ATI Mental Health Proctored Exam 2019 ATI Mental Health Proctored Exam 2019
A nurse is planning overall strategies to address problems for a client who A nurse is leading a crisis intervention group for adolescents who witnessed the suicide
has a borderline personality disorder. Which of the following strategies is the of a classmate. Which of the following actions should the nurse take first?
priority for the nurse to incorporate into the plan of care?
a. Initiate referrals
a. discuss the appropriate use of assertive behavior with the client b. Review community resources
b. encourage the client to attend weekly support group meetings c. Identify prior coping skills
c. assist the client to maintain awareness of her thoughts and feelings d. Discuss the importance of confidentiality - CORRECT ANSWER c. Identify prior
d. implement measures to prevent intentional self-inflicted injury - CORRECT ANSWER coping skills
d. implement measures to prevent intentional self-inflicted injury
A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye for an
A nurse is admitting a client who has a generalized anxiety disorder. Which of the eye in the sky. Sky is up high." The nurse should document the client's statement as
following actions should the nurse plan to take first? which of the following speech alterations?
a. Provide the client with a quiet environment a. Echolalia
b. Determine how the client handles stress. b. Word salad
c. Teach the client to use guided imagery. c. Neologism
d. Ask the client to identify her strengths - CORRECT ANSWER a. Provide the client d. Clang association - CORRECT ANSWER d. Clang association
with a quiet environment
An older adult client is brought to the mental health clinic by her daughter. The daughter
A nurse is conducting an admission interview with a client who is experiencing mania. reports that her mother is not eating and seems uninterested in routine activities. The
Which of the following should the nurse report to the provider? daughter states "Im so worried that my mother is depressed" which of the following
responses should the nurse make?
a. States that he hasn't bathed in 2 days
b. Reports eating twice in the past two weeks. a. Everyone gets depressed from time to time.
c. Makes inappropriate sexual comments. b. You shouldn't worry about this because the depressive disorder is easily treated.
d. Speaks in rhyming sentences. - CORRECT ANSWER b. Reports eating twice in the c. Older adults are usually diagnosed with the depressive disorder as they age.
past two weeks. d. Tell me the reasons you think your mother is depressed. - CORRECT ANSWER d.
Tell me the reasons you think your mother is depressed.
A nurse is planning care for a client who has obsessive-compulsive disorder. Which of
the following recommendation should the nurse include in the client's plan of care? 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. Validation therapy
b. Thought stopping a. Meets own needs without manipulating others.
c. Operant conditioning b. Initiates social interactions with caregivers.
d. Reality orientation therapy - CORRECT ANSWER b. Thought stopping c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real. - CORRECT ANSWER b. Initiates social
A nurse is caring for a client who has bipolar disorder and is experiencing a manic interactions with caregivers.
episode. Which of the following actions should the nurse take?
A nurse is providing behavior therapy for a client who has obsessive-compulsive
a. Encourage the client to join group activities disorder. The client repeatedly checks that the doors are locked at night. Which of the
b. Dim the lights in the client's room following instructions should the nurse give the client when using thought stopping
c. Provide detailed explanations to the client technique?
d. Administer methylphenidate - CORRECT ANSWER b. Dim the lights in the client's
room 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.
, ATI Mental Health Proctored Exam 2019 ATI Mental Health Proctored Exam 2019
d. Keep a journal of how often you check the locks each night. - CORRECT ANSWER b. BUN 21 mg dL
a. Snap a rubber band on your wrist when you think about checking the locks. c. Lanugo covering the body
d. Blood pH 7.60 - CORRECT ANSWER d. Blood pH 7.60
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 A nurse is caring for a client in a mental health facility. The client is agitated and
nonmaleficence? threatens to harm herself and others. Which of the following is the priority intervention?
a. Provide the client with quality care regardless of their ability to pay for treatment. a. Place the client in restraints
b. Educating the client about legal rights concerning treatment. b. Administer an anti-anxiety medication to the client
c. Withholding the prescribed medication that is causing adverse effects for the client. c. Put the client in seclusion
d. Being truthful with the client about the manifestations of withdrawal. - CORRECT d. Set limits on the client's behavior - CORRECT ANSWER d. Set limits on the client's
ANSWER c. Withholding the prescribed medication that is causing adverse effects for behavior
the client.
Dosage Calculation: A nurse is preparing to administer Haloperidol 7mg IM to a client
A nurse in a group home facility is caring for a client who is developmentally disabled. who is severely agitated. Available is Haloperidol injection 5mg/mL. How many mL
The client has been stealing belongings from other clients. Which of the following should the nurse administer? - CORRECT ANSWER 1.4 mL
techniques should the nurse use?
18) A nurse is caring for a client who was involuntarily committed and is scheduled to
a. Crisis intervention to decrease anxiety. receive electroconvulsive therapy (ECT). The client refuses the treatment and will not
b. Aversion therapy to provide distraction discuss why with the healthcare team. Which of the following actions should the nurse
c. Positive reinforcement to increase desired behavior. take?
d. Systematic desensitization to extinguish the behavior. - CORRECT ANSWER c.
Positive reinforcement to increase desired behavior. a. Ask the clients family to encourage the client to receive ECT
b. Inform the client that ECT does not require a consent.
A nurse is caring for a client who is experiencing a panic attack. Which of the following c. Document the client's refusal of the treatment in the medical record.
actions should the nurse take? d. Tell the client he cannot refuse the treatment because he was
involuntarily committed. - CORRECT ANSWER c. Document the client's refusal of the
a. Ask the client to discuss precipitating events treatment in the medical record.
b. Speaks to the client in a high-pitched voice.
c. Place the client in seclusion A nurse in the emergency department is caring for a client who reports feeling sad,
d. Have the client breathe into a paper bag. - CORRECT ANSWER d. Have the client worthless, and hopeless 9 months after the death of her son. Which of the following
breathe into a paper bag. actions should the nurse take first?
The nurse is caring for a client following a physical assault. The client states "I don't a. Request a mental health consult for the client.
remember what happened to me." The nurse should recognize that the client is using b. Ask the client if she has thought about harming herself.
which of the following defense mechanisms? c. Encourage the client to attend a grief support group.
d. Discuss the clients coping skills. - CORRECT ANSWER c. Encourage the client to
a. Repression attend a grief support group.
b. Displacement
c. Rationalization A nurse is caring for a client who has borderline personality disorder and has been
d. Denial - CORRECT ANSWER a. Repression engaging in self- mutilation. The nurse should encourage the client to participate in
which of the following groups.
A nurse is caring for a client who has anorexia nervosa. Which of the following findings
require immediate intervention by the nurse? a. Dual diagnosis treatment group
b. Dialectical Behavior treatment group
a. +2 edema of the lower extremities
A nurse is planning overall strategies to address problems for a client who A nurse is leading a crisis intervention group for adolescents who witnessed the suicide
has a borderline personality disorder. Which of the following strategies is the of a classmate. Which of the following actions should the nurse take first?
priority for the nurse to incorporate into the plan of care?
a. Initiate referrals
a. discuss the appropriate use of assertive behavior with the client b. Review community resources
b. encourage the client to attend weekly support group meetings c. Identify prior coping skills
c. assist the client to maintain awareness of her thoughts and feelings d. Discuss the importance of confidentiality - CORRECT ANSWER c. Identify prior
d. implement measures to prevent intentional self-inflicted injury - CORRECT ANSWER coping skills
d. implement measures to prevent intentional self-inflicted injury
A nurse overhears a client saying"I am a spy, a spy for the FBI .I am an I,an eye for an
A nurse is admitting a client who has a generalized anxiety disorder. Which of the eye in the sky. Sky is up high." The nurse should document the client's statement as
following actions should the nurse plan to take first? which of the following speech alterations?
a. Provide the client with a quiet environment a. Echolalia
b. Determine how the client handles stress. b. Word salad
c. Teach the client to use guided imagery. c. Neologism
d. Ask the client to identify her strengths - CORRECT ANSWER a. Provide the client d. Clang association - CORRECT ANSWER d. Clang association
with a quiet environment
An older adult client is brought to the mental health clinic by her daughter. The daughter
A nurse is conducting an admission interview with a client who is experiencing mania. reports that her mother is not eating and seems uninterested in routine activities. The
Which of the following should the nurse report to the provider? daughter states "Im so worried that my mother is depressed" which of the following
responses should the nurse make?
a. States that he hasn't bathed in 2 days
b. Reports eating twice in the past two weeks. a. Everyone gets depressed from time to time.
c. Makes inappropriate sexual comments. b. You shouldn't worry about this because the depressive disorder is easily treated.
d. Speaks in rhyming sentences. - CORRECT ANSWER b. Reports eating twice in the c. Older adults are usually diagnosed with the depressive disorder as they age.
past two weeks. d. Tell me the reasons you think your mother is depressed. - CORRECT ANSWER d.
Tell me the reasons you think your mother is depressed.
A nurse is planning care for a client who has obsessive-compulsive disorder. Which of
the following recommendation should the nurse include in the client's plan of care? 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. Validation therapy
b. Thought stopping a. Meets own needs without manipulating others.
c. Operant conditioning b. Initiates social interactions with caregivers.
d. Reality orientation therapy - CORRECT ANSWER b. Thought stopping c. Changes behavior as a result of peer pressure.
d. Acknowledges his delusions are not real. - CORRECT ANSWER b. Initiates social
A nurse is caring for a client who has bipolar disorder and is experiencing a manic interactions with caregivers.
episode. Which of the following actions should the nurse take?
A nurse is providing behavior therapy for a client who has obsessive-compulsive
a. Encourage the client to join group activities disorder. The client repeatedly checks that the doors are locked at night. Which of the
b. Dim the lights in the client's room following instructions should the nurse give the client when using thought stopping
c. Provide detailed explanations to the client technique?
d. Administer methylphenidate - CORRECT ANSWER b. Dim the lights in the client's
room 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.
, ATI Mental Health Proctored Exam 2019 ATI Mental Health Proctored Exam 2019
d. Keep a journal of how often you check the locks each night. - CORRECT ANSWER b. BUN 21 mg dL
a. Snap a rubber band on your wrist when you think about checking the locks. c. Lanugo covering the body
d. Blood pH 7.60 - CORRECT ANSWER d. Blood pH 7.60
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 A nurse is caring for a client in a mental health facility. The client is agitated and
nonmaleficence? threatens to harm herself and others. Which of the following is the priority intervention?
a. Provide the client with quality care regardless of their ability to pay for treatment. a. Place the client in restraints
b. Educating the client about legal rights concerning treatment. b. Administer an anti-anxiety medication to the client
c. Withholding the prescribed medication that is causing adverse effects for the client. c. Put the client in seclusion
d. Being truthful with the client about the manifestations of withdrawal. - CORRECT d. Set limits on the client's behavior - CORRECT ANSWER d. Set limits on the client's
ANSWER c. Withholding the prescribed medication that is causing adverse effects for behavior
the client.
Dosage Calculation: A nurse is preparing to administer Haloperidol 7mg IM to a client
A nurse in a group home facility is caring for a client who is developmentally disabled. who is severely agitated. Available is Haloperidol injection 5mg/mL. How many mL
The client has been stealing belongings from other clients. Which of the following should the nurse administer? - CORRECT ANSWER 1.4 mL
techniques should the nurse use?
18) A nurse is caring for a client who was involuntarily committed and is scheduled to
a. Crisis intervention to decrease anxiety. receive electroconvulsive therapy (ECT). The client refuses the treatment and will not
b. Aversion therapy to provide distraction discuss why with the healthcare team. Which of the following actions should the nurse
c. Positive reinforcement to increase desired behavior. take?
d. Systematic desensitization to extinguish the behavior. - CORRECT ANSWER c.
Positive reinforcement to increase desired behavior. a. Ask the clients family to encourage the client to receive ECT
b. Inform the client that ECT does not require a consent.
A nurse is caring for a client who is experiencing a panic attack. Which of the following c. Document the client's refusal of the treatment in the medical record.
actions should the nurse take? d. Tell the client he cannot refuse the treatment because he was
involuntarily committed. - CORRECT ANSWER c. Document the client's refusal of the
a. Ask the client to discuss precipitating events treatment in the medical record.
b. Speaks to the client in a high-pitched voice.
c. Place the client in seclusion A nurse in the emergency department is caring for a client who reports feeling sad,
d. Have the client breathe into a paper bag. - CORRECT ANSWER d. Have the client worthless, and hopeless 9 months after the death of her son. Which of the following
breathe into a paper bag. actions should the nurse take first?
The nurse is caring for a client following a physical assault. The client states "I don't a. Request a mental health consult for the client.
remember what happened to me." The nurse should recognize that the client is using b. Ask the client if she has thought about harming herself.
which of the following defense mechanisms? c. Encourage the client to attend a grief support group.
d. Discuss the clients coping skills. - CORRECT ANSWER c. Encourage the client to
a. Repression attend a grief support group.
b. Displacement
c. Rationalization A nurse is caring for a client who has borderline personality disorder and has been
d. Denial - CORRECT ANSWER a. Repression engaging in self- mutilation. The nurse should encourage the client to participate in
which of the following groups.
A nurse is caring for a client who has anorexia nervosa. Which of the following findings
require immediate intervention by the nurse? a. Dual diagnosis treatment group
b. Dialectical Behavior treatment group
a. +2 edema of the lower extremities
