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ATI Proctored Mental Health Exam
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A nurse in an acute mental health facility is caring for a client who has schizophrenia. The
client asks the nurse, "Can I vote in the upcoming presidential election?" Which of the
following responses should the nurse make?
A. "Why do you want to vote while you are in the hospital?"
B. "I wouldn't worry about voting right now."
C. "We can work together to find out how you can get a mail-in ballot."
D. "You'll have a lot more opportunities to vote after you get better."
- Answer ✓✓"We can work together to find out how you can get a mail-in ballot."
*The nurse provides a therapeutic response by suggesting collaboration and formulating a
plan of action that will result in giving the client information and addressing the client's need
A nurse is having a conversation with a newly admitted client when the client suddenly stops
talking. Which of the following statements should the nurse make?
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A. "Apparently, you no longer wish to talk with me. Have I done something to make you
angry?"
B. "I've noticed you have become quiet. Share with me what you are thinking when you are
ready."
C. "It is okay if you don't wish to talk anymore right now. We can meet again tomorrow."
D. "You need to talk during this time I have set aside for you. Talking is what will get you out
of here."
- Answer ✓✓"I've noticed you have become quiet. Share with me what you are thinking
when you are ready."
*This statement by the nurse is therapeutic. Focusing on the quietness sometimes helps the
client talk about thoughts and feelings
A home health nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's
disease. Which of the following instructions should the nurse provide?
A. Have the client wear a medical alert necklace
B. Place written signs on the bathroom and other doors in the house
C. Prevent the client from taking naps during the day
D. Provide a low stimulation environment
- Answer ✓✓Provide a low stimulation environment
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*The nurse should reinforce with the caregiver that clients who suffer from impaired
cognition require a low-stimulation environment. An environment of high-stimulation can
lead to sensory overload, which can cause increased confusion and anxiety
A nurse is collecting data from a client who has schizophrenia and is experiencing delusions.
The nurse should identify that the client is experiencing which of the following types of
symptoms?
A. Positive
B. Cognitive
C. Negative
D. Affective
- Answer ✓✓Positive
*The nurse should identify a client who has schizophrenia and is experiencing delusions is
demonstrating a positive symptom. Positive symptoms are seen early in clients who have
schizophrenia and are easier to detect that other types of symptoms. Other positive
symptoms can include hallucinations, disorganized speech, and disorganized behavior
A nurse is helping a client who has anxiety disorder select a nonpharmacological stress-
reduction therapy for home use. Which of the following therapies engages the insular cortex
of the brain to allow the client to focus on a single thought that is important to the client in
the present moment?
A. Guided imagery
B. Progressive relaxation
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C. Cognitive reframing
D. Mindfulness
- Answer ✓✓Mindfulness
*The practice of mindfulness engages the insular cortex as the person focuses on the
sensations and surroundings of the present moment. The client learns to stop the mind from
wandering to multiple thoughts and worries and to concentrate on a single thought or
situation that is important at that time
A nurse is reinforcing teaching with a client who has generalized anxiety disorder to perform a
deep-breathing exercise. Which of the following actions should the nurse instruct the client to
take?
A. Utilize chest breathing
B. Breathe in through the nose
C. Keep the shoulder erect
D. Repeat the exercise for at least 10 minutes for effectiveness
- Answer ✓✓Breathe in through the nose
*When using deep-breathing exercises, clients should breathe in through their noses, hold
their breath for about 3 seconds, and then exhale through their mouths
A nurse is interviewing a client whose partner died 6 months ago. The client states, "I feel so
lonely and empty inside." Which of the following responses should the nurse make?
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