ATI Mental Health Proctored Exam 8
x x x x x x
2024 x
x
A xnurse xin xa xmental xhealth xclinic xis xcaring xfor xa xclient xwho xhas xbipolar xdisorder
xand xreports xthat xthey xstopped xtaking xlithium x2 xweeks xago. xThe xnurse xshould
xrecognize xwhich xof xthe xfollowing xas xan xexpected xadverse xeffect xthat xmight xhave
xcaused xthe xclient xto xspot xtaking xthe xmedication? x
x
1. Sore xthroat x
2. Photophobia x
3. Hand xtremors x
4. Constipation x- xCorrect x= x3. xHand xTremors x
x
- xFine xhand xtremors xare xan xexpected xadverse xeffect xof xlithium xand xcan xinterfere
xwith x
x x
performance xof xADLs, xcausing xthe xclient xto xstop xtaking xthe
xmedication.
x
*Diarrhea xis xan xearly xmanifestation xof xlithium xtoxicity x
x
A xnurse xis xupdating xthe xplan xof xcare xfor xa xclient xwho xhas xbulimia xnervosa xand xis
x5% xabove xtheir xideal xbody xweight. xWhich xof xthe xfollowing xinterventions xshould
xthe xnurse xinclude xin xthe xplan? x
x
1. Include xa xliquid xsupplement xwith xmeals. x
2. Identify xthe xclient's xtrigger xfoods. x
3. Allow xthe xclient xat xleast x1 xhr xfor xeach xmeal. x
4. Weigh xthe xclient xat xbedtime xeach xday. x- xCorrect x= x2. xIdentify xthe xclient's
xtrigger xfoods. x
x
- xThe xnurse xshould xidentify xthe xtrigger xfoods xthat xinitiate xthe xclient's xbinge xand
xassist x
x x
the xclient xto xunderstanding xtheir xthoughts xand xbehavior xthat xrelate xto xthe
xfood.
x
The xnurse xshould xlimit xthe xclient's xmeal xtimes xto xabout x30 xmin xto xprevent xputting
xexcessive xfocus xon xfood. x
The xnurse xshould xweigh xthe xclient ximmediately xafter xthey xwake xup xand xvoid xand
xprior xto xoral xintake. xThe xnurse xshould xweigh xthe xclient xdaily xfor xthe xfirst xweek
xand xthen xthree xtimes xper xweek. x
x
*The xnurse xshould xinclude xa xliquid xsupplement xfor xa xclient xwho xis xbelow xtheir
xideal x
x
body xweight xand xmight xnot xbe xable xto xeat xsolid xfoods xat xfirst xor xmight xneed
xthe
x
additional xnutrition xto xgain
xweight.
x
A xnurse xis xcaring xfor xa xclient xwhose xchild xhas xa xterminal xillness. xThe xclient
xrequests x
, x
information xabout xhow xto xdeal xwith xthe xupcoming xloss. xWhich xof xthe
xfollowing
x
statements xshould xthe xnurse
xmake?
x
1. x"It xwill xbe xbetter xfor xyou xto xkeep xbusy xto xavoid xthinking xabout xyour xchild's
xdeath."
x
2. x"You xwill xcomplete xthe xgrieving xprocess xabout xa xyear xafter xyour xchild's
xdeath."
3. "The xgrief xprocess xwill xstart xonce xyour xchild xactually xdies." x
4. "It xis xnot xuncommon xto xfeel xangry xtoward xyourself xor xothers." x- xCorrect x= x4. x"It
xis xnot xuncommon xto xfeel xangry xtoward xyourself xor xothers." x
x
- xFeelings xof xblame xand xanger xtoward xoneself xor xothers xare xan xexpected
xreaction x
x
when xa xclient xis xexperiencing xa
xloss.
x
x
The xgrief xprocess xhas xno xtimeline. xIt xvaries xfor xeach
xindividual.
The xclient xcan xbegin xanticipatory xgrieving xduring xthe xchild's
xillness.
x
A xnurse xin xa xmental xhealth xclinic xis xplanning xcare xfor xa xclient xwho xhas xa xnew
xprescription xfor xolanzapine. xWhich xof xthe xfollowing xinterventions xshould xthe xnurse
xidentify xas xthe xpriority? x
x
1. Advise xthe xclient xto xtake xfrequent xsips xof xwater. x
2. Recommend xthat xthe xclient xexercise xregularly. x
3. Consult xa xdietitian xfor xa xcalorie-controlled xdiet xplan. x
4. Instruct xthe xclient xto xavoid xdriving xduring xinitial xtherapy. x- xCorrect x= x4. xInstruct
xthe xclient xto xavoid xdriving xduring xinitial xtherapy. x
x
- xThe xgreatest xrisk xto xthis xclient xis xinjury xresulting xfrom xdrowsiness xor xdizziness.
xTherefore, xthe xnurse's xpriority xintervention xis xto xinstruct xthe xclient xto xavoid
xactivities xthat xrequire xmental xalertness xduring xinitial xmedication xtherapy. x
x
The xnurse xshould xadvise xthe xclient xto xtake xfrequent xsips xof xwater xdue xto xthe
xadverse xeffect xof xdry xmouth. xHowever, xthis xis xnot xthe xnurse's xpriority xintervention.
x
The xnurse xshould xadvise xthe xclient xto xexercise xregularly xdue xto xthe xadverse
xeffects xof xweight xgain xand xconstipation. xHowever, xthis xis xnot xthe xnurse's xpriority
xintervention. xThe xnurse xshould xconsult xa xdietitian xfor xa xcalorie-controlled xdiet
xplan xdue xto xthe xadverse xeffect xof xweight xgain. xHowever, xthis xis xnot xthe xnurse's
xpriority xintervention. x
x
A xnurse xis xcounseling xan xadolescent xwho xhas xanorexia xnervosa xand xreports
xexcessive xlaxative xuse xand xfear xof xgaining xweight. xThe xClient xstates, x"I'm xso xfat
xI xcan't xeven xstand xto xlook xat xmyself.". xWhich xof xthe xfollowing xtherapeutic
xresponses xdemonstrates xthe xnurse's xuse xof xsummarizing? x
x
, 1. "You've xdiscussed xseveral xconcerns xabout xyour xweight. xLet's xgo xback xand xtalk
xabout xyour xbelief xthat xyou xare xfat." x
2. "You're xsaying xthat xyou xthink xyou xare xfat xand xare xusing xlaxatives xbecause xyou
xare xafraid xof xgaining xweight." x
3. "You xdon't xwant xto xlook xat xyourself xbecause xyou xthink xyou xare xfat." x
4. "You xand xI xcan xwork xtogether xto xovercome xyour xfears xof xgaining xweight." x-
xCorrect x= x2. x"You're xsaying xthat xyou xthink xyou xare xfat xand xare xusing xlaxatives
xbecause xyou xare xafraid xof xgaining xweight." x
x
- xThe xnurse xis xusing xthe xtherapeutic xtechnique xof xsummarizing xto xreview xthe
xkey x
x
points xof xthe
xdiscussion.
x
A xnurse xis xadmitting xa xclient xwho xhas xschizophrenia xto xan xacute xcare xsetting.
xWhen xthe xnurse xquestions xthe xclient xregarding xtheir xadmission, xthe xclient xstates,
x"I'm xred, xin x
the xhead, xand xI'm xgoing xto xbed!". xThe xnurse xshould xdocument xthe xclient's
xspeech x
x
pattern xas xwhich xof xthe
xfollowing?
x
1. Clang xAssociation x
2. Word xSalad x
3. Neologism x
4. Echolalia x- xCorrect x= x1. xClang xAssociation x
x
- xThe xnurse xshould xdocument xthat xthe xclient's xspeech xuses xclang xassociations,
xwhich x
x
often xrhyme xor xcontain xa xstring xof xwords xthat xcan xhave xa xsimilar
xsound.
x
NGN: xA xnurse xis xcaring xfor xa xClient xwho xhas xan xalcohol xuse xdisorder. x x
x
Complete xthe xfollowing xsentence xby xusing xthe xlist xof xoptions... x
x
Dropdown x1: x"The xClient xis xat xgreatest xrisk xfor x________ x
1. Dehydration x
2. Violent xBehavior x
3. Ineffective xCoping x
x
Dropdown x2: x"as xevidenced xby x the Client's
x
x________
x
4. xInability xto xPerform xSimple
xTasks
x
5. xLoss xof
xAppetite
x
6. xAgitation x- xCorrect
x=
x
Dropdown x1: x x
x x x x x x
2024 x
x
A xnurse xin xa xmental xhealth xclinic xis xcaring xfor xa xclient xwho xhas xbipolar xdisorder
xand xreports xthat xthey xstopped xtaking xlithium x2 xweeks xago. xThe xnurse xshould
xrecognize xwhich xof xthe xfollowing xas xan xexpected xadverse xeffect xthat xmight xhave
xcaused xthe xclient xto xspot xtaking xthe xmedication? x
x
1. Sore xthroat x
2. Photophobia x
3. Hand xtremors x
4. Constipation x- xCorrect x= x3. xHand xTremors x
x
- xFine xhand xtremors xare xan xexpected xadverse xeffect xof xlithium xand xcan xinterfere
xwith x
x x
performance xof xADLs, xcausing xthe xclient xto xstop xtaking xthe
xmedication.
x
*Diarrhea xis xan xearly xmanifestation xof xlithium xtoxicity x
x
A xnurse xis xupdating xthe xplan xof xcare xfor xa xclient xwho xhas xbulimia xnervosa xand xis
x5% xabove xtheir xideal xbody xweight. xWhich xof xthe xfollowing xinterventions xshould
xthe xnurse xinclude xin xthe xplan? x
x
1. Include xa xliquid xsupplement xwith xmeals. x
2. Identify xthe xclient's xtrigger xfoods. x
3. Allow xthe xclient xat xleast x1 xhr xfor xeach xmeal. x
4. Weigh xthe xclient xat xbedtime xeach xday. x- xCorrect x= x2. xIdentify xthe xclient's
xtrigger xfoods. x
x
- xThe xnurse xshould xidentify xthe xtrigger xfoods xthat xinitiate xthe xclient's xbinge xand
xassist x
x x
the xclient xto xunderstanding xtheir xthoughts xand xbehavior xthat xrelate xto xthe
xfood.
x
The xnurse xshould xlimit xthe xclient's xmeal xtimes xto xabout x30 xmin xto xprevent xputting
xexcessive xfocus xon xfood. x
The xnurse xshould xweigh xthe xclient ximmediately xafter xthey xwake xup xand xvoid xand
xprior xto xoral xintake. xThe xnurse xshould xweigh xthe xclient xdaily xfor xthe xfirst xweek
xand xthen xthree xtimes xper xweek. x
x
*The xnurse xshould xinclude xa xliquid xsupplement xfor xa xclient xwho xis xbelow xtheir
xideal x
x
body xweight xand xmight xnot xbe xable xto xeat xsolid xfoods xat xfirst xor xmight xneed
xthe
x
additional xnutrition xto xgain
xweight.
x
A xnurse xis xcaring xfor xa xclient xwhose xchild xhas xa xterminal xillness. xThe xclient
xrequests x
, x
information xabout xhow xto xdeal xwith xthe xupcoming xloss. xWhich xof xthe
xfollowing
x
statements xshould xthe xnurse
xmake?
x
1. x"It xwill xbe xbetter xfor xyou xto xkeep xbusy xto xavoid xthinking xabout xyour xchild's
xdeath."
x
2. x"You xwill xcomplete xthe xgrieving xprocess xabout xa xyear xafter xyour xchild's
xdeath."
3. "The xgrief xprocess xwill xstart xonce xyour xchild xactually xdies." x
4. "It xis xnot xuncommon xto xfeel xangry xtoward xyourself xor xothers." x- xCorrect x= x4. x"It
xis xnot xuncommon xto xfeel xangry xtoward xyourself xor xothers." x
x
- xFeelings xof xblame xand xanger xtoward xoneself xor xothers xare xan xexpected
xreaction x
x
when xa xclient xis xexperiencing xa
xloss.
x
x
The xgrief xprocess xhas xno xtimeline. xIt xvaries xfor xeach
xindividual.
The xclient xcan xbegin xanticipatory xgrieving xduring xthe xchild's
xillness.
x
A xnurse xin xa xmental xhealth xclinic xis xplanning xcare xfor xa xclient xwho xhas xa xnew
xprescription xfor xolanzapine. xWhich xof xthe xfollowing xinterventions xshould xthe xnurse
xidentify xas xthe xpriority? x
x
1. Advise xthe xclient xto xtake xfrequent xsips xof xwater. x
2. Recommend xthat xthe xclient xexercise xregularly. x
3. Consult xa xdietitian xfor xa xcalorie-controlled xdiet xplan. x
4. Instruct xthe xclient xto xavoid xdriving xduring xinitial xtherapy. x- xCorrect x= x4. xInstruct
xthe xclient xto xavoid xdriving xduring xinitial xtherapy. x
x
- xThe xgreatest xrisk xto xthis xclient xis xinjury xresulting xfrom xdrowsiness xor xdizziness.
xTherefore, xthe xnurse's xpriority xintervention xis xto xinstruct xthe xclient xto xavoid
xactivities xthat xrequire xmental xalertness xduring xinitial xmedication xtherapy. x
x
The xnurse xshould xadvise xthe xclient xto xtake xfrequent xsips xof xwater xdue xto xthe
xadverse xeffect xof xdry xmouth. xHowever, xthis xis xnot xthe xnurse's xpriority xintervention.
x
The xnurse xshould xadvise xthe xclient xto xexercise xregularly xdue xto xthe xadverse
xeffects xof xweight xgain xand xconstipation. xHowever, xthis xis xnot xthe xnurse's xpriority
xintervention. xThe xnurse xshould xconsult xa xdietitian xfor xa xcalorie-controlled xdiet
xplan xdue xto xthe xadverse xeffect xof xweight xgain. xHowever, xthis xis xnot xthe xnurse's
xpriority xintervention. x
x
A xnurse xis xcounseling xan xadolescent xwho xhas xanorexia xnervosa xand xreports
xexcessive xlaxative xuse xand xfear xof xgaining xweight. xThe xClient xstates, x"I'm xso xfat
xI xcan't xeven xstand xto xlook xat xmyself.". xWhich xof xthe xfollowing xtherapeutic
xresponses xdemonstrates xthe xnurse's xuse xof xsummarizing? x
x
, 1. "You've xdiscussed xseveral xconcerns xabout xyour xweight. xLet's xgo xback xand xtalk
xabout xyour xbelief xthat xyou xare xfat." x
2. "You're xsaying xthat xyou xthink xyou xare xfat xand xare xusing xlaxatives xbecause xyou
xare xafraid xof xgaining xweight." x
3. "You xdon't xwant xto xlook xat xyourself xbecause xyou xthink xyou xare xfat." x
4. "You xand xI xcan xwork xtogether xto xovercome xyour xfears xof xgaining xweight." x-
xCorrect x= x2. x"You're xsaying xthat xyou xthink xyou xare xfat xand xare xusing xlaxatives
xbecause xyou xare xafraid xof xgaining xweight." x
x
- xThe xnurse xis xusing xthe xtherapeutic xtechnique xof xsummarizing xto xreview xthe
xkey x
x
points xof xthe
xdiscussion.
x
A xnurse xis xadmitting xa xclient xwho xhas xschizophrenia xto xan xacute xcare xsetting.
xWhen xthe xnurse xquestions xthe xclient xregarding xtheir xadmission, xthe xclient xstates,
x"I'm xred, xin x
the xhead, xand xI'm xgoing xto xbed!". xThe xnurse xshould xdocument xthe xclient's
xspeech x
x
pattern xas xwhich xof xthe
xfollowing?
x
1. Clang xAssociation x
2. Word xSalad x
3. Neologism x
4. Echolalia x- xCorrect x= x1. xClang xAssociation x
x
- xThe xnurse xshould xdocument xthat xthe xclient's xspeech xuses xclang xassociations,
xwhich x
x
often xrhyme xor xcontain xa xstring xof xwords xthat xcan xhave xa xsimilar
xsound.
x
NGN: xA xnurse xis xcaring xfor xa xClient xwho xhas xan xalcohol xuse xdisorder. x x
x
Complete xthe xfollowing xsentence xby xusing xthe xlist xof xoptions... x
x
Dropdown x1: x"The xClient xis xat xgreatest xrisk xfor x________ x
1. Dehydration x
2. Violent xBehavior x
3. Ineffective xCoping x
x
Dropdown x2: x"as xevidenced xby x the Client's
x
x________
x
4. xInability xto xPerform xSimple
xTasks
x
5. xLoss xof
xAppetite
x
6. xAgitation x- xCorrect
x=
x
Dropdown x1: x x
