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ATI RN MENTAL HEALTH PROCTORED
EXAM 2019
1. A client is fearful of driving and enters a behavioral
therapy program to help him overcome his anxiety. Using
systematic desensitization, he is able to drive down a
familiar street without experiencing a panic attack. The
nurse should recognize that to continue positive results, the
client should participate in which of the following? a.
Biofeedback or d. Positive reinforcement
2. A nurse is counseling a client following the death of the
client’s partner 8 months ago. Whichof the following client
statements indicates maladaptive grieving? d. “I still don’t
feel up to returning to work.”
3. A nurse in an inpatient mental health facility
is assessing a client who has schizophrenia and
is taking haloperidol (antipsychotic, 1st gen).
Which of the following clinical findings is the
nurse’s priority? d. High fever (Complication →
agranulocytosis)
4. A nurse is planning care for a client who has obsessive
compulsive disorder. Which of the following
recommendations should the nurse include in the client’s
plan of care? c. Thought Stopping
4. A nurse is providing teaching to the daughter of an older
,client who has obsessive-compulsive disorder. Which of
the following statements by the daughter indicates an
understanding of the teaching? b. “I will limit my mother’s
clothing choices when she is getting dressed.”
5. A nurse is caring for a client who is in the manic
phase of bipolar disorder. Which of the following
actions should the nurse take? c. Avoid power
struggles by remaining neutral
6. A nurse is providing behavioral therapy for a client
who has OCD. 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? d. “Snap a rubber band on
your wrist when you think about checking the locks.”
7. A nurse is caring for a client who has a cocaine use
disorder. Which of the following manifestations
should the nurse expect the client to have during
withdrawal? b. Fatigue
8. 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
9. 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? b.
,Encourage physical activity for the client during the day
10. A nurse is assessing a client who is experiencing
acute alcohol withdrawal. Which of the following findings
should the nurse expect? c. Insomnia
, 11. A nurse is caring for a client who has schizophrenia
and displays severe symptoms of the disorder. Which of
the following actions should the nurse take? d. Direct the
client to perform her own daily hygiene and grooming
tasks
12. A nurse is caring for a client who was
involuntarily committed and is scheduled to receive
electroconvulsive therapy. The client refuses the
treatment and will discuss why with the healthcare team.
Which of the following actions should the nurse take? a.
Document the client’s refusal of the treatment in the
medication record
13. A nurse is providing crisis intervention for a client
who was involved in a violent mass casualty situation in
the community. Which of the following actions should the
nurse take during the initial session with the client? a.
Identify the client’s usual coping style.
14. 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? d. Ask
the client if she has thought about harming herself given
-.
15. A nurse is planning care for an adolescent who has
autism spectrum disorder. Which of the following outcomes
ATI RN MENTAL HEALTH PROCTORED
EXAM 2019
1. A client is fearful of driving and enters a behavioral
therapy program to help him overcome his anxiety. Using
systematic desensitization, he is able to drive down a
familiar street without experiencing a panic attack. The
nurse should recognize that to continue positive results, the
client should participate in which of the following? a.
Biofeedback or d. Positive reinforcement
2. A nurse is counseling a client following the death of the
client’s partner 8 months ago. Whichof the following client
statements indicates maladaptive grieving? d. “I still don’t
feel up to returning to work.”
3. A nurse in an inpatient mental health facility
is assessing a client who has schizophrenia and
is taking haloperidol (antipsychotic, 1st gen).
Which of the following clinical findings is the
nurse’s priority? d. High fever (Complication →
agranulocytosis)
4. A nurse is planning care for a client who has obsessive
compulsive disorder. Which of the following
recommendations should the nurse include in the client’s
plan of care? c. Thought Stopping
4. A nurse is providing teaching to the daughter of an older
,client who has obsessive-compulsive disorder. Which of
the following statements by the daughter indicates an
understanding of the teaching? b. “I will limit my mother’s
clothing choices when she is getting dressed.”
5. A nurse is caring for a client who is in the manic
phase of bipolar disorder. Which of the following
actions should the nurse take? c. Avoid power
struggles by remaining neutral
6. A nurse is providing behavioral therapy for a client
who has OCD. 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? d. “Snap a rubber band on
your wrist when you think about checking the locks.”
7. A nurse is caring for a client who has a cocaine use
disorder. Which of the following manifestations
should the nurse expect the client to have during
withdrawal? b. Fatigue
8. 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
9. 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? b.
,Encourage physical activity for the client during the day
10. A nurse is assessing a client who is experiencing
acute alcohol withdrawal. Which of the following findings
should the nurse expect? c. Insomnia
, 11. A nurse is caring for a client who has schizophrenia
and displays severe symptoms of the disorder. Which of
the following actions should the nurse take? d. Direct the
client to perform her own daily hygiene and grooming
tasks
12. A nurse is caring for a client who was
involuntarily committed and is scheduled to receive
electroconvulsive therapy. The client refuses the
treatment and will discuss why with the healthcare team.
Which of the following actions should the nurse take? a.
Document the client’s refusal of the treatment in the
medication record
13. A nurse is providing crisis intervention for a client
who was involved in a violent mass casualty situation in
the community. Which of the following actions should the
nurse take during the initial session with the client? a.
Identify the client’s usual coping style.
14. 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? d. Ask
the client if she has thought about harming herself given
-.
15. A nurse is planning care for an adolescent who has
autism spectrum disorder. Which of the following outcomes
