ATI RN MENTAL HEALTH PROCTORED EXAM
| | | | |
2019 |
1. 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 |or |d. |Positive |reinforcement
2. A |nurse |is |counseling |a |client |following |the |death |of |the |client’s |partner |8 |months |ago. |Whichof
|the |following |client |statements |indicates |maladaptive |grieving? |d. |“I |still |don’t |feel |up |to
|returning |to |work.”
3. A |nurse |in |an |inpatient |mental |health |facility |is |assessing |a |client |who |has
|schizophrenia |and |is |taking |haloperidol |(antipsychotic, |1st |gen). |Which |of
|the |following |clinical |findings |is |the |nurse’s |priority? |d. |High |fever
|(Complication |→ |agranulocytosis)
4. 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? |c. |Thought
|Stopping
4. A |nurse |is |providing |teaching |to |the |daughter |of |an |older |client |who |has |obsessive-compulsive
|disorder. |Which |of |the |following |statements |by |the |daughter |indicates |an |understanding |of |the
|teaching? |b. |“I |will |limit |my |mother’s |clothing |choices |when |she |is |getting |dressed.”
5. 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? |c. |Avoid |power |struggles |by |remaining |neutral
6. 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? |d. |“Snap |a |rubber |band |on |your
|wrist |when |you |think |about |checking |the |locks.”
7. 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? |b. |Fatigue
8. 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
9. 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? |b. |Encourage |physical |activity |for
|the |client |during |the |day
10. A |nurse |is |assessing |a |client |who |is |experiencing |acute |alcohol |withdrawal. |Which |of |the
|following |findings |should |the |nurse |expect? |c. |Insomnia
,11. 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? |d. |Direct |the |client |to |perform |her
|own |daily |hygiene |and |grooming |tasks
12. 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? |a. |Document |the |client’s
|refusal |of |the |treatment |in |the |medication |record
13. A |nurse |is |providing |crisis |intervention |for |a |client |who |was |involved |in |a |violent |mass
|casualty |situation |in |the |community. |Which |of |the |following |actions |should |the |nurse |take |during
|the |initial |session |with |the |client? |a. |Identify |the |client’s |usual |coping |style.
14. A |nurse |in |the |emergency |department |is |caring |for |a |client |who |reports |feeling |sad,
|worthless, |and |hopeless |9 |months |after |the |death |of |her |son. |Which |of |the |following
|actions |should |the |nurse |take |first? |d. |Ask |the |client |if |she |has |thought |about |harming |herself
|given |-.
15. 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 |of |care? |c. |Initiate |social |interactions
|with |caregiver
16. A|nurse |is |caring |for |a |client |who |is |experiencing |active |auditory |hallucination. |Which |of |the
|following |should |the |nurse |take? |d. |Focus |the |client |on |reality |based |activities
17. A |nurse |is |conducting |an |admission |interview |with |a |client |who |is |experiencing |mania. |Whichof
|the |following |findings |the |nurse |reports |to |the |provider? |a. |Reports |eating |twice |in |the |past |week
|'t |bathed |in |2 |days
18. A|nurse |is |caring |for |a |client |who |has |anorexia |nervosa. |Which |of |the |following |findings
|requires |immediate |intervention |by |the |nurse? |c. |+2 |edema |of |the |lower |extremities
19. A |nurse |is |planning |care |for |a |client |who |has |a |recent |diagnosis |of |antisocial |personality
|disorder. |Which |of |the |following |outcomes |should |the |nurse |in |the |care |plan? |a. |The |client |treats
|others |with |respect
20. 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 |response
|should |the |nurse |make? |c. |I |will |tell |your |provider |know |that |you |would |like |a |treat |other |than
|a |message |(avoid |triggers)
??(doubled)21. |A |nurse |in |a |group |home |facility |is |caring |for |a |client |who |is |developmentally
|disabled. |The |client |has |been |stealing |belongings |from |the |other |clients. |Which |of |the |following
|techniques |should |the |nurse |use? |b. |Positive |reinforcement
, 22. A |nurse |in |a |mental |facility |is |caring |for |a |newly |admitted |client. |Which |of |the |following
|resources |should |the |nurse |recommend |to |help |the |client |adapt |to |the |healthcare |setting? |a. |A
|Community |meeting
23. A |nurse |is |teaching |the |caregiver |of |a |client |who |has |advanced |Alzheimer’s |disease |about
|home |safety. |Which |of |the |following |statements |by |the |caregiver |indicates |an |understanding |ofthe
|teaching? |b. |I |will |place |a |sliding |bolt |lock |just |above |the |doorknob
24. 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? |b. |Evaluate |progress |toward
|predetermined |goals
25. A |nurse |Is |planning |care |for |a |client |who |has |anorexia |nervosa |and |is |admitted |to |an
|inpatient |eating |disorder |unit. |Which |of |the |following |is |an |appropriate |intervention? |(p. |167) |c.
|Initiate |a |relationship |built |on |trust |with |the |client.
26. 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 |develops |an |inability |to |concentrate
27. A|nurse |in |a |mental |health |facility |is |caring |for |a |client. |Which |of |the |following |actions |should
|the |nurse |take |during |the |working |phase |of |the |nurse-client |relationship? |c. |Promote |problem-
|solving |skills.
28. A|nurse |is |planning |care |for |a |client |who |has |dementia. |Which |of |the |following |interventions
|should |the |nurse |include |in |the |plan? |d. |Provide |finger |food |to |enhance |caloric |intake |(ensure
|adequate |food/fluid |intake)
29. A |nurse |is |developing |a |teaching |plan |for |the |family |of |an |older |adult |client |who |is |to |receive
|transcranial |magnetic |stimulation. |Which |of |the |following |information |should |the |nurse |include |in
|the |teaching |plans? |a. |The |client |might |have |a |headache |after |treatment |(a/e |mild |discomfort
|and |tingling |sensation |at |the |site |of |the |electromagnet)
30. A |nurse |overhears |a |client |saying, |“I |am |a |spy, |a |spy |for |the |FBI. |I |am |an |I, |an |eye |for |aneye,
|an |eye |in |the |sky. |Sky |is |up |high. |The |nurse |should |document |the |client’s |statement |aswhich |of
|the |following |speech |alterations? |a. |Clang |association
31. A |nurse |is |assessing |a |client |who |has |neuroleptic |malignant |syndrome. |Which |of |the
|following |clinical |findings |should |the |nurse |expect? |b. |Temperature |40 |(104F) |(sudden |high
|fever)
32. A |nurse |in |an |acute |care |mental |health |facility |is |planning |discharge |care |for |a |client |who
|sustained |a |traumatic |brain |injury. |For |which |of |the |following |needs |should |the |nurse |collaborate
|with |a |clinical |psychologist? |a. |The |client |needs |to |begin |a |group |therapy |program |prior |to
| | | | |
2019 |
1. 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 |or |d. |Positive |reinforcement
2. A |nurse |is |counseling |a |client |following |the |death |of |the |client’s |partner |8 |months |ago. |Whichof
|the |following |client |statements |indicates |maladaptive |grieving? |d. |“I |still |don’t |feel |up |to
|returning |to |work.”
3. A |nurse |in |an |inpatient |mental |health |facility |is |assessing |a |client |who |has
|schizophrenia |and |is |taking |haloperidol |(antipsychotic, |1st |gen). |Which |of
|the |following |clinical |findings |is |the |nurse’s |priority? |d. |High |fever
|(Complication |→ |agranulocytosis)
4. 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? |c. |Thought
|Stopping
4. A |nurse |is |providing |teaching |to |the |daughter |of |an |older |client |who |has |obsessive-compulsive
|disorder. |Which |of |the |following |statements |by |the |daughter |indicates |an |understanding |of |the
|teaching? |b. |“I |will |limit |my |mother’s |clothing |choices |when |she |is |getting |dressed.”
5. 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? |c. |Avoid |power |struggles |by |remaining |neutral
6. 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? |d. |“Snap |a |rubber |band |on |your
|wrist |when |you |think |about |checking |the |locks.”
7. 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? |b. |Fatigue
8. 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
9. 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? |b. |Encourage |physical |activity |for
|the |client |during |the |day
10. A |nurse |is |assessing |a |client |who |is |experiencing |acute |alcohol |withdrawal. |Which |of |the
|following |findings |should |the |nurse |expect? |c. |Insomnia
,11. 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? |d. |Direct |the |client |to |perform |her
|own |daily |hygiene |and |grooming |tasks
12. 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? |a. |Document |the |client’s
|refusal |of |the |treatment |in |the |medication |record
13. A |nurse |is |providing |crisis |intervention |for |a |client |who |was |involved |in |a |violent |mass
|casualty |situation |in |the |community. |Which |of |the |following |actions |should |the |nurse |take |during
|the |initial |session |with |the |client? |a. |Identify |the |client’s |usual |coping |style.
14. A |nurse |in |the |emergency |department |is |caring |for |a |client |who |reports |feeling |sad,
|worthless, |and |hopeless |9 |months |after |the |death |of |her |son. |Which |of |the |following
|actions |should |the |nurse |take |first? |d. |Ask |the |client |if |she |has |thought |about |harming |herself
|given |-.
15. 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 |of |care? |c. |Initiate |social |interactions
|with |caregiver
16. A|nurse |is |caring |for |a |client |who |is |experiencing |active |auditory |hallucination. |Which |of |the
|following |should |the |nurse |take? |d. |Focus |the |client |on |reality |based |activities
17. A |nurse |is |conducting |an |admission |interview |with |a |client |who |is |experiencing |mania. |Whichof
|the |following |findings |the |nurse |reports |to |the |provider? |a. |Reports |eating |twice |in |the |past |week
|'t |bathed |in |2 |days
18. A|nurse |is |caring |for |a |client |who |has |anorexia |nervosa. |Which |of |the |following |findings
|requires |immediate |intervention |by |the |nurse? |c. |+2 |edema |of |the |lower |extremities
19. A |nurse |is |planning |care |for |a |client |who |has |a |recent |diagnosis |of |antisocial |personality
|disorder. |Which |of |the |following |outcomes |should |the |nurse |in |the |care |plan? |a. |The |client |treats
|others |with |respect
20. 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 |response
|should |the |nurse |make? |c. |I |will |tell |your |provider |know |that |you |would |like |a |treat |other |than
|a |message |(avoid |triggers)
??(doubled)21. |A |nurse |in |a |group |home |facility |is |caring |for |a |client |who |is |developmentally
|disabled. |The |client |has |been |stealing |belongings |from |the |other |clients. |Which |of |the |following
|techniques |should |the |nurse |use? |b. |Positive |reinforcement
, 22. A |nurse |in |a |mental |facility |is |caring |for |a |newly |admitted |client. |Which |of |the |following
|resources |should |the |nurse |recommend |to |help |the |client |adapt |to |the |healthcare |setting? |a. |A
|Community |meeting
23. A |nurse |is |teaching |the |caregiver |of |a |client |who |has |advanced |Alzheimer’s |disease |about
|home |safety. |Which |of |the |following |statements |by |the |caregiver |indicates |an |understanding |ofthe
|teaching? |b. |I |will |place |a |sliding |bolt |lock |just |above |the |doorknob
24. 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? |b. |Evaluate |progress |toward
|predetermined |goals
25. A |nurse |Is |planning |care |for |a |client |who |has |anorexia |nervosa |and |is |admitted |to |an
|inpatient |eating |disorder |unit. |Which |of |the |following |is |an |appropriate |intervention? |(p. |167) |c.
|Initiate |a |relationship |built |on |trust |with |the |client.
26. 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 |develops |an |inability |to |concentrate
27. A|nurse |in |a |mental |health |facility |is |caring |for |a |client. |Which |of |the |following |actions |should
|the |nurse |take |during |the |working |phase |of |the |nurse-client |relationship? |c. |Promote |problem-
|solving |skills.
28. A|nurse |is |planning |care |for |a |client |who |has |dementia. |Which |of |the |following |interventions
|should |the |nurse |include |in |the |plan? |d. |Provide |finger |food |to |enhance |caloric |intake |(ensure
|adequate |food/fluid |intake)
29. A |nurse |is |developing |a |teaching |plan |for |the |family |of |an |older |adult |client |who |is |to |receive
|transcranial |magnetic |stimulation. |Which |of |the |following |information |should |the |nurse |include |in
|the |teaching |plans? |a. |The |client |might |have |a |headache |after |treatment |(a/e |mild |discomfort
|and |tingling |sensation |at |the |site |of |the |electromagnet)
30. A |nurse |overhears |a |client |saying, |“I |am |a |spy, |a |spy |for |the |FBI. |I |am |an |I, |an |eye |for |aneye,
|an |eye |in |the |sky. |Sky |is |up |high. |The |nurse |should |document |the |client’s |statement |aswhich |of
|the |following |speech |alterations? |a. |Clang |association
31. A |nurse |is |assessing |a |client |who |has |neuroleptic |malignant |syndrome. |Which |of |the
|following |clinical |findings |should |the |nurse |expect? |b. |Temperature |40 |(104F) |(sudden |high
|fever)
32. A |nurse |in |an |acute |care |mental |health |facility |is |planning |discharge |care |for |a |client |who
|sustained |a |traumatic |brain |injury. |For |which |of |the |following |needs |should |the |nurse |collaborate
|with |a |clinical |psychologist? |a. |The |client |needs |to |begin |a |group |therapy |program |prior |to
