ATI MENTAL HEALTH A 2019 PROCTORED EXAM 70QUESTI
6 6 6 6 6 6 6 6
ONS WITH ANSWERS well HIGHLITED
6 6 6 6
1. A6nurse6is6planning6overall6strategies6to6address6problems6for6a6client6who6has6borderline6pers
onalitydisorder.6Which6of6the6following6strategies6is6the6priority6for6the6nurse6to6incorporate6in6th
e6plan6of6care?
a. discuss6the6appropriate6use6of6assertive6behavior6with6the6client
b. encourage6the6client6to6attend6weekly6support6group6meetings
c. assist6the6client6to6maintain6awareness6of6her6thoughts6and6feelings
d. implement6measures6to6prevent6intentional6self-
inflicted6injuryd
2) A6nurse6is6admitting6a6client6who6has6generalized6anxiety6disorder.6Which6of6the6followi
ng6actionsshould6the6nurse6plan6to6take6first?
a. Provide6the6client6with6a6quiet6environment
b. Determine6how6the6client6handles6stress.
c. Teach6the6client6to6use6guided6imagery.
d. Ask6the6client6to6identify6her6strengths
3) A6nurse6is6conducting6an6admission6interview6with6a6client6who6is6experiencing6mania.6Which6
of6thefollowing6should6the6nurse6report6to6the6provider?
a. States6that6he6hasn’t6bathed6in626days
b. Reports6eating6twice6in6the6past6two6weeks.
c. Makes6inappropriate6sexual6comments.
d. Speaks6in6rhyming6sentences.
4) A6nurse6is6planning6care6for6a6client6who6has6obsessive-
compulsive6disorder.6Which6of6the6followingrecommendation6should6the6nurse6include6in6t
he6clients6plan6of6care?
a. Validation6therapy
b. Thought6stopping
c. Operant6conditioning
d. Reality6orientation
therapyb
6
5) A6nurse6is6caring6for6a6client6who6has6bipolar6disorder6and6is6experiencing6a6manic6episode.6Whi
ch6ofthe6following6actions6should6the6nurse6take?
a. Encourage6the6client6to6join6group6activities
b. Dim6the6lights6in6the6clients6room
c. Provide6detailed6explanations6to6the6client
d. Administer
,methylphenidateb
,6. 6)6A6nurse6is6leading6a6crisis6intervention6group6for6adolescents6who6witnessed6the6suici
de6of6aclassmate.6Which6of6the6following6actions6should6the6nurse6take6first.
a. Initiate6referrals
b. Review6community6resources
c. Identify6prior6coping6skills
d. Discuss6the6importance6o
f6confidentialityc
7. 7)6A6nurse6overhears6a6client6saying"I6am6a6spy,6a6spy6for6the6FBI6.I6am6an6I,an6eye6for6an6eye6in6t
he6sky.Sky6is6up6high."6The6nurse6should6document6the6clients6statement6as6which6of6the6followin
g6speech6alterations?
a. Echolalia
b. Word6salad
c. Neologism
d. Clang6ass
ociationd
8)6An6older6adult6client6is6brought6to6the6mental6health6clinic6by6her6daughter.6The6daughter6report
s6thather6mother6is6not6eating6and6seems6uninterested6in6routine6activities.6The6daughter6states6"I
m6so6worried6that6my6mother6is6depressed"6which6of6the6following6responses6should6the6nurse6mak
e?
a. Everyone6gets6depressed6from6time6to6time.
b. You6shouldnt6worry6about6this6because6depressive6disorder6is6easily6treated.
c. Older6adults6are6usually6diagnosed6with6depressive6disorder6as6they6age.
d. Tell6me6the6reasons6you6think6your6mother6i
s6depressed.d
9. 9)6A6nurse6is6planning6care6for6an6adolescent6who6has6autism6spectrum6disorder.6Which6
of6thefollowing
outcomes6should6the6nurse6include6in6the6plan6care?
a. Meets6own6needs6without6manipulating6others.
b. Initiates6social6interactions6with6caregivers.
c. Changes6behavior6as6a6result6of6peer6pressure.
d. Acknowledges6his6delusions6are6no
t6real.b
10) A6nurse6is6providing6behavior6therapy6for6a6client6who6has6obsessive-
compulsive6disorder.6The6clientrepeatedly6checks6that6the6doors6are6locked6at6night.6Which6of6t
he6following6instructions6should6the6nurse6give6the6client6when6using6thought6stopping6techniq
ue?
a. Snap6a6rubber6band6on6your6wrist6when6you6think6about6checking6the6locks.
b. Ask6a6family6member6to6check6the6locks6for6you6at6night.
c. Focus6on6abdominal6breathing6whenever6you6go6to6check6the6locks.
d. Keep6a6journal6of6how6often6you6check6the6locks6each6night.
, a
11) A6nurse6is6caring6for6a6client6who6is6starting6treatment6for6substance6use6disorder.6Which6
of6thefollowing6actions6indicate6the6nurse6is6practicing6the6ethical6principle6of6nonmaleficenc
e?
a. Provide6the6client6with6quality6care6regardless6of6their6ability6to6pay6for6treatment.
b. Educating6the6client6about6legal6rights6concerning6treatment.
c. Withholding6the6prescribed6medication6that6is6causing6adverse6effects6for6the6client.
d. Being6truthful6with6the6client6about6the6manifestations6o
f6withdrawl.c
12. 12)6A6nurse6in6a6group6home6facility6is6caring6for6a6client6who6is6developmentally6disabled.6The
6clienthas6been6stealing6belongings6from6other6clients.6Which6of6the6following6techniques6should6t
he6nurse6use?
a. Crisis6intervention6to6decrease6anxiety.
b. Aversion6therapy6to6provide6distraction
c. Positive6reinforcement6to6increase6desired6behavior.
d. Systematic6desensitization6to6extinguish6th
e6behavior.c
13. 13)6A6nurse6is6caring6for6a6client6who6is6experiencing6a6panic6attack.6Which6of6the6followi
ng6actionsshould6the6nurse6take?
a. Ask6the6client6to6discuss6precipitating6events
b. Speaks6to6the6client6in6a6high-pitched6voice.
c. Place6the6client6in6seclusion
d. Have6the6client6breathe6into6a6pape
r6bag.d
14. 14)6The6nurse6is6caring6for6a6client6following6a6physical6assault.6The6client6states6"I6don't6rem
emberwhat6happened6to6me."6The6nurse6should6recognize6that6the6client6is6using6which6of6the6fo
llowing6defense6mechanisms?
a. Repression
b. Displacement6c.6Rationalization6d
.6Deniala
15. 15)6A6nurse6is6caring6for6a6client6who6has6anorexia6nervosa.6Which6of6the6following6findin
gs6requireimmediate6intervention6by6the6nurse?
a.6+26edema6of6the6lower6extremities
b. BUN6216mg6dL
c. Lanugo6covering6the6body
d. Blood6p
H67.60d
6 6 6 6 6 6 6 6
ONS WITH ANSWERS well HIGHLITED
6 6 6 6
1. A6nurse6is6planning6overall6strategies6to6address6problems6for6a6client6who6has6borderline6pers
onalitydisorder.6Which6of6the6following6strategies6is6the6priority6for6the6nurse6to6incorporate6in6th
e6plan6of6care?
a. discuss6the6appropriate6use6of6assertive6behavior6with6the6client
b. encourage6the6client6to6attend6weekly6support6group6meetings
c. assist6the6client6to6maintain6awareness6of6her6thoughts6and6feelings
d. implement6measures6to6prevent6intentional6self-
inflicted6injuryd
2) A6nurse6is6admitting6a6client6who6has6generalized6anxiety6disorder.6Which6of6the6followi
ng6actionsshould6the6nurse6plan6to6take6first?
a. Provide6the6client6with6a6quiet6environment
b. Determine6how6the6client6handles6stress.
c. Teach6the6client6to6use6guided6imagery.
d. Ask6the6client6to6identify6her6strengths
3) A6nurse6is6conducting6an6admission6interview6with6a6client6who6is6experiencing6mania.6Which6
of6thefollowing6should6the6nurse6report6to6the6provider?
a. States6that6he6hasn’t6bathed6in626days
b. Reports6eating6twice6in6the6past6two6weeks.
c. Makes6inappropriate6sexual6comments.
d. Speaks6in6rhyming6sentences.
4) A6nurse6is6planning6care6for6a6client6who6has6obsessive-
compulsive6disorder.6Which6of6the6followingrecommendation6should6the6nurse6include6in6t
he6clients6plan6of6care?
a. Validation6therapy
b. Thought6stopping
c. Operant6conditioning
d. Reality6orientation
therapyb
6
5) A6nurse6is6caring6for6a6client6who6has6bipolar6disorder6and6is6experiencing6a6manic6episode.6Whi
ch6ofthe6following6actions6should6the6nurse6take?
a. Encourage6the6client6to6join6group6activities
b. Dim6the6lights6in6the6clients6room
c. Provide6detailed6explanations6to6the6client
d. Administer
,methylphenidateb
,6. 6)6A6nurse6is6leading6a6crisis6intervention6group6for6adolescents6who6witnessed6the6suici
de6of6aclassmate.6Which6of6the6following6actions6should6the6nurse6take6first.
a. Initiate6referrals
b. Review6community6resources
c. Identify6prior6coping6skills
d. Discuss6the6importance6o
f6confidentialityc
7. 7)6A6nurse6overhears6a6client6saying"I6am6a6spy,6a6spy6for6the6FBI6.I6am6an6I,an6eye6for6an6eye6in6t
he6sky.Sky6is6up6high."6The6nurse6should6document6the6clients6statement6as6which6of6the6followin
g6speech6alterations?
a. Echolalia
b. Word6salad
c. Neologism
d. Clang6ass
ociationd
8)6An6older6adult6client6is6brought6to6the6mental6health6clinic6by6her6daughter.6The6daughter6report
s6thather6mother6is6not6eating6and6seems6uninterested6in6routine6activities.6The6daughter6states6"I
m6so6worried6that6my6mother6is6depressed"6which6of6the6following6responses6should6the6nurse6mak
e?
a. Everyone6gets6depressed6from6time6to6time.
b. You6shouldnt6worry6about6this6because6depressive6disorder6is6easily6treated.
c. Older6adults6are6usually6diagnosed6with6depressive6disorder6as6they6age.
d. Tell6me6the6reasons6you6think6your6mother6i
s6depressed.d
9. 9)6A6nurse6is6planning6care6for6an6adolescent6who6has6autism6spectrum6disorder.6Which6
of6thefollowing
outcomes6should6the6nurse6include6in6the6plan6care?
a. Meets6own6needs6without6manipulating6others.
b. Initiates6social6interactions6with6caregivers.
c. Changes6behavior6as6a6result6of6peer6pressure.
d. Acknowledges6his6delusions6are6no
t6real.b
10) A6nurse6is6providing6behavior6therapy6for6a6client6who6has6obsessive-
compulsive6disorder.6The6clientrepeatedly6checks6that6the6doors6are6locked6at6night.6Which6of6t
he6following6instructions6should6the6nurse6give6the6client6when6using6thought6stopping6techniq
ue?
a. Snap6a6rubber6band6on6your6wrist6when6you6think6about6checking6the6locks.
b. Ask6a6family6member6to6check6the6locks6for6you6at6night.
c. Focus6on6abdominal6breathing6whenever6you6go6to6check6the6locks.
d. Keep6a6journal6of6how6often6you6check6the6locks6each6night.
, a
11) A6nurse6is6caring6for6a6client6who6is6starting6treatment6for6substance6use6disorder.6Which6
of6thefollowing6actions6indicate6the6nurse6is6practicing6the6ethical6principle6of6nonmaleficenc
e?
a. Provide6the6client6with6quality6care6regardless6of6their6ability6to6pay6for6treatment.
b. Educating6the6client6about6legal6rights6concerning6treatment.
c. Withholding6the6prescribed6medication6that6is6causing6adverse6effects6for6the6client.
d. Being6truthful6with6the6client6about6the6manifestations6o
f6withdrawl.c
12. 12)6A6nurse6in6a6group6home6facility6is6caring6for6a6client6who6is6developmentally6disabled.6The
6clienthas6been6stealing6belongings6from6other6clients.6Which6of6the6following6techniques6should6t
he6nurse6use?
a. Crisis6intervention6to6decrease6anxiety.
b. Aversion6therapy6to6provide6distraction
c. Positive6reinforcement6to6increase6desired6behavior.
d. Systematic6desensitization6to6extinguish6th
e6behavior.c
13. 13)6A6nurse6is6caring6for6a6client6who6is6experiencing6a6panic6attack.6Which6of6the6followi
ng6actionsshould6the6nurse6take?
a. Ask6the6client6to6discuss6precipitating6events
b. Speaks6to6the6client6in6a6high-pitched6voice.
c. Place6the6client6in6seclusion
d. Have6the6client6breathe6into6a6pape
r6bag.d
14. 14)6The6nurse6is6caring6for6a6client6following6a6physical6assault.6The6client6states6"I6don't6rem
emberwhat6happened6to6me."6The6nurse6should6recognize6that6the6client6is6using6which6of6the6fo
llowing6defense6mechanisms?
a. Repression
b. Displacement6c.6Rationalization6d
.6Deniala
15. 15)6A6nurse6is6caring6for6a6client6who6has6anorexia6nervosa.6Which6of6the6following6findin
gs6requireimmediate6intervention6by6the6nurse?
a.6+26edema6of6the6lower6extremities
b. BUN6216mg6dL
c. Lanugo6covering6the6body
d. Blood6p
H67.60d
