ATI Mental Health Proctored Exam 2019
x x x x x
1.Axclientxisxfearfulxofxdrivingxandxentersxaxbehavioralxtherapy
programxtoxhelpxhimxovercomexhisxanxiety.xUsingxsystematic
desensitization,xhexisxablextoxdrivexdownxaxfamiliarxstreetxwithout
experiencingxaxpanicxattack.xThexnursexshouldxrecognizexthatxto
continuexpositivexresults,xthexclientxshouldxparticipatexinxwhichxof
thexfollowing?
a.xBiofeedback
b.xTherapistxmodeling
c.xFrequentxpacing
d.xPositivexreinforcementx–xanswerxa.xBiofeedback
2.xAxnursexisxcounselingxaxclientxfollowingxthexdeathxofxthexclient's
partnerx8xmonthsxago.xWhichxofxthexfollowingxclientxstatements
indicatesxmaladaptivexgrieving?
a.x"IxamxsoxsorryxforxthextimesxIxwasxangryxwithxmyxpartner."
b.x"Ixlikexlookingxatxhisxpersonalxitemsxinxthexcloset."
c.x"Ixfindxmyselfxthinkingxaboutxmyxpartnerxoften."
d.x"Ixstillxdon'txfeelxupxtoxreturningxtoxwork."x–
x answerxd.x"Ixstillxdon'txfeelxupxtoxreturningxtoxwork."
Rationale:x8xmonthsxtooxlongxMaladaptivexGrief:x.xDistortedxorxexaggeratedxgriefxresponsex
-xunablexto
performxactivitiesxofxdailyxliving.
RISKxFACTORSxFORxMALADAPTIVExGRIEVING
●●xBeingxdependentxuponxthexdeceased
,●●xUnexpectedxdeathxatxaxyoungxage,xthroughxviolence,xorxbyxaxsociallyxunacceptablexma
nner
●●xInadequatexcopingxskillsxorxlackxofxsocialxsupport
●●xPre-existingxmentalxhealthxissues,xsuchxasxdepressionxorxsubstancexusexdisorder
3./21xAxnursexinxanxinpatientxmentalxhealthxfacilityxisxassessingxa
clientxwhoxhasxschizophreniaxandxisxtakingxhaloperidolx(antipsychotic,
1stxgen).
Whichxofxthexfollowingxclinicalxfindingsxisxthexnurse'sxpriority?
a.xHeadache
b.xInsomniax(sedation)
c.xUrinaryxhesitancyx(Complicationx→xANTIcholinergicxeffects)
d.xHighxfeverx(Complicationx→xagranulocytosis)x–
x answerxd.xHighxfeverx(Complicationx→xagranulocytosis)
Otherxcomplications:xAcutexdystonia,xPseudoxparkinsonism,xAkathisia,xTardivexdyskinesia
,
Neuroendocrinexeffectsx(Gynecomastia,xWeightxgain,xMenstrualxirregularities),xNMS,
OrthostaticxHypotension,xSedation,xSexualxdysfunction,xSkinxeffects,xLiverximpairment
4.xAxnursexisxplanningxcarexforxaxclientxwhoxhasxobsessive
compulsivexdisorder.xWhichxofxthexfollowingxrecommendations
shouldxthexnursexincludexinxthexclient'sxplanxofxcare?
a.xRealityxOrientationxtherapyx(re-orientxtoxreality)
b.xOperantxConditioningx(receivesxpositivexrewardsxforxpositivexbehavior)
c.xThoughtxStoppingx(sayx"stop"xwhenxcompulsivexbehaviorsxarisex&xsubstitute
w/xpositivexthought)
d.xValidationxTherapyx(acknowledgingxpt'sxfeelings)x–
x answerxc.xThoughtxStoppingx(sayx"stop"xwhenxcompulsivexbehaviorsxarisex&xsubstitute
w/xpositivexthought)
, 5.xAxnursexisxcaringxforxaxclientxwhoxisxinxthexmanicxphasexof
bipolarxdisorder.xWhichxofxthexfollowingxactionsxshouldxthe
nursextake?
a.xProvidexinxdepthxexplanationxofxnursingxexpectations
(inabilityxtoxfocusx-xgivexconcisexexplanations)
b.xEncouragexthexclientxtoxparticipatexinxgroupxactivities
(decreasexstimulation)
c.xAvoidxpowerxstrugglesxbyxremainingxneutralx(doxnotxreact
personallyxtoxpt'sxcomments)
d.xAllowxthexclientxtoxsetxlimitsxforxhisxbehaviorx(nursexsetsxlimits)x–
x answerxc.xAvoidxpowerxstrugglesxbyxremainingxneutralx(doxnotxreact
personallyxtoxpt'sxcomments)
6.xAxnursexisxprovidingxbehavioralxtherapyxforxaxclientxwhoxhas
OCD.xThexclientxrepeatedlyxchecksxthatxthexdoorsxarexlockedxat
night.xWhichxofxthexfollowingxinstructionsxshouldxthexnursexgive
thexclientxwhenxusingxthoughtxstoppingxtechnique?
a.x"Keepxaxjournalxofxhowxoftenxyouxcheckxthexlocksxeach
night."
b.x"Askxaxfamilyxmemberxtoxcheckxthexlocksxforxyouxatxnight."
c.x"Focusxonxabdominalxbreathingxwheneverxyouxgoxto
checkxthexlocks."
d.x"Snapxaxrubberxbandxonxyourxwristxwhenxyouxthinkxabout
checkingxthexlocks."x–xanswerxd.x"Snapxaxrubberxbandxonxyourxwristxwhenxyouxthinkxabout
checkingxthexlocks."
Thoughtxstopping:xteachxptxtoxsayx"stop"xwhenxnegative
thoughts/compulsivexbehaviorsxarisex&xsubstitutexpositivexthoughtx-
x goalxforptxusexcommandxsilentlyxoverxtime
7.xAxnursexisxcaringxforxaxclientxwhoxhasxaxcocainexusexdisorder.
x x x x x
1.Axclientxisxfearfulxofxdrivingxandxentersxaxbehavioralxtherapy
programxtoxhelpxhimxovercomexhisxanxiety.xUsingxsystematic
desensitization,xhexisxablextoxdrivexdownxaxfamiliarxstreetxwithout
experiencingxaxpanicxattack.xThexnursexshouldxrecognizexthatxto
continuexpositivexresults,xthexclientxshouldxparticipatexinxwhichxof
thexfollowing?
a.xBiofeedback
b.xTherapistxmodeling
c.xFrequentxpacing
d.xPositivexreinforcementx–xanswerxa.xBiofeedback
2.xAxnursexisxcounselingxaxclientxfollowingxthexdeathxofxthexclient's
partnerx8xmonthsxago.xWhichxofxthexfollowingxclientxstatements
indicatesxmaladaptivexgrieving?
a.x"IxamxsoxsorryxforxthextimesxIxwasxangryxwithxmyxpartner."
b.x"Ixlikexlookingxatxhisxpersonalxitemsxinxthexcloset."
c.x"Ixfindxmyselfxthinkingxaboutxmyxpartnerxoften."
d.x"Ixstillxdon'txfeelxupxtoxreturningxtoxwork."x–
x answerxd.x"Ixstillxdon'txfeelxupxtoxreturningxtoxwork."
Rationale:x8xmonthsxtooxlongxMaladaptivexGrief:x.xDistortedxorxexaggeratedxgriefxresponsex
-xunablexto
performxactivitiesxofxdailyxliving.
RISKxFACTORSxFORxMALADAPTIVExGRIEVING
●●xBeingxdependentxuponxthexdeceased
,●●xUnexpectedxdeathxatxaxyoungxage,xthroughxviolence,xorxbyxaxsociallyxunacceptablexma
nner
●●xInadequatexcopingxskillsxorxlackxofxsocialxsupport
●●xPre-existingxmentalxhealthxissues,xsuchxasxdepressionxorxsubstancexusexdisorder
3./21xAxnursexinxanxinpatientxmentalxhealthxfacilityxisxassessingxa
clientxwhoxhasxschizophreniaxandxisxtakingxhaloperidolx(antipsychotic,
1stxgen).
Whichxofxthexfollowingxclinicalxfindingsxisxthexnurse'sxpriority?
a.xHeadache
b.xInsomniax(sedation)
c.xUrinaryxhesitancyx(Complicationx→xANTIcholinergicxeffects)
d.xHighxfeverx(Complicationx→xagranulocytosis)x–
x answerxd.xHighxfeverx(Complicationx→xagranulocytosis)
Otherxcomplications:xAcutexdystonia,xPseudoxparkinsonism,xAkathisia,xTardivexdyskinesia
,
Neuroendocrinexeffectsx(Gynecomastia,xWeightxgain,xMenstrualxirregularities),xNMS,
OrthostaticxHypotension,xSedation,xSexualxdysfunction,xSkinxeffects,xLiverximpairment
4.xAxnursexisxplanningxcarexforxaxclientxwhoxhasxobsessive
compulsivexdisorder.xWhichxofxthexfollowingxrecommendations
shouldxthexnursexincludexinxthexclient'sxplanxofxcare?
a.xRealityxOrientationxtherapyx(re-orientxtoxreality)
b.xOperantxConditioningx(receivesxpositivexrewardsxforxpositivexbehavior)
c.xThoughtxStoppingx(sayx"stop"xwhenxcompulsivexbehaviorsxarisex&xsubstitute
w/xpositivexthought)
d.xValidationxTherapyx(acknowledgingxpt'sxfeelings)x–
x answerxc.xThoughtxStoppingx(sayx"stop"xwhenxcompulsivexbehaviorsxarisex&xsubstitute
w/xpositivexthought)
, 5.xAxnursexisxcaringxforxaxclientxwhoxisxinxthexmanicxphasexof
bipolarxdisorder.xWhichxofxthexfollowingxactionsxshouldxthe
nursextake?
a.xProvidexinxdepthxexplanationxofxnursingxexpectations
(inabilityxtoxfocusx-xgivexconcisexexplanations)
b.xEncouragexthexclientxtoxparticipatexinxgroupxactivities
(decreasexstimulation)
c.xAvoidxpowerxstrugglesxbyxremainingxneutralx(doxnotxreact
personallyxtoxpt'sxcomments)
d.xAllowxthexclientxtoxsetxlimitsxforxhisxbehaviorx(nursexsetsxlimits)x–
x answerxc.xAvoidxpowerxstrugglesxbyxremainingxneutralx(doxnotxreact
personallyxtoxpt'sxcomments)
6.xAxnursexisxprovidingxbehavioralxtherapyxforxaxclientxwhoxhas
OCD.xThexclientxrepeatedlyxchecksxthatxthexdoorsxarexlockedxat
night.xWhichxofxthexfollowingxinstructionsxshouldxthexnursexgive
thexclientxwhenxusingxthoughtxstoppingxtechnique?
a.x"Keepxaxjournalxofxhowxoftenxyouxcheckxthexlocksxeach
night."
b.x"Askxaxfamilyxmemberxtoxcheckxthexlocksxforxyouxatxnight."
c.x"Focusxonxabdominalxbreathingxwheneverxyouxgoxto
checkxthexlocks."
d.x"Snapxaxrubberxbandxonxyourxwristxwhenxyouxthinkxabout
checkingxthexlocks."x–xanswerxd.x"Snapxaxrubberxbandxonxyourxwristxwhenxyouxthinkxabout
checkingxthexlocks."
Thoughtxstopping:xteachxptxtoxsayx"stop"xwhenxnegative
thoughts/compulsivexbehaviorsxarisex&xsubstitutexpositivexthoughtx-
x goalxforptxusexcommandxsilentlyxoverxtime
7.xAxnursexisxcaringxforxaxclientxwhoxhasxaxcocainexusexdisorder.
