ATI Practice Questions Mental Health Exam questions and answers

Chapter 11: Anxiety Disorders 1. A nurse observes a client who has OCD repeatedly applying, removing, and then reapplying makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following? a. Narcissistic behavior b. Fear of rejection from staff c. Attempt to reduce anxiety d. Adverse effect of antidepressant medication 2. A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? a. Discuss new relaxation techniques b. Show the client how to change his behavior c. Distract the client with a T.V. show d. Stay with the client and remain quiet 3. A nurse is assessing a client who has generalize anxiety disorder. Which of the following findings should the nurse expect? (SATA) a. Excessive worry for 6 months b. Impulsive decision making c. Delayed reflexes d. Restlessness e. Need for reassurance 4. A nurse is planning care for a client who has body dysmorphic disorder. Which of the following actions should the nurse plan to take first? a. Assessing the client risk for self-harm b. Instilling hope for positive outcomes c. Encouraging the client to participate in group therapy sessions d. Encouraging the client to participate in treatment decisions 5. A nurse is caring for a client who has acute stress disorder is experiencing severe anxiety. Which of the following statements actions should the nurse make? a. “Tell me about how you are feeling right now” b. “You should focus positive things in your life to decrease your anxiety” c. Why do you believe you are experiencing anxiety” d. “Let’s discuss the medications your provider is prescribing to decrease your anxiety” Chapter 12: Trauma and Stress Related Disorders 1. A nurse working on an acute MH unit is caring for a client who has PTSD. Which of the following findings should the nurse expect? (SATA) a. Difficulty concentrating on tasks b. Obsessive need to talk about the traumatic event c. Negative self-image d. Recurring nightmares e. Diminished reflexes 2. A nurse is involved in a serious and prolonged mass causality incident in the ED. Which of the following strategies should the nurse use to help prevent developing trauma-related disorder? (SATA) a. Avoid thinking about the incident when it is over b. Take breaks during the incident for food and water c. Debrief with others following the incident d. Hold emotions in check in the days following the incident e. Take advantage of offered counseling 3. A nurse is collecting an admission hx for a client who has acute stress disorder (ASD). Which of the following information should the nurse expect to collect? a. The client remembers many details about the traumatic incident b. The client expresses heightened elation about what is happening c. The client states he first noticed manifestations of the disorder 6 weeks after the traumatic incident occurred d. The client expresses a sense of unreality about the traumatic incident 4. A nurse is caring for a client who has derealization disorder. Which of the following findings should the nurse identify as an indication of derealization? a. The client explains that her body seems to be floating above ground b. The client has the idea that someone is trying to kill her and steal her money c. The client states that the furniture in the room seems to be small and far away d. The client cannot recall anything that happened during the past 2 weeks 5. A nurse in an acute MH facility is planning care for a client who has dissociative fugue. Which of the following interventions should the nurse add to the plan of care? a. Teach the client to recognize how stress brings on the personality change in the client b. Repeatedly present client with new information about past events c. Make decisions for the client regarding routine daily activities d. Work the client on grounding techniques Chapter 19: Eating Disorders 1. A nurse is preparing to obtain a nursing history from a client who has a new diagnosis of anorexia nervosa. Which of the following questions should the nurse include in the assessment? (SATA) a. “What is your relationship with your family?” b. “Why do you want to lose weight?” c. “Would you describe your current eating habits?” d. “At what weight do you believe you will look better?” e. “Can you discuss your feelings about your appearance?”