ATI Mental Health Proctor Dynamic Quiz
Review Exam Questions with Answers
(Rated A+)
range of lithium - Answer-0.8-1.2
A nurse is caring for a client who has anxiety disorder. The client states that she forgot
her partner's birthday after they had an argument. The nurse recognizes this action as
which of the following defense mechanisms? - Answer-Repression
Defined as an unconscious exclusion of unpleasant or unwanted experiences,
emotions, or ideas from conscious awareness.
Splitting - Answer-A pathological defense mechanism in which clients have an inability
to accept positive and negative qualities of themselves or others in a cohesive image.
"Black or white thinking"
Conversion - Answer-Pathological defense mechanism in which clients unconsciously
transform anxiety or stress into a physical manifestation with no organic cause
Projection - Answer-Immature defense mechanism in which clients subconsciously
reject emotionally unacceptable features in themselves and attribute them to others
Teaching clients with Anxiety disorder about Lorazepam - Answer-"This medication
must be discontinued gradually over time"
Remember that Lorazepam is under the class of Benzodiazepines. They are also highly
addictive.
Rapid withdrawal from lorazepam has been associated with manifestations of
withdrawal (e.g anxiety, sleeplessness, and irritability). It is discontinued by gradually
tapering over time to avoid any adverse responses
Contraindicated for use during pregnancy
Buspirone - Answer-antianxiety, GAD, does not cause sedation, does not cause
dependence, do not take as PRN, and this med will become effective in 2-4 weeks
The common adverse effect is
- Dizziness/Drowsiness,
- nausea,
- headaches,
, - sedation,
- lightheadedness
- Tachycardia and palpations
- May cause Xerostomia (dry mouth)
Never ask "Why" to patients - Answer-Never ask "why" to patients
Smoking cessation using nicotine gum - Answer-Recommend a different type of
cessation product if the patient uses:
- Dentures
Nicotine gum does not use animal fats like traditional gum so vegans can use it.
Neologism - Answer-A completely made up word by Schizophrenic patients.
Indicators of Acute Mania - Answer-Spends excessive amounts
Speaks crassly using a loud voice
Patient with bipolar disorder is being aggressive, what do you do? - Answer-Give the
client 2 options for ending the situation
Avoid ending the conversation with the client. It is important to speak calmly and quietly
to the patient using open ended state
MAOI drugs - Answer-isocarboxazid (Marplan)
phenelzine (Nardil)
tranylcypromine (Parnate)
selegiline (Emsam)
Remember: TIPS
Greatest risk to a client taking MAOIs is - Answer-Hypertensive crisis
When doing therapeutic responses - Answer-Do not ask why. Often ask: How does that
make you feel?
try to dig as much as you can such as:
Tell me how you're feeling about your mother's illness
If a person is hurting themselves do the following - Answer-1) Perform first aid
2) Find out why they were hurting themself
3) Document
4) Fill out an incident report
Review Exam Questions with Answers
(Rated A+)
range of lithium - Answer-0.8-1.2
A nurse is caring for a client who has anxiety disorder. The client states that she forgot
her partner's birthday after they had an argument. The nurse recognizes this action as
which of the following defense mechanisms? - Answer-Repression
Defined as an unconscious exclusion of unpleasant or unwanted experiences,
emotions, or ideas from conscious awareness.
Splitting - Answer-A pathological defense mechanism in which clients have an inability
to accept positive and negative qualities of themselves or others in a cohesive image.
"Black or white thinking"
Conversion - Answer-Pathological defense mechanism in which clients unconsciously
transform anxiety or stress into a physical manifestation with no organic cause
Projection - Answer-Immature defense mechanism in which clients subconsciously
reject emotionally unacceptable features in themselves and attribute them to others
Teaching clients with Anxiety disorder about Lorazepam - Answer-"This medication
must be discontinued gradually over time"
Remember that Lorazepam is under the class of Benzodiazepines. They are also highly
addictive.
Rapid withdrawal from lorazepam has been associated with manifestations of
withdrawal (e.g anxiety, sleeplessness, and irritability). It is discontinued by gradually
tapering over time to avoid any adverse responses
Contraindicated for use during pregnancy
Buspirone - Answer-antianxiety, GAD, does not cause sedation, does not cause
dependence, do not take as PRN, and this med will become effective in 2-4 weeks
The common adverse effect is
- Dizziness/Drowsiness,
- nausea,
- headaches,
, - sedation,
- lightheadedness
- Tachycardia and palpations
- May cause Xerostomia (dry mouth)
Never ask "Why" to patients - Answer-Never ask "why" to patients
Smoking cessation using nicotine gum - Answer-Recommend a different type of
cessation product if the patient uses:
- Dentures
Nicotine gum does not use animal fats like traditional gum so vegans can use it.
Neologism - Answer-A completely made up word by Schizophrenic patients.
Indicators of Acute Mania - Answer-Spends excessive amounts
Speaks crassly using a loud voice
Patient with bipolar disorder is being aggressive, what do you do? - Answer-Give the
client 2 options for ending the situation
Avoid ending the conversation with the client. It is important to speak calmly and quietly
to the patient using open ended state
MAOI drugs - Answer-isocarboxazid (Marplan)
phenelzine (Nardil)
tranylcypromine (Parnate)
selegiline (Emsam)
Remember: TIPS
Greatest risk to a client taking MAOIs is - Answer-Hypertensive crisis
When doing therapeutic responses - Answer-Do not ask why. Often ask: How does that
make you feel?
try to dig as much as you can such as:
Tell me how you're feeling about your mother's illness
If a person is hurting themselves do the following - Answer-1) Perform first aid
2) Find out why they were hurting themself
3) Document
4) Fill out an incident report
