearful of driving and enters a behavioral therapy program to help him
overcome his anxiety. Using systematic desensitization, he is able to drive down a
