ATI RN MENTAL HEALTH PROCTORED EXAM
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1. A client is fearful of driving and enters a behavioral therapy program to help him overcome
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his anxiety. Using systematic desensitization, he is able to drive down a familiar street without
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experiencing a panic attack. The nurse should recognize that to continue positive results, the
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client should participate in which of the following? a. Biofeedback or d. Positive reinforcement
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2. A nurse is counseling a client following the death of the client’s partner 8 months ago.
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Whichof the following client statements indicates maladaptive grieving? d. “I still don’t feel up
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to returning to work.”
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3. A nurse in an inpatient mental health facility is assessing a client who
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has schizophrenia and is taking haloperidol (antipsychotic, 1st gen). Which
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of the following clinical findings is the nurse’s priority? d. High fever
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(Complication → agranulocytosis)
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4. A nurse is planning care for a client who has obsessive compulsive disorder. Which of the
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following recommendations should the nurse include in the client’s plan of care? c. Thought
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Stopping
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4. A nurse is providing teaching to the daughter of an older client who has obsessive-
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compulsive disorder. Which of the following statements by the daughter indicates an
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understanding of the teaching? b. “I will limit my mother’s clothing choices when she is
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getting dressed.”
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5. A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of
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the following actions should the nurse take? c. Avoid power struggles by remaining
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neutral
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6. A nurse is providing behavioral therapy for a client who has OCD. The client repeatedly
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checks that the doors are locked at night. Which of the following instructions should the
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nurse give the client when using thought stopping technique? d. “Snap a rubber band on
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your wrist when you think about checking the locks.”
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7. A nurse is caring for a client who has a cocaine use disorder. Which of the
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following manifestations should the nurse expect the client to have during
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withdrawal? b. Fatigue
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8. A nurse is reviewing the medical record of a client who is taking clozapine. For which of
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the following findings should the nurse withhold the medication and notify the provider?
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a. WBC
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9. A nurse is creating a plan of care for a client who has major depressive disorder. Which of
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the following interventions should the nurse include in the plan? b. Encourage physical activity
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for the client during the day
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,10. A nurse is assessing a client who is experiencing acute alcohol withdrawal. Which of the
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following findings should the nurse expect? c. Insomnia
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, 11. A nurse is caring for a client who has schizophrenia and displays severe symptoms of the
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disorder. Which of the following actions should the nurse take? d. Direct the client to perform
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her own daily hygiene and grooming tasks
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12. A nurse is caring for a client who was involuntarily committed and is scheduled to
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receive electroconvulsive therapy. The client refuses the treatment and will discuss why
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with the healthcare team. Which of the following actions should the nurse take? a. Document
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the client’s refusal of the treatment in the medication record
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13. A nurse is providing crisis intervention for a client who was involved in a violent mass
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casualty situation in the community. Which of the following actions should the nurse take
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during the initial session with the client? a. Identify the client’s usual coping style.
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14. A nurse in the emergency department is caring for a client who reports feeling sad,
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worthless, and hopeless 9 months after the death of her son. Which of the following
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actions should the nurse take first? d. Ask the client if she has thought about harming
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herself given -.
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15. A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the
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following outcomes should the nurse include in the plan of care? c. Initiate social interactions
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with caregiver
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16. A nurse is caring for a client who is experiencing active auditory hallucination. Which of
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the following should the nurse take? d. Focus the client on reality based activities
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17. A nurse is conducting an admission interview with a client who is experiencing mania.
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Whichof the following findings the nurse reports to the provider? a. Reports eating twice in the
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past week 't bathed in 2 days
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18. A nurse is caring for a client who has anorexia nervosa. Which of the following
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findings requires immediate intervention by the nurse? c. +2 edema of the lower
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extremities
v
19. A nurse is planning care for a client who has a recent diagnosis of antisocial personality
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disorder. Which of the following outcomes should the nurse in the care plan? a. The client
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treats others with respect
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20. A nurse is caring for a client who is prescribed massage therapy to treat panic disorder.
v v v v v v v v v v v v v v v
The client states “I can't stand to be touched by another person”. Which of the following
v v v v v v v v v v v v v v v v
response should the nurse make? c. I will tell your provider know that you would like a
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treat other than a message (avoid triggers)
v v v v v v v
??(doubled)21. A nurse in a group home facility is caring for a client who is developmentally
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vdisabled. The client has been stealing belongings from the other clients. Which of the following
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vtechniques should the nurse use? b. Positive reinforcement
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2019 v
1. A client is fearful of driving and enters a behavioral therapy program to help him overcome
v v v v v v v v v v v v v v v
his 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 v
experiencing a panic attack. The nurse should recognize that to continue positive results, the
v v v v v v v v v v v v v v
client 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 v v
2. A nurse is counseling a client following the death of the client’s partner 8 months ago.
v v v v v v v v v v v v v v v
Whichof the following client statements indicates maladaptive grieving? d. “I still don’t feel up
v v v v v v v v v v v v v v
to returning to work.”
v v v v
3. A nurse in an inpatient mental health facility is assessing a client who
v v v v v v v v v v v v
has schizophrenia and is taking haloperidol (antipsychotic, 1st gen). Which
v v v v v v v v v v
of the following clinical findings is the nurse’s priority? d. High fever
v v v v v v v v v v v v
(Complication → agranulocytosis)
v v 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
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4. A nurse is providing teaching to the daughter of an older client who has obsessive-
v v v v v v v v v v v v v v
compulsive disorder. Which of the following statements by the daughter indicates an
v v v v v v v v v v v
understanding of the teaching? b. “I will limit my mother’s clothing choices when she is
v v v v v v v v v v v v v v v
getting dressed.”
v v
5. A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of
v v v v v v v v v v v v v v v v v
the following actions should the nurse take? c. Avoid power struggles by remaining
v v v v v v v v v v v v v
neutral
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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
v v v v v v v v v v v v v v v
nurse give the client when using thought stopping technique? d. “Snap a rubber band on
v v v v v v v v v v v v v v v
your wrist when you think about checking the locks.”
v v v v v v v v v
7. A nurse is caring for a client who has a cocaine use disorder. Which of the
v v v v v v v v v v v v v v v
following manifestations should the nurse expect the client to have during
v v v v v v v v v v v
withdrawal? b. Fatigue
v v v
8. A nurse is reviewing the medical record of a client who is taking clozapine. For which of
v v v v v v v v v v v v v v v v
the following findings should the nurse withhold the medication and notify the provider?
v v v v v v v v v v v v v
a. WBC
v v
9. A nurse is creating a plan of care for a client who has major depressive disorder. Which of
v v v v v v v v v v v v v v v v v
the following interventions should the nurse include in the plan? b. Encourage physical activity
v v v v v v v v v v v v v v
for the client during the day
v v 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
v v v v v v v v v v v v v v v v
her own daily hygiene and grooming tasks
v v v v v v v
12. A nurse is caring for a client who was involuntarily committed and is scheduled to
v v v v v v v v v v v v v v
receive electroconvulsive therapy. The client refuses the treatment and will discuss why
v v v v v v v v v v v v
with the healthcare team. Which of the following actions should the nurse take? a. Document
v v v v v v v v v v v v v v v
the client’s refusal of the treatment in the medication record
v v 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
v v v v v v v v v v v v v v v
casualty situation in the community. Which of the following actions should the nurse take
v v v v v v v v v v v v v v
during the initial session with the client? a. Identify the client’s usual coping style.
v v v 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
v v v v v v v v v v v v v v v
actions should the nurse take first? d. Ask the client if she has thought about harming
v v v v v v v v v v v v v v v v
herself given -.
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
v v v v v v v v v v v v v v v
with caregiver
v v
16. A nurse is caring for a client who is experiencing active auditory hallucination. Which of
v v v v v v v v v v v v v v
the 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 v
17. A nurse is conducting an admission interview with a client who is experiencing mania.
v v v v v v v v v v v v v
Whichof the following findings the nurse reports to the provider? a. Reports eating twice in the
v v v v v v v v v v v v v v v v
past week 't bathed in 2 days
v v v v v v v
18. A nurse is caring for a client who has anorexia nervosa. Which of the following
v v v v v v v v v v v v v v
findings requires immediate intervention by the nurse? c. +2 edema of the lower
v v v v v v v v v v v v v
extremities
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
v v v v v v v v v v v v v v v v
treats others with respect
v v v v
20. A nurse is caring for a client who is prescribed massage therapy to treat panic disorder.
v v v v v v v v v v v v v v v
The client states “I can't stand to be touched by another person”. Which of the following
v v v v v v v v v v v v v v v v
response should the nurse make? c. I will tell your provider know that you would like a
v v v v v v v v v v v v v v v v v
treat other than a message (avoid triggers)
v v v v v v v
??(doubled)21. A nurse in a group home facility is caring for a client who is developmentally
v v v v v v v v v v v v v v v
vdisabled. The client has been stealing belongings from the other clients. Which of the following
v v v v v v v v v v v v v v
vtechniques should the nurse use? b. Positive reinforcement
v v v v v v v
