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Exam (elaborations)

ATI MENTAL HEALTH PROCTORED EXAM

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ATI MENTAL HEALTH PROCTORED EXAM

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ATI MENTAL HEALTH PROCTORED
d d d

1.)dAdchargednursedisddiscussingdmentaldstatusdexamsdwithdadnewlyd licenseddnurse.d
Whichdofdthedfollowingdstatementsdbydthednewlydlicenseddnursedindicatesdandunde
rstandingdofdthedteaching?d(Selectdalldthatdapply)

A. "Todassessdcognitivedability,dIdshoulddaskdthedclientdtodcountdbackwarddbydsevens."
B. "Todassessdaffect,dIdshoulddobservedthedclient'sdfacialdexpression."
C. "Todassessdlanguagedability,dIdshoulddinstructdthedclientdtodwritedadsentence."
D. "Todassessdremotedmemory,dIdshoulddhavedthedclientdrepeatdadlistdofdobjects."
E. "Todassessdthedclient'sdabstractdthinking,dIdshoulddaskdthedclientdtodidentifydourd
mostdrecentdpresidents."


2.)d Adnursedisdplanningdcaredfordadclientdwhodhasdadmentaldhealthddisorder.
Whichdofdthedfollowingdactionsdshoulddthednursedincludedasdad
psychobiologicaldintervention?

A. Assistdthedclientdwithdsystematicddesensitizationdtherapy.
B. Teachdthedclientdappropriatedcopingdmechanisms.
C. Assessdthedclientdfordcomorbiddhealthdconditions.
D. Monitordthedclientdfordadversedeffectsdofdthedmedications.

3.)dAdnursedindandoutpatientdmentaldhealthdclinicdisdpreparingdtodconductdandinitiald
clientdinterview.dWhendconductingdthedinterview,dwhichdofd thedfollowingdactio
nsdshoulddthednursedidentifydasdthedpriority?

A. Coordinatedholisticdcaredwithdsocialdservices.
B. Identifydthedclient'sdperceptiondofdherdmentaldhealthdstatus.
C. Includedthedclient'sdfamilydindthedinterview.
D. Teachdthedclientdaboutdherdcurrentdmentaldhealthddisorder.

4.)dAdnursedisdtolddduringdchangedofdshiftdreportdthatdadclientdisdstuporous.dWhendas
sessingdthedclient,dwhichdofdthedfollowingdfindingsdshoulddthednursedexpect?

A. Thedclientdarousesdbrieflydindresponsedtodadsternaldrub.
B. ThedclientdhasdadGlasgowdcomadscaledscoredlessdthand7.
C. Thedclientdexhibitsddecorticatedrigidity.
D. Thedclientdisdalertdbutddisorienteddtodtimedanddplace.

, 5.)dAdnursedisdplanningdadpeerdgroupddiscussiondaboutdthedDSM-
5.dWhichdofdthedfollowingdinformationdisdappropriatedtodincludedindtheddiscussion?d(
Selectdalldthatdapply)

A. ThedDSM-5dincludesdclientdeducationdhandoutsdfordmentaldhealthddisorders.
B. Thed DSM-5destablishesd diagnosticd criteriadford individualdmentald healthddisorders.
C. Thed DSM-
5d indicatesd recommendedd pharmacologicald treatmentd ford mentaldhealthddisorders.
D. ThedDSM-
5dassistsdnursesdindplanningdcaredfordclient'sdwhodhavedmentaldhealthddisorde
rs.
E. ThedDSM-5dindicatesdexpecteddassessmentdfindingsdofdmentaldhealthddisorders.

6.)d Adnursedindandemergencydmentaldhealthdfacilitydisdcaringdfordadgroupdofdclients.
Thednursedshoulddidentifydthatdwhichdofdthedfollowingdclientsdrequiresdadtemporaryde
mergencydadmission?

A. Adclientdwhodhasdschizophreniadwithddelusionsdofdgrandeur
B. Adclientdwhodhasdmanifestationsdofddepressiondanddattempteddsuicidedadyeardago
C. Adclientdwhodhasdborderlinedpersonalityddisorderdanddassaulteddadhomelessdmand
withdadmetaldrod
D. Adclientdwhodhasdbipolarddisorderdanddpacesdquicklydarounddthedroomdwhiledtalkingdt
odhimself

7.)dAdnurseddecidesdtodputdadclientdwhodhasdadpsychoticddisorderdindseclusiondoverni
ghtdbecausedthedunitdisdverydshort-
staffed,danddthedclientdfrequentlydfightsdwithdotherdclients.dThednurse'sdactionsdare
dandexampledofdwhichdofdthedfollowingd torts?

A. Invasiondofdprivacy
B. Falsedimprisonment
C. Assault
D. Battery

8.)dAdclientdtellsdadnurse,d"Don'tdtelldanyonedbutdIdhiddadsharpdknifedunderdmydmattres
sdindorderdtodprotectdmyselfdfromdmydroommate,dwhodisdalwaysdyellingdatdmedanddt
hreateningdme."dWhichdofdthedfollowingdactionsdshoulddthednursedtake?

A. Keepdthedclient'sdcommunicationdconfidential,dbutdtalkdtodthedclientddaily,dusi
ngdtherapeuticdcommunicationdtodconvincedhimdtodadmitdtodhidingdthedknife.
B. Keepdthedclient'sdcommunicationdconfidential,dbutdwatchdthedclientdanddhisdr
oommatedclosely.
C. Telldthedclientdthatdthisdmustdbedreporteddtodthedhealthdcaredteamdbecauseditdc
oncernsdthedhealthdanddsafetydofdthedclientdanddothers.

D. Reportdthedincidentdtodthedhealthdcaredteam,dbutddodnotdinformdthedclientdofdt
hedintentiondtoddodso.

, 9.)dAdnursedisdcaringdfordadclientdwhodisdindmechanicaldrestraints.dWhichdofdthedfoll
owingdstatementsdshoulddthednursedincludedindtheddocumentation?d(Selectdalldt
hatdapply)

A. "Clientdatedmostdofdhisdbreakfast."
B. "Clientdwasdofferedd8dozdofdwaterdeverydhr."
C. "Clientdshouteddobscenitiesdatdassistivedpersonnel."
D. "Clientdreceiveddchlorpromazined15dmgdbydmouthdatd1000."
E. "Clientdacteddoutdafterdlunch."

10.)
Adnursedhearsdadnewlydlicenseddnurseddiscussingdadclient'sdhallucinationsdi
ndthedhallwaydwithdanotherdnurse.dWhichdofdthedfollowingdactionsdshoulddthednurs
edtakedfirst?

A. Notifydthednursedmanager.
B. Telldthednursedtodstopddiscussingdthedbehavior.
C. Providedandin-servicedprogramdaboutdconfidentiality.
D. Completedandincidentdreport.

11.)
Adnursedisdcaringdfordthedparentsdofdadchilddwhodhasddemonstrateddchange
sdindbehaviordanddmood.dWhendthedmotherdofdthedchilddasksdthednursedfordreassura
ncedaboutdherdson'sdcondition,dwhichdofdthedfollowingdresponsesdshoulddthednursed
make?

A. "Idthinkdyourdsondisdgettingdbetter.dWhatdhavedyoudnoticed."
B. "I'mdsuredeverythingdwilldbedokay.dItdjustdtakesdtimedtodheal."
C. "I'mdnotdsuredwhat’sdwrong.dHavedyoudaskeddtheddoctordaboutdyourdconcerns?"
D. "Idunderstanddyou'redconcerned.dLet'sddiscussdwhatdconcernsdyoudspecifically."


12.)dddddddddAdnursedisdcaringdfordadclientdwhodsmokesdanddhasdlungdcancer.dThedclientdr
eports,d"I'mdcoughingdbecausedIdhavedthatdcolddthatdeveryonedhasdbeendgetting."
dThednursedshoulddidentifydthatdthedclientdisdusingdwhichdofd thedfollowingddefense

dmechanisms?




A. Reactiondformation
B. Denial
C. Displacement
D. Sublimation



13.)
Adnursedisdprovidingdpreoperativedteachingdfordadclientdwhodwasdjustdinfor
meddthatdshedrequiresdemergencydsurgery.dThedclientdhasdadrespiratorydrated30/mi
ndanddsays,d"Thisdisddifficultdtodcomprehend.dIdfeeldshakydanddnervous."

, Thednursedshoulddidentifydthatdthedclientdisdexperiencingdwhichdofdthedfollowingdl
evelsdofdanxiety?

A. Mild
B. Moderate
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