ATI MENTAL HEALTH PROCTORED EXAM - UPDATED 2021

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ATI MENTAL HEALTH PROCTORED EXAM - UPDATED 2021 A nurse in a community health center is working with a group of clients who have post-traumatic stress disorder. Which of the following interventions ... should the nurse include to reduce anxiety among the group member? a. Response prevention b. Guided imagery c. Aversion therapy d. Light therapy A client who has a recent diagnosis of bipolar disorder is placed in a room with a client who has severe depression. The client who has depression reports to the nurse, “My roommate never sleeps and keeps me up, too.” Which of the following actions should the nurse take? a. Move the client who has bipolar disorder to a private room. b. Administer sleep medication to the client who has bipolar disorder. c. Move the client who has severe depression to a private room. d. Administer sleep medication to the client who has severe depression. A nurse is reviewing laboratory results for a client who has schizophrenia and is taking clozapine. Which of the following values should the nurse identify as a contraindication for receiving clozapine? a. WBC count 2,500/mm3 b. Hgb 11.5 mg/dL c. Platelets 150,000/mm3 d. RBC count 3.5 million/mm3 A nurse is caring for four clients in an emergency department. The nurse should identify that which of the following clients can give informed consent? a. A 17-year-old client who lives with friends b. A 50-year-old client who has a blood alcohol level of 80 mg/dL c. A 35-year-old client who has major depressive disorder d. A 65-year-old client who just received a dose of morphine A nurse is facilitating a community meeting for acute care clients. One client is constantly talking and using the majority of the group’s time. Which of the following interventions should the nurse implement? a. Tell the client to talk less or risk being removed from the meeting. b. Ask group members to discuss their feelings about this client's monopolizing behavior. c. End the group meeting and take the client aside to discuss the disruptive behavior. d. Focus on other group members and ignore the client who is doing all the talking. A nurse in a community health center is teaching families of clients who have PTSD about expected clinical manifestation. Which of the following manifestations should the nurse include? a. Repeatedly talks about the traumatic incident b. Sleeps excessively c. Experiences feelings of isolation d. Uses repetitive speech A nurse is preparing to administer diazepam 7.5 mg IV bolus to a client for alcohol withdrawal. Available is diazepam injection 5mg/mL. How many mL should the nurse administer? Answer: 1.5 mL A nurse is planning prevention strategies for partner violence in the community. Which of the following strategies should the nurse include as a method of secondary prevention? a. Provide teaching about the use of positive coping mechanisms. b. Establish screening programs to identify at-risk clients. c. Refer survivors of intimate partner abuse to a legal advocacy program. d. Organize rehabilitation therapy for clients who have experienced intimate partner abuse. A nurse is assessing a client for risk factors for the development of depression. The nurse should identify that which of the following factors placed the client at an increased risk for depression? a. The client is married. b. The client recently received a promotion at work. c. The client has COPD. d. The client is a male. A nurse is preparing to discharge to home an older adult client who attempted suicide. The client lives alone and has difficulty performing ADLs. Which of the following referrals should the nurse initiate? (select all that apply) ▪ Occupational therapy ▪ Meal delivery services ▪ Speech-language pathologist ▪ Physical therapy ▪ Home health services A nurse is receiving change-of0shift report for four clients. Which of the following clients should the nurse plan to see first? a. A client who has avoidant personality disorder and refuses to attend group therapy b. A client who has bipolar disorder and reports being kidnapped by aliens overnight c. A client who is taking bupropion and reports having insomnia the past 2 nights d. A client who is taking clozapine and reports a sore throat and chills A nurse in a mental health clinic is planning care for four clients. Which of the following tasks should the nurse delegate to the assistive personnel? a. Discuss outpatient resources with a client who has post-traumatic stress disorder. b. Create a plan of care for a client who is experiencing alcohol withdrawal. c. Explain sleep hygiene to a client who has insomnia. d. Stay with a client who has anorexia nervosa for 1 hr after mealtimes. A nurse on a mental health unit observes a client who has acute mania hit another client. Which of the following actions should the nurse take first? a. Call the provider to obtain an immediate prescription for restraint. b. Prepare to administer benzodiazepine IM. c. Call for a team of staff members to help with the situation. d. Check the client who has was hit for injuries. A nurse is teaching a group of newly licensed nurses about the use of mechanical restraints. Which of the following information should the nurse include in the teaching? a. Complete documentation about the client's status every hour while they are in restraints. b. Maintain the client in restraints for a minimum of 4 hr. c. Apply restraints when other means of managing the client's behavior have failed. d. Request that the provider assess the client within 8 hr of the application of restraints. A nurse is teaching the guardians of a client about their adolescent child’s diagnosis of bulimia nervosa. Which of the following statements made by the guardians indicates an understanding of their child’s illness? a. "This disease will increase our child's risk for high blood pressure." b. "It is important for our child to have regular dental checkups." c. "We need to weigh our child daily for several weeks, then once per week." d. "Bleeding during our child's periods will increase because of this disease." A nurse is teaching coping strategies to a client who is experiencing depression related to partner violence. Which of the following statements by the client indicates an understanding of the teaching? a. "I will spend extra time at work to keep from feeling depressed." b. "I will talk about my feelings with a close friend." c. "I will be able to learn how to prevent my partner's attacks." d. "I will use meditation instead of taking my antidepressant." A nurse is caring for an older adult client who is experiencing delirium. Which of the following interventions should the nurse include in the client’s plan of care? a. Offer the client various choices for meal selection. b. Assign different nursing personnel for each shift. c. Permit the client to perform daily rituals to decrease anxiety. d. Maintain an environment that has low lighting. A nurse in a mental health clinic is caring for a client who has PTSD after returning from military deployment. Which of the following is the priority action for the nurse to take? a. Assist the client to identify personal areas of strength. b. Encourage the client to talk about experiences during the deployment. c. Stay with the client when flashbacks occur. d. Teach the client stress-management techniques. A nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements should the nurse make? a. "You probably want to hold your baby." b. "I'll stay with you just in case you want to talk." c. "I know how you must be feeling." d. "It hurts now, but things will be better soon." A nurse is caring for a child who has conduct disorder and is behaving in a destructive manner, throwing objects, and kicking others. Which of the following therapeutic nursing interventions is the priority? a. Encourage expression of feelings. b. Support the child's attendance at an assertiveness training group. c. Assist the child to perform relaxation breathing. d. Reduce environmental stimuli. A nurse is caring for an older adult client who begins to cry and states, “I knew God would punish me and I deserve this horrible sickness!” Which of the following responses should the nurse make? a. "Why do you think you deserve this punishment?" b. "Don't worry about being punished by God." c. "Let's talk about what is upsetting you." d. "You shouldn't say things that will upset you so much." A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose family reports episodes of confusion. Which of the following assessment findings supports the nurse’s suspicion of delirium? a. Slow onset b. Aphasia c. Confabulation d. Easily distracted A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hr ago following a motor-vehicle crash. The client’s admission blood alcohol level was 325 mg.dL. Which of the following findings should indicate to the nurse that the client is experiencing alcohol withdraw? a. Somnolence b. Blood pressure 154/96 mm Hg c. Pinpoint pupils d. Blood glucose 210 mg/dL A nurse is teaching the partner of a client who has bipolar disorder how to identify manifestations of acute mania. Which of the following findings should the client’s partner report to the provider? a. Obsessive attention to detail b. Inability to sleep c. Reports of fatigue d. Isolation from others A nurse on a mental health unit is caring for a group of clients. Which of the following actions by the nurse is an example of the ethical principle of justice? a. Allowing a client to choose which unit activities to attend b. Attempting alternative therapies instead of restraints for a client who is combative c. Providing a client with accurate information about their prognosis d. Spending adequate time with a client who is verbally abusive A nurse is planning care for a client who has made repeated physical threats towards others on the unit. Although the client does not want to leave the unit, the nurse requests the provider to transfer the client to a unit that is equipped to manage violent behavior. Which of the following ethical principles should the nurse apply in this situation? a. Nonmaleficence b. Veracity c. Justice d. Autonomy A nurse is caring for a client who is in an abusive relationship and is assisting in the development of a safety plan. Which of the following actions is the first component of a safety plan? a. Develop a code word that means "time to go." b. Identify signs of escalation of violence. c. Have a predetermined place to go in the event of violence. d. Keep a hidden packed bag of necessities. A nurse is caring for a client who has alcoholic cardiomyopathy. Which of the following laboratory findings should the nurse expect? a. Increased creatine phosphokinase (CPK) b. Increased low-density lipoproteins (LDL) c. Decreased fasting blood glucose d. Decreased aspartate aminotransferase (AST) A nurse is assessing a client who has major depressive disorder and has been receiving amitriptyline for 1 week. Which of the following outcomes should the nurse expect? a. Rapid improvement in affect within 30 to 60 min after taking the medication b. Greater risk of attempting suicide as affect and energy improve c. Onset of frequent, loose stools d. Development of physiologic dependence on the medication A nurse is teaching a newly licensed nurse about nursing care plans for clients who have depressive disorders. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. "I will use the same plan of care and interventions for each client who has depression." b. "Each nurse will develop a separate plan of care for each client who has depression." c. "I will update the plan of care as a client's manifestations of depression change." d. "An assistive personnel can use the plan of care for client teaching." A nurse on an acute mental health facility is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first? a. A client who does not recognize familiar people b. A client who cannot verbalize their needs c. A client who is awake and disoriented at night d. A client who is experiencing delusions of persecution A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above their ideal body weight. Which of the following interventions should the nurse include in the plan? a. Include a liquid supplement with meals. b. Identify the client's trigger foods. c. Allow the client at least 1 hr for each meal. d. Weigh the client at bedtime each day. A nurse is preparing to participate in an interdisciplinary conference for a client who has bipolar disorder. Which of the following behaviors is the priority for the nurse to report to the treatment team? a. Calling family members b. Spending time alone c. Giving away possessions d. Excessive crying A nurse at a provider’s office is interviewing an older adult client. Which of the following actions should the nurse plan to take? a. Use a screening tool to evaluate the client for depression. b. Ask the provider to decrease the dosage of the client's blood pressure medication. c. Instruct the client to decrease intake of vitamin B12. d. Suggest the client go for a brisk walk 20 min just before bedtime. A nurse is planning care for a client who is to undergo electroconvulsive therapy (ECT). Which of the following actions should the nurse include in the plan? a. Administer phenytoin 30 min prior to the procedure. b. Instruct the client to expect a headache following the procedure. c. Place the client in four-point restraints prior to the procedure. d. Monitor the client's cardiac rhythm during the procedure. A nurse is performing an admission assessment on a client and notices that the client appears withdrawn and fearful. To establish a trusting nurse-client relationship, which of the following actions should the nurse take first? a. Inform the client that this admission is confidential. b. Introduce the client to other clients in the day room. c. Assist the client in facilitating behavioral change. d. Determine coping strategies that the client has used in the past. A nurse is taking with a group of parents who have recently experienced health of a child. Which of the following actions should the nurse take? a. Encourage the parents to avoid discussing the death with their other children to protect their feelings. b. Recommend each parent grieve in private to avoid hindering each other's healing. c. Suggest forming a weekly support group for parents who have experienced the death of a child. d. Advise the parents to begin counseling if they are still grieving in a few months. A nurse is providing teaching to the partner of a client who is in a rehabilitation program for alcohol use disorder. The nurse should identify that which of the following statements by the client’s partner indicated an understanding of the teaching? a. "I will avoid social events until my partner has completed treatment." b. "It is important for me to focus my attention on my partner's addiction." c. "I will not take charge of my partner's work responsibilities." d. "I want my partner to promise to change addictive behaviors." A nurse is assessing a client who has bulimia nervosa. The nurse should expect which of the following findings? a. Amenorrhea b. Lanugo c. Cold extremities d. 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