ATI MENTAL HEALTH PROCTORED EXAM WITH NGN 2023/2024//ATI RN MENTAL HEALTH WITH NGN EXAM QUESTIONS AND CORRECT ANSWERS

A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan care? a. Meets own needs without manipulating others. b. Initiates social interactions with caregivers. c. Changes behavior as a result of peer pressure. d. Acknowledges his delusions are not real - ANSWER- a. Meets own needs without manipulating others. A nurse is providing behavior 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. Snap a rubber band on your wrist when you think about checking the locks. 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. Keep a journal of how often you check the locks each night. - ANSWER- a. Snap a rubber band on your wrist when you think about checking the locks. A nurse is caring for a client who is starting treatment for substance use disorder. Which of the following actions indicates the nurse is practicing the ethical principle of nonmaleficence? a. Provide the client with quality care regardless of their ability to pay for treatment. b. Educating the client about legal rights concerning treatment. c. Withholding the prescribed medication that is causing adverse effects for the client. d. Being truthful with the client about the manifestations of withdrawal. - ANSWER- c. Withholding the prescribed medication that is causing adverse effects for the client. A nurse in a group home facility is caring for a client who is developmentally disabled. The client has been stealing belongings from other clients. Which of the following techniques should the nurse use? a. Crisis intervention to decrease anxiety. b. Aversion therapy to provide distraction c. Positive reinforcement to increase desired behavior. d. Systematic desensitization to extinguish the behavior. - ANSWER- c. Positive reinforcement to increase desired behavior. A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states "I can't stand to be touched by another person." Which of the following responses should the nurse make? a. Why don't you like to be touched by others b. Don't worry about it. Your anxiety will lessen once the massage begins. C. I will tell your provider you would like a treatment other than a massage. d. I will request that the massage therapist wear gloves during your treatment. - ANSWER- C. I will tell your provider you would like a treatment other than a massage. A nurse is creating a plan of care for a client who has a major depressive disorder. Which of the following interventions should the nurse include in the plan? a. Encourage physical activity for the client during the day b. Discourage the client from expressing feelings of anger c. Keep a bright light on in the client's room at night. d. Identify and schedule alternative group activities for the client - ANSWER- a. Encourage physical activity for the client during the day A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching? a. The client exhibits an inflated sense of self b. The client develops an inability to concentrate c. The client increases participation in social activities d. The client begins sleeping more than usual - ANSWER- b. The client develops an inability to concentrate A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take? a. Request that the client's guardian sign the consent b. Ask the charge nurse to obtain informed consent c. Contact the facility social worker to obtain the consent d. Explain implied consent to the client's family - ANSWER- a. Request that the client's guardian sign the consent A nurse is providing teaching about disorder management for a client who has posttraumatic stress disorder (PTSD). Which of the following statements should the nurse include in the teaching? a. "Avoiding stimuli that trigger memories of the trauma can help you overcome your PTSD" b. "Talking about the traumatic experience is recommended" c. "Response prevention is an effective treatment for PTSD" d. "You should try to limit the number of hours that you sleep each day" - ANSWER- b. "Talking about the traumatic experience is recommended" A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase? a. Inform the client about confidentiality rights b. Establish boundaries between the nurse and the client c. Set short and long-term objectives for the future d. Evaluate progress toward predetermined goals - ANSWER- d. Evaluate progress toward predetermined goals A nurse in a mental health facility is making plans for a client's discharge. Which of the following interdisciplinary team members should the nurse contact to assist the client with housing placement? a. Clinical nurse specialist b. Recreational therapist c. Occupational therapist d. Social worker - ANSWER- d. Social worker 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 mechanism is the client demonstrating? a. Denial b. Displacement c. Compensation d. Rationalization - ANSWER- b. Displacement A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan? a. Negotiate with the client how much weight she should gain each week. b. Decrease the client's daily intake of fiber c. Weight the client weekly for the first month d. Notify the client about designated time for meals - ANSWER- d. Notify the client about designated time for meals A nurse is caring for a client who has prescription for phenelzine. The nurse should instruct the client to avoid which of the following over-the- counter medications? a. Ranitidine b. Pseudoephedrine c. Ibuprofen d. Docusate sodium - ANSWER- b. Pseudoephedrine A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment finding in the client's history should the nurse report to the provider? a. Hepatitis B Infection b. Hypothyroidism c. Knee arthroplasty 1 month ago d. Recent head injury - ANSWER- d. Recent head injury A nurse in the community health facility is interviewing a client who recently lost his job. The client states "I was fired because my boss doesn't like me" Which of the following defense mechanisms is the client displaying? a. Rationalization b. Displacement c. Dissociation d. Repression - ANSWER- a. Rationalization