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Exam (elaborations)

ATI Mental Health Proctored Exam Review | Questions with Detailed Verified Answers | 100% Correct & Graded A

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Ace your ATI Mental Health Proctored Exam with this comprehensive review featuring actual exam questions and verified answers. This Graded A resource covers all essential psychiatric nursing concepts to help you succeed on your proctored examination. What's included: Complete Exam Review: Extensive questions with 100% correct answers covering every major mental health topic. Psychiatric Disorders: Major depressive disorder (ECT teaching - confusion after treatment; suicide risk - unkempt appearance; encourage physical activity), bipolar disorder (mania interventions - limit loud noises, encourage physical activity; lithium level 0.8 - administer as scheduled; valproic acid - decreases anxiety), schizophrenia (clozapine - priority sore throat; haloperidol - priority high fever; thioridazine - waxy flexibility; benztropine for EPS), anxiety disorders, PTSD, and OCD (thought stopping - snap rubber band). Personality Disorders: Dependent (excessive compliance, passivity), borderline (self-mutilation expected), histrionic (attention-seeking), antisocial (decrease verbal outbursts in behavioral contract). Crisis & Suicide Intervention: Suicide risk assessment (SAD PERSONS - diabetes mellitus is risk factor), crisis intervention (identify usual coping style first), and suicidal ideation (ask directly). Substance Use Disorders: Alcohol withdrawal (lorazepam for hypertension? note: answer choice bradycardia may be incorrect - typical withdrawal causes hypertension/tachycardia), alcohol use disorder (naltrexone reduces craving), heroin withdrawal (slurred speech), and bupropion contraindications (seizures, recent head injury). Psychopharmacology: Antipsychotics (risperidone - hand tremors EPS; clozapine - report sore throat; haloperidol - priority high fever for NMS; thioridazine - waxy flexibility; benztropine for EPS), antidepressants (bupropion - contraindicated with seizures/head injury), mood stabilizers (lithium level 0.8 - administer; risk for toxicity with low sodium 130; carbamazepine - report platelets 90,000; valproic acid - decreases anxiety), and atomoxetine (ADHD - administer before school). Eating Disorders: Anorexia nervosa (expect Hgb 10 g/dL anemia; encourage family therapy), bulimia nervosa (ECG during medical evaluation due to electrolyte imbalances). Therapeutic Communication & Defense Mechanisms: Displacement (angry at partner, takes it out on nurse), rationalization ("job stress causes drinking"), identification (new nurse imitates charge nurse), and reflection ("You feel upset when this happens?"). Legal & Ethical Issues: Informed consent (legally incompetent - guardian signs; client refusing to sign for ECT - cancel procedure), involuntary admission (offer medication at next scheduled time, don't force), mandatory reporting (child tied to bed as punishment), and seclusion (priority for aggressive child - place in seclusion first). Neurocognitive Disorders: Alzheimer's disease (home safety - mattress on floor, sensor devices, locks at top of doors; use symbols to locate rooms), dementia (contributing factor - alcohol use disorder), and acute delirium (reinforce orientation with calendar). Child & Adolescent Mental Health: Conduct disorder (aggressive behavior - place in seclusion first; methylphenidate patch - remove after 9 hr), ADHD (atomoxetine - administer before school; provide stimulating environment), autism spectrum disorder (attachment to spinning objects), and child abuse (spiral fracture with inconsistent accounts - determine immediate safety first; cystic fibrosis increases abuse risk). Violence & Abuse: Intimate partner abuse (survivors feel guilty; priority - develop safety plan), sexual assault (offer prophylactic STI medication after rapid assessment), and elder abuse. Grief & Loss: Clinical depression indicator ("I don't feel anything but numbness anymore") vs. normal grief. Dosage Calculation: Chlorpromazine 25 mg from 10 mg/5 mL syrup = 12.5 mL.

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ATI MENTAL HEALTH PROCTORED
EXAM -RETAKE GUIDE QUESTIONS
WITH DETAILED VERIFIED ANSWERS (100%
CORRECT ANSWERS) / ALREADY A GRADED

1. A nurse is caring for a school-aged child who has conduct disorder and is being
physically aggressive toward other children in the unit. Which of the following actions
should the nurse take first?
a. Place the child in seclusion
b. Use therapeutic hold technique
c. Apply wrist restraints
d. Administer risperidone - ANSWER//a. Place the child in seclusion

2• A nurse is caring for a client who has a new diagnosis of bulimia nervosa. Which of
the following diagnosis procedures should the nurse anticipate the provider should
describe during the medical evaluation?
a. Chest x-ray
b. ECG
c. Coagulation studies
d. Liver function test - ANSWER//b. ECG

3. 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?
a. Dependent
b. Paranoid
c. Borderline
d. Histrionic - ANSWER//a. Dependent

4. A nurse is caring for a client who is involuntarily admitted for major depressive
disorder and refuses to take prescribed antianxiety medication. Which of the following
actions should the nurse take?
a. Inform the client that he does not have the right to refuse medication
b. Administer the medication to the client via IM injection
c. Offer the client the medication at the next scheduled dose time
d. Implement consequences until the client take the medication - ANSWER//c. Offer the
client the medication at the next scheduled dose time

, 5. A nurse is caring for a client in the emergency department who states she was
beaten and sexually assaultby her partner. After a rapid assessment, which of the
following actions should the nurse plan to take next?
a. Conduct a pregnancy test
b. Requests mental health consultation for the client
c. Provide a trained advocate to stay with the clientd.
d. Offer prophylactic medication to prevent STI's - ANSWER//d. Offer prophylactic
medication to prevent STI's

6. A nurse is caring for a client who has major depressive disorder. After discussing the
treatment with his partner, the client verbally agrees to electroconvulsive therapy (ECT)
but will not sign the consent form. Which of the following actions should the nurse take?
a. Request that the client's partner sign the consent formb.
b. Cancel the scheduled ECT procedure
c. Proceed with the preparation for ECT based on implied consent
d. Inform the client about the risks of refusing the ECT - ANSWER//b. Cancel the
scheduled ECT procedure

7. 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?
a. Rationalization
b. Denial
c. Compensationd.
d. Displacement - ANSWER//d. Displacement

8. A nursing is advising an assistive personnel (AP) 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?
a. Please don't take what the client said seriously when she is depressedb.
b. It's important that the client feel safe verbalizing how she is feeling
c. Everybody feels that way about this client so don't worry about it
d. I'll change your assignment to someone who doesn't have depressive disorder -
ANSWER//b. It's important that the client feel safe verbalizing how she is feeling

9. A nurse is assessing a child in the emergency department. Which of the following
findings places the childat the greatest risk for physical abuse?
a. The child is 10years old
b. The child is homeschooled
c. The has no siblings
d. The child has cystic fibrosis - ANSWER//d. The child has cystic fibrosis

10. A nurse is providing behavioral therapy for a client who has obsessive-compulsive
disorder. The client repeatedly checks that the doors are locked at night. Which of the

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