ATI PN MENTAL HEALTH 2020 EXAM GUIDE

ATI PN MENTAL HEALTH 2020 STUDY GUIDE-LATEST 1. A nurse in an alcohol treatment facility is caring for a client who states, “My job is so stressful that the only way I can cope is to drink.” The nurse should recognize th ...

ATI PN MENTAL HEALTH 2020 STUDY GUIDE-LATEST 1. A nurse in an alcohol treatment facility is caring for a client who states, “My job is so stressful that the only way I can cope is to drink.” The nurse should recognize that the client is displaying which of the following defense mechanisms? 2. 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 findings in the client’s history should the nurse report to the provider? 3. A nurse is assessing a client who has histrionic personality disorder. Which of the following findings should the nurse expect? A. Lack of remorse B. Splitting of staff C. Attention-seeking D. Identity disturbance 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? .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 charge nurse is orienting a newly licensed nurse and observes the newly licensed nurse imitating her behaviors. The nurse should recognize this behavior as which of the following defense mechanisms? A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is taking haloperidol. Which of the following clinical findings is the nurse’s priority? 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? A. Summarize goals and objectives. B. Address confidentiality. C. Promote problem-solving skills. D. Establish a participation contract 9.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? A. “Keep a journal of how often you check the locks each night.” 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. “Snap a rubber band on your wrist when you think about checking the locks.” A nurse is assisting with obtaining informed consent for a client who has been legally incompetent. Which of the following actions should the nurse take? A. Explain implied consent to the client’s family. B. Contact the facility social work to obtain the consent. C. Request that the client’s guardian sign the consent D. Ask the charge nurse to obtain informed consent. A nurse is reviewing the laboratory report of a client who is taking carbamazepine for bipolar disorder. Which of the following laboratory results should the nurse report to the provider? A. Urine specific gravity 1.029 B. Platelets 90,000/mm C. Urine pH 5.6 D. RBC 4.7/mm A nurse in a mental health facility is making plans for client’s discharge. Which of the following interdisciplinary team members should the nurse contact to assist the client with housing placement? A. Social worker B. Occupational therapist C. Clinical nurse specialist D. Recreational therapist 13.A nurse is caring for a client who reports that he is angry with his partner because she thinks he is 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 mechanisms is the client demonstrating? a.Rationalization b.Compensation c.Denial d.Displacement 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? A. Encourage physical activity for the client during the day. B. Keep a bright light on in the client’s room at night. C. Identify and schedule alternative group activities for the client. D. Discourage the client from expressing feelings of anger. 15.An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states, “I’m so worried that my mother is depressed.” Which of the following responses should the nurse make? A. “Tell me the reasons you think your mother is depressed.” B. “You shouldn't worry about this, because depressive disorder is easily treated.” C. “Everyone gets depressed from time to time.” D. “Older adults are usually diagnosed with depressive disorder as they age.” 16.A nurse in the emergency department is assessing a client who has major depressive disorder. Which of the following actions should the nurse take? A nurse is counseling a client following the death of the client’s partner 8 months ago. Which of the following client statements indicates maladaptive grieving? a. “I am so sorry for the times i was angry with my partner” b. “I like looking at his personal items in the closet” c. “I find myself thinking about my partner often” d. “I still don’t feel up to returning to work” A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is taking haloperidol (anti-psychotic, 1st gen). Which of the following clinical findings is the nurse’s priority? 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? 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? 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? A nurse is assessing a client who is experiencing acute alcohol withdrawal. Which of the following findings should the nurse expect? 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? 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 medical record. b.Tell the client he cannot refuse the treatment because he was involuntarily committed c.Inform the client the ECT does not require client consent d..Ask the client family to encourage the client to receive ECT 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? a.Encourage the client to attend a grief support group b.Discuss the client’s coping skills c.Request a mental health consult for the client d.Ask the client if she has thought about harming herself 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? A nurse is caring for a client who is experiencing active auditory hallucination. Which of the following should the nurse take? a.Avoid asking direct questions about the client’s experience b..Tell the client her experience is not real c.Convey sympathy for her client’s experience d.Focus the client on reality based activities A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings the nurse reports to the provider? A nurse is caring for a client who has anorexia nervosa. Which of the following findings requires immediate intervention by the nurse? 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 b. The client recognize the importance of others c. The client reduces self dramatization d. The client conforms to social norms regarding clothing choices 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? A nurse in a group home facility is caring for a client who is developmentally disabled. The client has been stealing belongings from the others clients. Which of the following techniques should the nurse use? .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 b.A mediation group c.A symptom management group d.A self help meeting 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 of the teaching? 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.Establish boundaries between the nurse and the client d.Evaluate progress toward predetermined goals c.Inform the client about confidentiality rights 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 b.The client increases participation in social activities c.The client exhibits an inflated sense of self d.The client begins sleeping more than usual 37.A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse include in the plan? 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 nurse overhears a client saying, “I am a spy, a spy for the FBI. I am an I, an eye for an eye, an eye in the sky. Sky is up high. The nurse should document the client’s statement as which of the following speech alterations? A nurse is assessing a client who has neuroleptic malignant syndrome. Which of the following clinical findings should the nurse expect? CONTINUED,,,........DOWNLOAD FOR BEST SCORES