ATIRN MENTAL HEALTHPROCTORED EXAM v v v v v
2019 v
1. A client is fearful of driving and enters a behavioral therapy program to help him overcome his
v v v v v v v v v v v v v v v v
v anxiety. Using systematic desensitization, he is able to drive down a familiar street without
v v v v v v v v v v v v v
v experiencing a panic attack. The nurse should recognize that to continue positive results, the client
v v v v v v v v v v v v v v
v should participate in which of the following? a. Biofeedback or d. Positive reinforcement
v v v v v v v v v v v v
2. A nurse is counseling a client following the death of the client’s partner 8 months ago. Whichof the
v v v v v v v v v v v v v v v v v
following client statements indicates maladaptive grieving? d. “I still don’t feel up to returning to
v v v v v v v v v v v v v v v
work.”
v
3. A nurse in an inpatient mental health facility is assessing a client who has
v v v v v v v v v v v v v
schizophrenia and is taking haloperidol (antipsychotic, 1st gen). Which of the
v v v v v v v v v v v
following clinical findings is the nurse’s priority? d. High fever (Complication →
v v v v v v v v v v v v
agranulocytosis)
v
4. A nurse is planning care for a client who has obsessive compulsive disorder. Which of the
v v v v v v v v v v v v v v v
following recommendations should the nurse include in the client’s plan of care? c. Thought
v v v v v v v v v v v v v v
Stopping
v
4. A nurse is providing teaching to the daughter of an older client who has obsessive-compulsive
v v v v v v v v v v v v v v
disorder. Which of the following statements by the daughter indicates an understanding of the
v v v v v v v v v v v v v v
teaching? b. “I will limit my mother’s clothing choices when she is getting dressed.”
v v v v v v v v v v v v v v
5. A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the
v v v v v v v v v v v v v v v v v v
following actions should the nurse take? c. Avoid power struggles by remaining neutral
v v v v v v v v v v v v v
6. A nurse is providing behavioral therapy for a client who has OCD. The client repeatedly
v v v v v v v v v v v v v v
checks that the doors are locked at night. Which of the following instructions should the nurse give
v v v v v v v v v v v v v v v v v
the client when using thought stopping technique? d. “Snap a rubber band on your wrist when
v v v v v v v v v v v v v v v v
you think about checking the locks.”
v v v v v v
7. A nurse is caring for a client who has a cocaine use disorder. Which of the following
v v v v v v v v v v v v v v v v
manifestations should the nurse expect the client to have during withdrawal? b. Fatigue
v v v v v v v v v v v v v
8. A nurse is reviewing the medical record of a client who is taking clozapine. For which of the
v v v v v v v v v v v v v v v v v
following findings should the nurse withhold the medication and notify the provider? a. WBC
v v v v v v v v v v v v v v
9. A nurse is creating a plan of care for a client who has major depressive disorder. Which of the
v v v v v v v v v v v v v v v v v v
following interventions should the nurse include in the plan? b. Encourage physical activity for the
v v v v v v v v v v v v v v v
client during the day
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10. A nurse is assessing a client who is experiencing acute alcohol withdrawal. Which of the
v v v v v v v v v v v v v v
following findings should the nurse expect? c. Insomnia
v v v v v v v v
,11. A nurse is caring for a client who has schizophrenia and displays severe symptoms of the
v v v v v v v v v v v v v v v
disorder.Which of the following actions should the nurse take? d. Direct the client to perform her own
v v v v v v v v v v v v v v v v v v
daily hygiene and grooming tasks
v v v v v
12. A nurse is caring for a client who was involuntarily committed and is scheduled to receive
v v v v v v v v v v v v v v v
electroconvulsive therapy. The client refuses the treatment and will discuss why with the
v v v v v v v v v v v v v
healthcare team. Which of the following actions should the nurse take? a. Document the client’s
v v v v v v v v v v v v v v v
refusal of the treatment in the medication record
v v v v v v v v
13. A nurse is providing crisis intervention for a client who was involved in a violent mass casualty
v v v v v v v v v v v v v v v v
situation in thecommunity. Which of the following actions should the nurse take during the initial
v v v v v v v v v v v v v v v v
session with the client? a. Identify the client’s usual coping style.
v v v v v v v v v v v
14. A nurse in the emergency department is caring for a client who reports feeling sad,
v v v v v v v v v v v v v v
worthless, and hopeless 9 months after the death of her son. Which of the following actions
v v v v v v v v v v v v v v v v
should the nurse take first? d. Ask the client if she has thought about harming herself given -.
v v v v v v v v v v v v v v v v v v
15. A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the
v v v v v v v v v v v v v v v
following outcomes should the nurse include in the plan of care? c. Initiate social interactions with
v v v v v v v v v v v v v v v v
caregiver
v
16. Anurse is caring for a client who is experiencing active auditory hallucination. Which of the
v v v v v v v v v v v v v v v
following should the nurse take? d. Focus the client on reality based activities
v v v v v v v v v v v v v
17. A nurse is conducting an admission interview with a client who is experiencing mania. Whichof the
v v v v v v v v v v v v v v v
following findings the nurse reports to the provider? a. Reports eating twice in the past week 't bathed
v v v v v v v v v v v v v v v v v v
in 2 days
v v v
18. Anurseis caring for a client who has anorexia nervosa. Which of the following findings
v v v v v v v v v v v v v v v
requires immediate intervention by the nurse? c. +2 edema of the lower extremities
v v v v v v v v v v v v v
19. A nurse is planning care for a client who has a recent diagnosis of antisocial personality
v v v v v v v v v v v v v v v
disorder.Which of the following outcomes should the nurse in the care plan? a. The client treats
v v v v v v v v v v v v v v v v v
others with respect
v v v
20. A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The
v v v v v v v v v v v v v v v v
client states “I can't stand to be touched by another person”. Which of the following response
v v v v v v v v v v v v v v v v
should the nurse make? c. I will tell your provider know that you would like a treat other than a
v v v v v v v v v v v v v v v v v v v v
message (avoid triggers)
v v v
??(doubled)21. A nurse in a group home facility is caring for a client who is developmentally disabled. v v v v v v v v v v v v v v v v
The client has been stealing belongings from the other clients.Which of the following techniques should
v v v v v v v v v v v v v v v v
the nurse use? b. Positive reinforcement
v v v v v v
, 22. A nurse in a mental facility is caring for a newly admitted client. Which of the following
v v v v v v v v v v v v v v v v
resources should the nurse recommend to help the client adapt to the healthcare setting? a.A
v v v v v v v v v v v v v v v v
Community meeting
v v
23. A nurse is teaching the caregiver of a client who has advanced Alzheimer’s disease about home
v v v v v v v v v v v v v v v
safety. Which of the following statements by the caregiver indicates an understanding ofthe
v v v v v v v v v v v v v
teaching? b. I will place a sliding bolt lock just above the doorknob
v v v v v v v v v v v v v
24. A nurse is beginning a therapeutic relationship with a client. The nurse should plan to
v v v v v v v v v v v v v v
accomplish which of the following tasks during the working phase? b. Evaluate progress toward
v v v v v v v v v v v v v v
predetermined goals
v v
25. A nurse Is planning care for a client who has anorexia nervosa and is admitted to an inpatient
v v v v v v v v v v v v v v v v v
eating disorder unit. Which of the following is an appropriate intervention? (p. 167) c. Initiate a
v v v v v v v v v v v v v v v v
relationship built on trust with the client.
v v v v v v v
26. A nurse is providing discharge teaching about manifestations of relapse to the family of a client
v v v v v v v v v v v v v v v
who has schizophrenia. Which of the following information should the nurse include in the teaching
v v v v v v v v v v v v v v v
a. The client develops an inability to concentrate
v v v v v v v v
27. Anurse in a mental health facility is caring for a client. Which of the following actions should the
v v v v v v v v v v v v v v v v v v
nurse take during the working phase of the nurse-client relationship? c. Promote problem-
v v v v v v v v v v v v v
solving skills.
v v
28. Anurse is planning care for a client who has dementia. Which of the following interventions
v v v v v v v v v v v v v v v
should the nurse include in the plan? d. Provide finger food to enhance caloric intake (ensure
v v v v v v v v v v v v v v v v
adequate food/fluid intake)
v v v
29. A nurse is developing a teaching plan for the family of an older adult client who is to receive
v v v v v v v v v v v v v v v v v v
transcranialmagnetic stimulation. Which of the following information should the nurse include in the
v v v v v v v v v v v v v v
teaching plans? a. The client might have a headache after treatment (a/e mild discomfort and
v v v v v v v v v v v v v v v
tingling sensation at the site of the electromagnet)
v v v v v v v v
30. A nurse overhears a client saying, “I am a spy, a spy for the FBI. I am an I, an eye for aneye, an
v v v v v v v v v v v v v v v v v v v v v v v
eye in the sky. Sky is up high. The nurse should document the client’s statement aswhich of the
v v v v v v v v v v v v v v v v v v
following speech alterations? a. Clang association
v v v v v v
31. A nurse is assessing a client who has neuroleptic malignant syndrome. Which of the
v v v v v v v v v v v v v
following clinical findings should the nurse expect? b. Temperature 40 (104F) (sudden high
v v v v v v v v v v v v v
fever)
v
32. A nurse in an acute care mental health facility is planning discharge care for a client who
v v v v v v v v v v v v v v v v
sustained a traumatic brain injury. For which of the following needs should the nurse collaborate
v v v v v v v v v v v v v v v
with a clinical psychologist? a. The client needs to begin a group therapy program prior to
v v v v v v v v v v v v v v v v
2019 v
1. A client is fearful of driving and enters a behavioral therapy program to help him overcome his
v v v v v v v v v v v v v v v v
v anxiety. Using systematic desensitization, he is able to drive down a familiar street without
v v v v v v v v v v v v v
v experiencing a panic attack. The nurse should recognize that to continue positive results, the client
v v v v v v v v v v v v v v
v should participate in which of the following? a. Biofeedback or d. Positive reinforcement
v v v v v v v v v v v v
2. A nurse is counseling a client following the death of the client’s partner 8 months ago. Whichof the
v v v v v v v v v v v v v v v v v
following client statements indicates maladaptive grieving? d. “I still don’t feel up to returning to
v v v v v v v v v v v v v v v
work.”
v
3. A nurse in an inpatient mental health facility is assessing a client who has
v v v v v v v v v v v v v
schizophrenia and is taking haloperidol (antipsychotic, 1st gen). Which of the
v v v v v v v v v v v
following clinical findings is the nurse’s priority? d. High fever (Complication →
v v v v v v v v v v v v
agranulocytosis)
v
4. A nurse is planning care for a client who has obsessive compulsive disorder. Which of the
v v v v v v v v v v v v v v v
following recommendations should the nurse include in the client’s plan of care? c. Thought
v v v v v v v v v v v v v v
Stopping
v
4. A nurse is providing teaching to the daughter of an older client who has obsessive-compulsive
v v v v v v v v v v v v v v
disorder. Which of the following statements by the daughter indicates an understanding of the
v v v v v v v v v v v v v v
teaching? b. “I will limit my mother’s clothing choices when she is getting dressed.”
v v v v v v v v v v v v v v
5. A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the
v v v v v v v v v v v v v v v v v v
following actions should the nurse take? c. Avoid power struggles by remaining neutral
v v v v v v v v v v v v v
6. A nurse is providing behavioral therapy for a client who has OCD. The client repeatedly
v v v v v v v v v v v v v v
checks that the doors are locked at night. Which of the following instructions should the nurse give
v v v v v v v v v v v v v v v v v
the client when using thought stopping technique? d. “Snap a rubber band on your wrist when
v v v v v v v v v v v v v v v v
you think about checking the locks.”
v v v v v v
7. A nurse is caring for a client who has a cocaine use disorder. Which of the following
v v v v v v v v v v v v v v v v
manifestations should the nurse expect the client to have during withdrawal? b. Fatigue
v v v v v v v v v v v v v
8. A nurse is reviewing the medical record of a client who is taking clozapine. For which of the
v v v v v v v v v v v v v v v v v
following findings should the nurse withhold the medication and notify the provider? a. WBC
v v v v v v v v v v v v v v
9. A nurse is creating a plan of care for a client who has major depressive disorder. Which of the
v v v v v v v v v v v v v v v v v v
following interventions should the nurse include in the plan? b. Encourage physical activity for the
v v v v v v v v v v v v v v v
client during the day
v v v v
10. A nurse is assessing a client who is experiencing acute alcohol withdrawal. Which of the
v v v v v v v v v v v v v v
following findings should the nurse expect? c. Insomnia
v v v v v v v v
,11. A nurse is caring for a client who has schizophrenia and displays severe symptoms of the
v v v v v v v v v v v v v v v
disorder.Which of the following actions should the nurse take? d. Direct the client to perform her own
v v v v v v v v v v v v v v v v v v
daily hygiene and grooming tasks
v v v v v
12. A nurse is caring for a client who was involuntarily committed and is scheduled to receive
v v v v v v v v v v v v v v v
electroconvulsive therapy. The client refuses the treatment and will discuss why with the
v v v v v v v v v v v v v
healthcare team. Which of the following actions should the nurse take? a. Document the client’s
v v v v v v v v v v v v v v v
refusal of the treatment in the medication record
v v v v v v v v
13. A nurse is providing crisis intervention for a client who was involved in a violent mass casualty
v v v v v v v v v v v v v v v v
situation in thecommunity. Which of the following actions should the nurse take during the initial
v v v v v v v v v v v v v v v v
session with the client? a. Identify the client’s usual coping style.
v v v v v v v v v v v
14. A nurse in the emergency department is caring for a client who reports feeling sad,
v v v v v v v v v v v v v v
worthless, and hopeless 9 months after the death of her son. Which of the following actions
v v v v v v v v v v v v v v v v
should the nurse take first? d. Ask the client if she has thought about harming herself given -.
v v v v v v v v v v v v v v v v v v
15. A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the
v v v v v v v v v v v v v v v
following outcomes should the nurse include in the plan of care? c. Initiate social interactions with
v v v v v v v v v v v v v v v v
caregiver
v
16. Anurse is caring for a client who is experiencing active auditory hallucination. Which of the
v v v v v v v v v v v v v v v
following should the nurse take? d. Focus the client on reality based activities
v v v v v v v v v v v v v
17. A nurse is conducting an admission interview with a client who is experiencing mania. Whichof the
v v v v v v v v v v v v v v v
following findings the nurse reports to the provider? a. Reports eating twice in the past week 't bathed
v v v v v v v v v v v v v v v v v v
in 2 days
v v v
18. Anurseis caring for a client who has anorexia nervosa. Which of the following findings
v v v v v v v v v v v v v v v
requires immediate intervention by the nurse? c. +2 edema of the lower extremities
v v v v v v v v v v v v v
19. A nurse is planning care for a client who has a recent diagnosis of antisocial personality
v v v v v v v v v v v v v v v
disorder.Which of the following outcomes should the nurse in the care plan? a. The client treats
v v v v v v v v v v v v v v v v v
others with respect
v v v
20. A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The
v v v v v v v v v v v v v v v v
client states “I can't stand to be touched by another person”. Which of the following response
v v v v v v v v v v v v v v v v
should the nurse make? c. I will tell your provider know that you would like a treat other than a
v v v v v v v v v v v v v v v v v v v v
message (avoid triggers)
v v v
??(doubled)21. A nurse in a group home facility is caring for a client who is developmentally disabled. v v v v v v v v v v v v v v v v
The client has been stealing belongings from the other clients.Which of the following techniques should
v v v v v v v v v v v v v v v v
the nurse use? b. Positive reinforcement
v v v v v v
, 22. A nurse in a mental facility is caring for a newly admitted client. Which of the following
v v v v v v v v v v v v v v v v
resources should the nurse recommend to help the client adapt to the healthcare setting? a.A
v v v v v v v v v v v v v v v v
Community meeting
v v
23. A nurse is teaching the caregiver of a client who has advanced Alzheimer’s disease about home
v v v v v v v v v v v v v v v
safety. Which of the following statements by the caregiver indicates an understanding ofthe
v v v v v v v v v v v v v
teaching? b. I will place a sliding bolt lock just above the doorknob
v v v v v v v v v v v v v
24. A nurse is beginning a therapeutic relationship with a client. The nurse should plan to
v v v v v v v v v v v v v v
accomplish which of the following tasks during the working phase? b. Evaluate progress toward
v v v v v v v v v v v v v v
predetermined goals
v v
25. A nurse Is planning care for a client who has anorexia nervosa and is admitted to an inpatient
v v v v v v v v v v v v v v v v v
eating disorder unit. Which of the following is an appropriate intervention? (p. 167) c. Initiate a
v v v v v v v v v v v v v v v v
relationship built on trust with the client.
v v v v v v v
26. A nurse is providing discharge teaching about manifestations of relapse to the family of a client
v v v v v v v v v v v v v v v
who has schizophrenia. Which of the following information should the nurse include in the teaching
v v v v v v v v v v v v v v v
a. The client develops an inability to concentrate
v v v v v v v v
27. Anurse in a mental health facility is caring for a client. Which of the following actions should the
v v v v v v v v v v v v v v v v v v
nurse take during the working phase of the nurse-client relationship? c. Promote problem-
v v v v v v v v v v v v v
solving skills.
v v
28. Anurse is planning care for a client who has dementia. Which of the following interventions
v v v v v v v v v v v v v v v
should the nurse include in the plan? d. Provide finger food to enhance caloric intake (ensure
v v v v v v v v v v v v v v v v
adequate food/fluid intake)
v v v
29. A nurse is developing a teaching plan for the family of an older adult client who is to receive
v v v v v v v v v v v v v v v v v v
transcranialmagnetic stimulation. Which of the following information should the nurse include in the
v v v v v v v v v v v v v v
teaching plans? a. The client might have a headache after treatment (a/e mild discomfort and
v v v v v v v v v v v v v v v
tingling sensation at the site of the electromagnet)
v v v v v v v v
30. A nurse overhears a client saying, “I am a spy, a spy for the FBI. I am an I, an eye for aneye, an
v v v v v v v v v v v v v v v v v v v v v v v
eye in the sky. Sky is up high. The nurse should document the client’s statement aswhich of the
v v v v v v v v v v v v v v v v v v
following speech alterations? a. Clang association
v v v v v v
31. A nurse is assessing a client who has neuroleptic malignant syndrome. Which of the
v v v v v v v v v v v v v
following clinical findings should the nurse expect? b. Temperature 40 (104F) (sudden high
v v v v v v v v v v v v v
fever)
v
32. A nurse in an acute care mental health facility is planning discharge care for a client who
v v v v v v v v v v v v v v v v
sustained a traumatic brain injury. For which of the following needs should the nurse collaborate
v v v v v v v v v v v v v v v
with a clinical psychologist? a. The client needs to begin a group therapy program prior to
v v v v v v v v v v v v v v v v
