ATIPROCTORED
MENTAL HEALTH
EXAMPROCTORED
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a. Place the child in seclusion
1. A nurse is caring for a school-aged child
who has conduct disorder and is being
physically aggressive toward other children
in the unit. Which of the following actions
should the nurse take first?
a. Place the child in seclusion
b. Use therapeutic hold technique
c. Apply wrist restraints
d. Administer risperidone
b. ECG
2• A nurse is caring for a client who has a
new diagnosis of bulimia nervosa. Which of
the following diagnosis procedures should
the nurse anticipate the provider should
describe during the medical evaluation?
a. Chest x-ray
b. ECG
c. Coagulation studies
d. Liver function test
a. Dependent
3. A nurse is caring for a client who exhibits
excessive compliance, passivity, and self-
denial. The nurse should recognize that
these findings are associated with which of
the following personality disorders?
a. Dependent
b. Paranoid
c. Borderline
d. Histrionic
c. Offer the client the medication at the next scheduled dose time
4. A nurse is caring for a client who is
involuntarily admitted for major depressive
disorder and refuses to take prescribed
antianxiety medication. Which of the
following actions should the nurse take?
a. Inform the client that he does not have the
right to refuse medication
b. Administer the medication to the client via
IM injection
c. Offer the client the medication at the next
scheduled dose time
d. Implement consequences until the client
take the medication
d. Offer prophylactic medication to prevent STI's
5. A nurse is caring for a client in the
emergency department who states she was
beaten and sexually assaultby her partner.
After a rapid assessment, which of the
following actions should the nurse plan to
take next?
a. Conduct a pregnancy test
b. Requests mental health consultation for
the client
c. Provide a trained advocate to stay with
the clientd.
d. Offer prophylactic medication to prevent
STI's
b. Cancel the scheduled ECT procedure
6. A nurse is caring for a client who has
major depressive disorder. After discussing
the treatment with his partner, the client
verbally agrees to electroconvulsive therapy
(ECT) but will not sign the consent form.
Which of the following actions should the
nurse take?
a. Request that the client's partner sign the
consent formb.
b. Cancel the scheduled ECT procedure
c. Proceed with the preparation for ECT
based on implied consent
d. Inform the client about the risks of
refusing the ECT
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ATIPROCTORED
MENTAL HEALTH
EXAMPROCTORED
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d. Displacement
7. A nurse is caring for a client who reports
that he is angry with his partner because she
thinks he is just trying to gain attention.
When the nurse attempts to talk to the client,
he becomes angry and tells her to leave.
Which of the following defense mechanisms
is the client demonstrating?
a. Rationalization
b. Denial
c. Compensationd.
d. Displacement
b. It's important that the client feel safe verbalizing how she is feeling
8. A nursing is advising an assistive
personnel (AP) on the care of a client who
has major depressive disorder. The AP
states that he is irritated by the client's
depression. Which of the following
statements by the nurse is appropriate?
a. Please don't take what the client said
seriously when she is depressedb.
b. It's important that the client feel safe
verbalizing how she is feeling
c. Everybody feels that way about this client
so don't worry about it
d. I'll change your assignment to someone
who doesn't have depressive disorder
d. The child has cystic fibrosis
9. A nurse is assessing a child in the
emergency department. Which of the
following findings places the childat the
greatest risk for physical abuse?
a. The child is 10years old
b. The child is homeschooled
c. The has no siblings
d. The child has cystic fibrosis
b. Snap a rubber band on your wrist when you think about checking the locks
10. A nurse is providing behavioral therapy
for a client who has obsessive-compulsive
disorder. The client repeatedly checks that
the doors are locked at night. Which of the
following instructions should the nurse give
the client when using thought stopping
technique?
a. Keep a journal of how often you check the
locks each night
b. Snap a rubber band on your wrist when
you think about checking the locks
c. Ask a family member to check the lock for
you at night
d. Focus on abdominal breathing whenever
you go to check the locks
a. Bradycardia
11. A nurse is assessing a client who is
experiencing alcohol withdrawal. For which
of the following findings should the nurse
anticipate administration of lorazepam/
a. Bradycardia
b. Stupor
c. Afebrile
d. Hypertension
d. Encourage the client to participate in family therapy
12. A nurse is creating a plan of care of a
client who has anorexia nervosa. Which of
the following intervention should the nurse
include in the plan?
a. Weigh the client twice per day
b. Prepare the client for electroconvulsive
therapy
c. Set a weight gain goal of 2.2kg (5lbs) per
week
d. Encourage the client to participate in
family therapy
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