NGN ATI MENTAL HEALTH EXAM 2023/2024

NGN ATI MENTAL HEALTH EXAM 2023/2024 .A client is fearful of driving and enters a behavioral therapy program to help him overcome his anxiety. Using systematic desensitization, he is able to drive down a familiar street without experiencing a panic attack. The nurse should recognize that to continue positive results, the client should participate in which of the following? a. Biofeedback b. Therapist modeling c. Frequent pacing d. Positive reinforcement - CORRECT ANSWER-a. Biofeedback A nurse is counseling a client following the death of the client's partner 8months ago. Which of the following client statements indicates maladaptive grieving? a. "I am so sorry for the times I was angry with my partner." b. "I like looking at his personal items in the closet." c. "I find myself thinking about my partner often." d. "I still don't feel up to returning to work. - CORRECT ANSWER-d. I still don't feel up to returning to work. A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is taking haloperidol (anti-psychotic, 1st gen). Which of the following clinical findings is the nurse's priority? a. Headache b. Insomnia c. Urinary hesitancy d. High fever - CORRECT ANSWER-d. high fever A nurse is planning care for a client who has obsessive compulsive disorder. Which of the following recommendations should the nurse include in the client's plan of care? a. Reality Orientation therapy b. Operant Conditioning c. Thought Stopping d. Validation Therapy - CORRECT ANSWER-c. thought stopping A nurse is providing teaching to the daughter of an older client who has obsessivecompulsive disorder. Which of the following statements by the daughter indicates an understanding of the teaching? a. "I will provide my mother with detailed instructions about how to perform self-care." b. "I will limit my mother's clothing choices when she is getting dressed." c. "I will wake my mother up a couple of times in the night to check on her." d. "I will discourage my mother from talking about her physical complaints." - CORRECT ANSWER-b. "I will limit my mother's clothing choices when she is getting dressed." A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the following actions should the nurse take? a. Provide in depth explanation of nursing expectations b. Encourage the client to participate in group activities c. Avoid power struggles by remaining neutral d. Allow the client to set limits for his behavior - CORRECT ANSWER-c. Avoid power struggles by remaining neutral A nurse is providing behavioral therapy for a client who has OCD. 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. "Ask a family member to check the locks for you at night." c. "Focus on abdominal breathing whenever you go to check the locks." d. "Snap a rubber band on your wrist when you think about checking the locks." - CORRECT ANSWER-d. "Snap a rubber band on your wrist when you think about checking the locks." A nurse is caring for a client who has a cocaine use disorder. Which of the following manifestations should the nurse expect the client to have during withdrawal? a. Hand tremors (Intoxication) b. Fatigue c. Seizures (Intoxication) d. Rapid speech - CORRECT ANSWER-b. fatigue A nurse is reviewing the medical record of a client who is taking clozapine. For which of the following findings should the nurse withhold the medication and notify the provider? a. WBC count b. Heart rate c. Report of photosensitivity d. Blood glucose level - CORRECT ANSWER-a. wbc count A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan? a. Keep the ring light on in the client's room at night b. Encourage physical activity for the client during the day c. Identity and schedule alternative group activities for the client d. Discourage the client from expressing feeling of anger - CORRECT ANSWER-b. Encourage physical activity for the client during the day A nurse is assessing a client who is experiencing acute alcohol withdrawal. Which of the following findings should the nurse expect? a. Diminished reflexes b. Hypotension - increased BP c. Insomnia d. Bradycardia - CORRECT ANSWER-c. insomnia A nurse is caring for a client who has schizophrenia and displays severe symptoms of the disorder. Which of the following actions should the nurse take? a. Use medication to decrease frequency of auditory and visual hallucinations b. Assist the client to identify somatic and thought broadcast delusion (Identify symptom triggers, such as loud noises (can trigger auditory hallucinations in certain clients) and situations that seem to trigger conversations about the client's delusions. c. Manage the client's loud, rambling, and incoherent communication patterns d. Direct the client to perform her own daily hygiene and grooming tasks - CORRECT ANSWER-d. Direct the client to perform her own daily hygiene and grooming tasks A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy. The client refuses the treatment and will discuss why with the healthcare team. Which of the following actions should the nurse take?