ATI Mental Health A, B, C 2019 PROCTORED EXAM

ATI Mental Health A, B, C 2019 PROCTORED EXAM 2) A nurse is admitting a client who has generalized anxiety disorder. Which of the following actions should the nurse plan to take first? Similar but these weren’t the options- I chose admin some drug don’t remember name 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 13) A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? ACUTE panick attack Similar but these weren’t the options- I chose admin some drug don’t remember name a. Ask the client to discuss precipitating events b. Speaks to the client in a high-pitched voice. c. Place the client in seclusion d. Have the client breathe into a paper bag. 8) 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 "I'm so worried that my mother is depressed" which of the following responses should the nurse make? d. Tell me the reasons you think your mother is depressed. 10) 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? Similar question- same answer choice 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. 15) 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- norm 8-20 c. Lanugo covering the body d. Blood pH 7.60- Norm 7.35-7.45 69. A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take? a. Assist the client to explore techniques to reduce stress b. Ask the client if he intends to harm others, c. role model healthy ways to express anger d. suggest the client make a list of things that make him angry. 18) 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. 20) 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- pts have a mental diagnosis along w/ a substance use disorder diagnosis b. Dialectical treatment group- for suicidal and destructive behaviors c. Desensitization therapy d. Co-dependents support group- asso w/ family or others who are substance abusers 22) 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? Similar but these weren’t the options- I chose not showering a. I am so sorry for the times I was angry with my partner. b. I find myself thinking about my partner often. c. I still don't feel up to returning to work. d. I like looking at his personal items in the closet. 25) A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan? a. Encourage physical activity for the client during the day b. Discourage the client from expressing feelings of anger c. Keep a bright light on in the client's room at night. d. Identify and schedule alternative group activities for the client. 26) A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify as acting in the role as the monopolizer? a. The mother who expresses hostility toward her spouse. Similar question same answer choice b. The adolescent son who refuses to share personal feelings. c. The father who intervenes whenever the siblings argue. d. The adolescent daughter who attempts to dominate the conversation. 32) A nurse is assessing a client who is restless and constantly mutters to himself. Which of the following findings should lead the nurse to suspect delirium? b. The client manifestations developed suddenly 35) A nurse is reviewing the medical record of a client who is taking clozapine. For which of the following findings should the nurse withhold the medication and notify the provider? a. WBC count- agranulocytosis b. Blood glucose level c. Report of photosensitivity d. Heart Rate 36) A nurse is caring for a client who has personality disorder and is using transference to cope. Which of the following behaviors should the nurse expect? c. Reacting to the nurse as though she were his mother 38) A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take? a. Request that the client’s guardian sign the consent 39) A nurse is caring for a client who has cocaine use disorder. Which of the following manifestations should the nurse expect the client to have during withdrawal? Cocaine intoxication= dilated pupils, hypervigilance (paranoid behavior), hyperactivity, hyperalertness- I think I chose HTN see below c. Fatigue- depression, suicidal thoughts, increased appetite