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2023 ATI MENTAL HEALTH VERSION A , B , C ,
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PROCTORED EXAM AND ATI MENTAL HEALTH
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PROCTORED RETAKE EXAM |A+ GRADE
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A nurse is planning overall strategies to address problems for a client who
has a borderline personality disorder. Which of the following strategies is the
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priority for the nurse to incorporate into the plan of care?
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a. discuss the appropriate use of assertive behavior with the client
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b. encourage the client to attend weekly support group meetings
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c. assist the client to maintain awareness of her thoughts and feelings
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d. implement measures to prevent intentional self-inflicted injury - Answer-d. implement
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measures to prevent intentional self-inflicted injury
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A nurse is admitting a client who has a generalized anxiety disorder. Which of the
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following actions should the nurse plan to take first?
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a. Provide the client with a quiet environment
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b. Determine how the client handles stress.
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c. Teach the client to use guided imagery.
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d. Ask the client to identify her strengths - Answer-a. Provide the client with a quiet
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environment
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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?
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a. States that he hasn't bathed in 2 days
b. Reports eating twice in the past two weeks.
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c. Makes inappropriate sexual comments.
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d. Speaks in rhyming sentences. - Answer-b. Reports eating twice in the past two
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weeks.
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A nurse is planning care for a client who has obsessive-compulsive disorder. Which of
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the following recommendation should the nurse include in the client's plan of care?
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a. Validation therapy
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b. Thought stopping
c. Operant conditioning
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d. Reality orientation therapy - Answer-b. Thought stopping
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A nurse is caring for a client who has bipolar disorder and is experiencing a manic
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episode. Which of the following actions should the nurse take?
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a. Encourage the client to join group activities
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b. Dim the lights in the client's room
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c. Provide detailed explanations to the client
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d. Administer methylphenidate - Answer-b. Dim the lights in the client's room
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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?
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a. Initiate referrals
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b. Review community resources
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c. Identify prior coping skills
d. Discuss the importance of confidentiality - Answer-c. Identify prior coping skills
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A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye for an
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eye in the sky. Sky is up high." The nurse should document the client's statement as
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which of the following speech alterations?
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a. Echolalia
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b. Word salad
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c. Neologism
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d. Clang association - Answer-d. Clang association
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An older adult client is brought to the mental health clinic by her daughter. The daughter
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reports that her mother is not eating and seems uninterested in routine activities. The
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daughter states "Im so worried that my mother is depressed" which of the following
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responses should the nurse make?
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a. Everyone gets depressed from time to time.
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b. You shouldn't worry about this because the depressive disorder is easily treated.
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c. Older adults are usually diagnosed with the depressive disorder as they age.
d. Tell me the reasons you think your mother is depressed. - Answer-d. Tell me the
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reasons you think your mother is depressed.
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A nurse is planning care for an adolescent who has autism spectrum disorder. Which of
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the following outcomes should the nurse include in the plan care?
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a. Meets own needs without manipulating others.
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b. Initiates social interactions with caregivers.
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c. Changes behavior as a result of peer pressure.
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d. Acknowledges his delusions are not real. - Answer-b. Initiates social interactions with
caregivers.
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A nurse is providing behavior therapy for a client who has obsessive-compulsive
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disorder. The client repeatedly checks that the doors are locked at night. Which of the
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following instructions should the nurse give the client when using thought stopping
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technique?
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a. Snap a rubber band on your wrist when you think about checking the locks.
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b. Ask a family member to check the locks for you at night.
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c. Focus on abdominal breathing whenever you go to check the locks.
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d. Keep a journal of how often you check the locks each night. - Answer-a. Snap a
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rubber band on your wrist when you think about checking the locks.
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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
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nonmaleficence?
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a. Provide the client with quality care regardless of their ability to pay for treatment.
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b. Educating the client about legal rights concerning treatment.
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c. Withholding the prescribed medication that is causing adverse effects for the client.
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d. Being truthful with the client about the manifestations of withdrawal. - Answer-c.
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Withholding the prescribed medication that is causing adverse effects for the client.
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A nurse in a group home facility is caring for a client who is developmentally disabled.
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The client has been stealing belongings from other clients. Which of the following
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techniques should the nurse use?
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a. Crisis intervention to decrease anxiety.
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b. Aversion therapy to provide distraction
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c. Positive reinforcement to increase desired behavior.
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d. Systematic desensitization to extinguish the behavior. - Answer-c. Positive
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reinforcement to increase desired behavior.
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A nurse is caring for a client who is experiencing a panic attack. Which of the following
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actions should the nurse take?
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a. Ask the client to discuss precipitating events
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b. Speaks to the client in a high-pitched voice.
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c. Place the client in seclusion sh
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d. Have the client breathe into a paper bag. - Answer-d. Have the client breathe into a
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paper bag.
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The nurse is caring for a client following a physical assault. The client states "I don't
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remember what happened to me." The nurse should recognize that the client is using
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which of the following defense mechanisms?
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a. Repression
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b. Displacement
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c. Rationalization
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d. Denial - Answer-a. Repression
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