ATI Mental Health Proctored Exam
COMPLETE SOLUTION 100% VERIFIED
ANSWERS A+ GRADED
1. A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of the
following statements should the nurse include in the teaching?
a. You should discontinue this medication if you develop muscle rigidity."
b. You will experience weight loss while taking this medication."
c. You will notice your symptoms improve within 24 hours of taking this medication."
d. You should increase your consumption of complex carbohydrates."
- ✔✔✔ Correct Answer > a. "You should discontinue this medication if you develop muscle rigidity."
2. A nurse is admitting a client who has a generalized anxiety disorder. Which of the following actions should the
nurse plan to take first?
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
- ✔✔✔ Correct Answer > Provide the client with a quiet environment
3. A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following
should the nurse report to the provider?
a. States that he hasn't bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences. - ✔✔✔ Correct Answer > b. Reports eating twice in the past two weeks.
4. A nurse is planning care for a client who has obsessive-compulsive disorder. Which of the following
recommendation should the nurse include in the client's plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy - ✔✔✔ Correct Answer > b. Thought stopping
5. A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the
following actions should the nurse take?
a. Encourage the client to join group activities
, b. Dim the lights in the client's room
c. Provide detailed explanations to the client
d. Administer methylphenidate - ✔✔✔ Correct Answer > b. Dim the lights in the client's room
6. A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of
the following actions should the nurse take first?
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality- ✔✔✔ Correct Answer > c. Identify prior coping skills
7. A nurse overhears a client saying “I am a spy, a spy for the FBI. I am an I, an eye for an eye in the sky. Sky is up
high." The nurse should document the client's statement as which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association - ✔✔✔ Correct Answer > d. Clang association
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 "Im so worried that my
mother is depressed" which of the following responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldn't worry about this because the depressive disorder is easily treated.
c. Older adults are usually diagnosed with the depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed. - ✔✔✔ Correct Answer > d. Tell me the
reasons you think your mother is depressed.
9. A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes
should the nurse include in the plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real. - ✔✔✔ Correct Answer > b. Initiates social interactions with
caregivers.
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?
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. - ✔✔✔ Correct Answer > a. Snap a rubber
band on your wrist when you think about checking the locks.
, 11. A nurse is caring for a client who is starting treatment for substance use disorder. Which of the following actions
indicates the nurse is practicing the ethical principle of nonmaleficence?
a. Provide the client with quality care regardless of their ability to pay for treatment.
b. Educating the client about legal rights concerning treatment.
c. Withholding the prescribed medication that is causing adverse effects for the client.
d. Being truthful with the client about the manifestations of withdrawal. - ✔✔✔ Correct Answer > c.
Withholding the prescribed medication that is causing adverse effects for the client.
12. A nurse in a group home facility is caring for a client who is developmentally disabled. The client has been
stealing belongings from other clients. Which of the following techniques should the nurse use?
a. Crisis intervention to decrease anxiety.
b. Aversion therapy to provide distraction
c. Positive reinforcement to increase desired behavior.
d. Systematic desensitization to extinguish the behavior. - ✔✔✔ Correct Answer > c. Positive
reinforcement to increase desired behavior.
13. A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse
take?
a. Ask the client to discuss precipitating events
b. Speaks to the client in a high-pitched voice.
c. Place the client in seclusion
a. Have the client breathe into a paper bag. - ✔✔✔ Correct Answer > d. Have the client breathe into a paper
bag.
14. The nurse is caring for a client following a physical assault. The client states "I don't remember what happened
to me." The nurse should recognize that the client is using which of the following defense mechanisms?
a. Repression
b. Displacement
c. Rationalization
d. Denial - ✔✔✔ Correct Answer > a. Repression
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
c. Lanugo covering the body
d. Blood pH 7.60 - ✔✔✔ Correct Answer > d. Blood pH 7.60
16. A nurse is caring for a client in a mental health facility. The client is agitated and threatens to harm herself and
others. Which of the following is the priority intervention?
a. Place the client in restraints
COMPLETE SOLUTION 100% VERIFIED
ANSWERS A+ GRADED
1. A nurse is teaching a client who has schizophrenia about her new prescription for risperidone. Which of the
following statements should the nurse include in the teaching?
a. You should discontinue this medication if you develop muscle rigidity."
b. You will experience weight loss while taking this medication."
c. You will notice your symptoms improve within 24 hours of taking this medication."
d. You should increase your consumption of complex carbohydrates."
- ✔✔✔ Correct Answer > a. "You should discontinue this medication if you develop muscle rigidity."
2. A nurse is admitting a client who has a generalized anxiety disorder. Which of the following actions should the
nurse plan to take first?
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
- ✔✔✔ Correct Answer > Provide the client with a quiet environment
3. A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following
should the nurse report to the provider?
a. States that he hasn't bathed in 2 days
b. Reports eating twice in the past two weeks.
c. Makes inappropriate sexual comments.
d. Speaks in rhyming sentences. - ✔✔✔ Correct Answer > b. Reports eating twice in the past two weeks.
4. A nurse is planning care for a client who has obsessive-compulsive disorder. Which of the following
recommendation should the nurse include in the client's plan of care?
a. Validation therapy
b. Thought stopping
c. Operant conditioning
d. Reality orientation therapy - ✔✔✔ Correct Answer > b. Thought stopping
5. A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the
following actions should the nurse take?
a. Encourage the client to join group activities
, b. Dim the lights in the client's room
c. Provide detailed explanations to the client
d. Administer methylphenidate - ✔✔✔ Correct Answer > b. Dim the lights in the client's room
6. A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of
the following actions should the nurse take first?
a. Initiate referrals
b. Review community resources
c. Identify prior coping skills
d. Discuss the importance of confidentiality- ✔✔✔ Correct Answer > c. Identify prior coping skills
7. A nurse overhears a client saying “I am a spy, a spy for the FBI. I am an I, an eye for an eye in the sky. Sky is up
high." The nurse should document the client's statement as which of the following speech alterations?
a. Echolalia
b. Word salad
c. Neologism
d. Clang association - ✔✔✔ Correct Answer > d. Clang association
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 "Im so worried that my
mother is depressed" which of the following responses should the nurse make?
a. Everyone gets depressed from time to time.
b. You shouldn't worry about this because the depressive disorder is easily treated.
c. Older adults are usually diagnosed with the depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed. - ✔✔✔ Correct Answer > d. Tell me the
reasons you think your mother is depressed.
9. A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes
should the nurse include in the plan care?
a. Meets own needs without manipulating others.
b. Initiates social interactions with caregivers.
c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real. - ✔✔✔ Correct Answer > b. Initiates social interactions with
caregivers.
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?
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. - ✔✔✔ Correct Answer > a. Snap a rubber
band on your wrist when you think about checking the locks.
, 11. A nurse is caring for a client who is starting treatment for substance use disorder. Which of the following actions
indicates the nurse is practicing the ethical principle of nonmaleficence?
a. Provide the client with quality care regardless of their ability to pay for treatment.
b. Educating the client about legal rights concerning treatment.
c. Withholding the prescribed medication that is causing adverse effects for the client.
d. Being truthful with the client about the manifestations of withdrawal. - ✔✔✔ Correct Answer > c.
Withholding the prescribed medication that is causing adverse effects for the client.
12. A nurse in a group home facility is caring for a client who is developmentally disabled. The client has been
stealing belongings from other clients. Which of the following techniques should the nurse use?
a. Crisis intervention to decrease anxiety.
b. Aversion therapy to provide distraction
c. Positive reinforcement to increase desired behavior.
d. Systematic desensitization to extinguish the behavior. - ✔✔✔ Correct Answer > c. Positive
reinforcement to increase desired behavior.
13. A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse
take?
a. Ask the client to discuss precipitating events
b. Speaks to the client in a high-pitched voice.
c. Place the client in seclusion
a. Have the client breathe into a paper bag. - ✔✔✔ Correct Answer > d. Have the client breathe into a paper
bag.
14. The nurse is caring for a client following a physical assault. The client states "I don't remember what happened
to me." The nurse should recognize that the client is using which of the following defense mechanisms?
a. Repression
b. Displacement
c. Rationalization
d. Denial - ✔✔✔ Correct Answer > a. Repression
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
c. Lanugo covering the body
d. Blood pH 7.60 - ✔✔✔ Correct Answer > d. Blood pH 7.60
16. A nurse is caring for a client in a mental health facility. The client is agitated and threatens to harm herself and
others. Which of the following is the priority intervention?
a. Place the client in restraints
