Mental Health ATI 2 Proctored Exam

1. A nurse is planning care for a client who has borderline personality disorder who selfmutilates. Which of the following test approaches should the nurse plan to take? -Restrict participation in group therapy sessions. -Establish consequences for self-mutilation. -Maintain close observation of the client. -Provide an unstructured environment. - -Maintain close observation of the client. 2. A nurse is assessing a client who has Stage 4 Alzheimer's disease. Which of the following findings should the nurse expect? -The client requires assistance with eating. -The client independently manages personal finances. -The client has bladder incontinence. -The client is able to identify the names of family members. - -The client is able to identify the names of family members. 3. A nurse is caring for a client who reports that the television set in the room is really a two-way radio and states, "voices are coming from the TV and everything we say in the room is being recorded." Which of the following responses should the nurse make? -"What we say is not being recorded." -"Let's ignore the voices and talk about something else." -"That must be very frightening." -"Why do you think the TV is a two-way radio?" - -"That must be very frightening." 4. A nurse is planning care for a newly admitted client who has bipolar disorder and is experiencing acute mania. Which of the following client goals should the nurse identify as the priority? -Practicing problem-solving skills -Understanding of medication regimen -Identifying indications of relapse -Maintaining adequate hydration - -Maintaining adequate hydration 5. A nurse is preparing to administer benzodiazepine to a client with Generalized Anxiety Disorder. The nurse should tell the client to expect with of the following adverse reactions? -Tinnitus -Bradycardia -Halitosis -Sedation - -Sedation 6. A nurse in a mental health unit is planning care for a client who is receiving treatment for self-inflicted injuries. The nurse should identify which of the following interventions as the priority when planning care for this client? -Promoting and maintaining client safety -Discussing reasons for the client's behavior -Assisting the client to recognize feelings -Teaching the client alternative coping strategies - -Promoting and maintaining client safety 7. A nurse is providing teaching to a client who has a new prescription for disulfiram for management of alcohol dependence. Which of the following dietary choices should the nurse instruct the client to avoid? -Peppermint candy -Pure vanilla extract -Salt -Chocolate - -Pure vanilla extract 8. A nurse is planning care for a client with a physical dependence of Alprazolam and must discontinue the medication. Which of the following should the nurse include in the plan? -Taper the medication gradually over several weeks. -Encourage participation in stimulating physical activity. -Monitor the client for a return of anxiety for up to 72 hr following discontinuation of the medication. -Implement restraints and seclusion as needed. - -Taper the medication gradually over several weeks. 9. A nurse is caring for a newly admitted client who is receiving treatment for alcohol use disorder. the client tells the nurse, "I have not had a drink for 6 hours." Which findings should the nurse expect during alcohol withdrawals. -Low body temperature -Insomnia -Muscle flaccidity -Bradycardia - -Insomnia 10. A nurse is caring for a client who is receiving treatment for alcohol detoxification. Which of the following medications should the nurse expect to administer during this phase of the client's care? -Buprenorphine -Diazepam -Varenicline -Rimonabant - -Diazepam 11. A nurse is speaking to a community group about the diagnosis and treatment of clients who have Alzheimer's. The nurse should conclude that the members of the group need further teaching when she identifies the following as manifestations of Alzheimer's. -Impaired judgment -Sudden confusion -Personality change -Remote memory loss - -Sudden confusion 12. A nurse is providing teaching to a client with Generalized Anxiety Disorder and a new prescription for Buspirone. The nurse should inform the client that which of the following manifestations is a common adverse effect of this medication? -Confusion -Bradycardia -Dizziness -Insomnia - -Dizziness 13. A nurse is reviewing the medications of a client who has bipolar disorder and a new prescription for lithium. The nurse should identify that it is safe to administer which of the following medications while the client is taking lithium? -Ibuprofen -Haloperidol -Valproic acid -Hydrochlorothiazide - -Valproic acid 14. A nurse in the emergency department is caring for a toddler with a fractured arm. which of the following finding should the nurse suspect as possible abuse? -The parent provides a history that is inconsistent with the child's injury. -The child is brought to the emergency department immediately following the injury. -The parent requests to remain present with the child throughout treatment of the injury. -The child clings to the parent when the nurse begins to assess the injury. - -The parent provides a history that is inconsistent with the child's injury. 15. A nurse is evaluating a care plan for a client who has an Antisocial Personality Disorder. Which of the following client actions indicates he is making progress in treatments? (Select All That Apply) -Assisting another client who has depression to fill out a menu -Nominating himself to chair the client government meeting -Requesting a weekend pass to go home -Serving as the judge for a unit talent show -Informing the nurse that the staff provides excellent care to clients - -Assisting another client who has depression to fill out a menu -Requesting a weekend pass to go home 16. A nurse is providing teaching to a client who is to start taking valproic acid. Which of the following instructions should the nurse include? -"You should expect the provider to gradually decrease your dosage of valproic acid." -"You should take aspirin for pain you have while taking valproic acid." -"You should undergo thyroid function tests every 6 months while taking valproic acid." -"You should have your liver function levels monitored regularly while taking valproic acid" - -"You should have your liver function levels monitored regularly while taking valproic acid" 17. A nurse is teaching a client who has Agoraphobia about Systematic Desensitization. Which of the following comments should the nurse include in the teaching? -"You will watch from a secure location as your therapist goes to public spaces." -"You will start your therapy by staying in a public space until your anxiety decreases." -"You will be instructed to say 'Stop!' out loud when you become anxious in public spaces." -"You will slowly be exposed to increasing levels of public spaces." - -"You will watch from a secure location as your therapist goes to public spaces." 18. A nurse is planning a staff education session about the administration of antidepressant medications to older adult clients. Which of the following information should the nurse include in the teaching? -Older adult clients require a lower initial dose of antidepressant medication than adult clients. -Older adult clients should not receive antidepressant medication. -Older adult clients achieve the therapeutic effects of antidepressant medications more quickly than adult clients. -Older adult clients have a decreased risk for adverse effects from antidepressant medication. - Older adult clients require a lower initial dose of antidepressant medication than adult clients. 19. A nurse in an acute mental health facility is reviewing the medication records for a group of clients. The nurse should expect a prescription for memantine for a client who has which of the following diagnoses? -Postpartum depression -Schizophrenia -Obesity -Severe Alzheimer's disease - Severe Alzheimer's disease 20. A nurse is assessing a client who has Binge-Eating Disorder. Which of the following findings should the nurse expect? -Amenorrhea -Abdominal pain -Restricted caloric intake -Frequent use of laxatives - Abdominal pain 21. A nurse on an acute care unit is providing postoperative care for an elderly patient who developed Delirium. Which of the following actions should the nurse take? -Request a prescription for an antianxiety medication. -Provide the client with a stimulating activity prior to bedtime. -Keep the lights in the client's room dim at night. -Encourage the client to make decisions about her daily routine. - Request a prescription for an antianxiety medication. 22. A nurse assessing a client who has Conduct Disorder. Which of the following findings should the nurse expect? -Fearfulness of authority figures -Flat affect -Preoccupation with enforcing rules -Aggressive behavior toward others - Aggressive behavior toward others 23. A nurse in an acute care facility is leading a staff discussion about the legal implications of involuntary admissions. Which of the following should the nurse include? -A client who is involuntarily admitted must take prescribed medications. -An involuntary admission of a client is limited to 2 weeks. -A client who is involuntarily admitted can leave the facility against medical advice. -An involuntary admission is justified if the client is a danger to others. - An involuntary admission is justified if the client is a danger to others. 24. A nurse is caring for a client who has Schizophrenia. The nurse notices that the client is pacing up and down the hall very rapidly and muttering in an angry manner. Which of the following actions should the nurse take first? -Apply mechanical restraints to the client. -Administer PRN haloperidol IM to the client. -Approach the client in a nonthreatening manner. -Place the client in seclusion - Approach the client in a nonthreatening manner. 25. A nurse is reviewing the medical record of a client who has a new prescription for a benzodiazepine. For which of the following findings should the nurse question the provider's prescriptions? *Mark only one oval. -A skeletal muscle injury -History of status epilepticus -Hypotension -Insomnia - Hypotension 26. A nurse is providing teaching to the parents of a school-age child who has attention deficit hyperactivity disorder (ADHD). Which of the following instructions should the nurse include in the teaching? -"Ignore your child's attention-seeking behaviors that are not dangerous." -"Administer ADHD medications within 30 minutes of your child's bedtime." -"Continue with an activity as planned even if your child becomes frustrated." -"Expect your child to gain weight after starting ADHD medications." - "Ignore your child's attention-seeking behaviors that are not dangerous." 27. The nurse is interviewing a client who has Anorexia Nervosa. Which if the following findings should the nurse expect? -Poor personal hygiene habits -Strenuous exercise regimen -Grandiose behaviors -Intense fear of death - Strenuous exercise regimen 28. A nurse is caring for a client who has depression, the clients states, "I am too tired and depressed to attend group therapy today." Which of the following responses should the nurse make? -"Attending group therapy, even if you're tired, is an important part of your treatment." -"That's okay if you're too tired to attend group therapy today, but you will have to go tomorrow." -"It is normal to feel tired when you're feeling depressed. The others in group therapy also feel this way." -"I agree with your decision to wait for participation in group therapy until you begin to feel better." - "Attending group therapy, even if you're tired, is an important part of your treatment."