VERSION A , B , C , PROCTORED
EXAM AND ATI MENTAL HEALTH
PROCTORED RETAKE EXAM
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." - ANSWER>>>a) "You should continue
this medication if you develop muscle rigidity".
The nurse is caring for a client following a physical
assault. The client states "I don't remember what
,happened to me." The nurse should recognize that the
client is using
which of the following defense mechanisms?
a) Repression
b) Displacement
c) Rationalization
d) Denial - ANSWER>>>a) Repression
A nurse is caring for a client who has anorexia nervosa.
Which of the following findings require immediate
intervention by the nurse?
a) +2 edema of the lower extremities
b) BUN 21 mg dL
c) Lanugo covering the body
d) Blood pH 7.60 - ANSWER>>>d) Blood pH 7.60
A nurse is caring for a client in a mental health facility.
The client is agitated and threatens to harm herself and
others. Which of the following is the priority
intervention?
a) Place the client in restraints
b) Administer an anti-anxiety medication to the client
c) Put the client in seclusion
d) Set limits on the client's behavior - ANSWER>>>d)
Set limits on the client's behavior
,A nurse is caring for a client who was involuntarily
committed and is scheduled to receive electroconvulsive
therapy (ECT). The client refuses the treatment and will
not discuss why with the health care team. Which of the
following actions should the nurse
take?
a) Ask the clients family to encourage the client to receive
ECT
b) Inform the client that ECT does not require a consent.
c) Document the client's refusal of the treatment in the
medical record.
d) Tell the client he cannot refuse the treatment because
he was involuntarily
committed. - ANSWER>>>c) Document the client's
refusal of the treatment in the medical record.
A nurse in the emergency department is caring for a client
who reports feeling sad, worthless, and hopeless 9 months
after the death of her son. Which of the following actions
should the nurse take first?
a) Request a mental health consult for the client.
b) Ask the client if she has thought about harming herself.
c) Encourage the client to attend a grief support group.
d) Discuss the clients' coping skills. - ANSWER>>>d)
Discuss the clients' coping skills.
, A nurse is caring for a client who 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.
a) Dual diagnosis treatment group
b) Dialectical treatment group
c) Desensitization therapy
d) Co-dependents support group. - ANSWER>>>b)
Dialectical treatment group
The nurse is reviewing the medication administration
record of a client who has schizophrenia. The nurse
should plan to initiate the Abnormal Involuntary
Movement Scale to monitor for adverse effects of which
of the following medications.?
a) Amantadine
b) Diphenhydramine
c) Benztropine
d) Haloperidol - ANSWER>>>d) Haloperidol
A nurse is counseling a client following the death of a
clients partner 8 months ago. Which of the following
client statements indicates maladaptive grieving?