ATI MENTAL HEALTH PROCTORED TEST BANK 2024 QUESTIONS AND CORRECT ANSWERS AND RATIONALES|ALREADY GRADED A|
1.A client is fearful of driving and enters a behavioral therapy program to\nhelp 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?\na. Biofeedback\nb. Therapist modeling\nc. Frequent pacing\nd. Positive reinforcement
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?\na. \I am so sorry for the times I was angry with my partner.\”\nb. \”I like looking at his personal items in the closet.\”\nc. \”I find myself thinking about my partner often.\”\nd. \”I still don’t feel up to returning to work.\””
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?\na. \I will provide my mother with detailed instructions about how to perform\nself-care.\” (Give simple directions)\nb. \”I will limit my mother’s clothing choices when she is getting\ndressed.\”\nc. \”I will wake my mother up a couple of times in the night to check on her.\”\nd. \”I will discourage my mother from talking about her physical complaints.\””
A nurse is caring for a client who is in the manic phase of bipolar\ndisorder. Which of the following actions should the nurse take?\na. Provide in depth explanation of nursing expectations (inability to focus -give concise explanations)\nb. Encourage the client to participate in group activities (decrease\nstimulation)\nc. Avoid power struggles by remaining neutral (do not react personally to pt’s comments)\nd. Allow the client to set limits for his behavior (nurse sets limits)
A nurse is providing behavioral therapy for a client who has OCD. The\nclient repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought\nstopping technique?\na. \Keep a journal of how often you check the locks each night.\”\nb. \”Ask a family member to check the locks for you at night.\”\nc. \”Focus on abdominal breathing whenever you go to check the\nlocks.\”\nd. \”Snap a rubber band on your wrist when you think about\nchecking the locks.\””
A nurse is creating a plan of care for a client who has major\ndepressive disorder. Which of the following interventions should the\nnurse include in the plan?\na. Keep the ring light on in the client’s room at night\nb. Encourage physical activity for the client during the day\nc. Identity and schedule alternative group activities for the client\nd. Discourage the client from expressing feeling of anger
A nurse is caring for a client who has schizophrenia and displays\nsevere symptoms of the disorder. Which of the following actions should the\nnurse take?\na. Use medication to decrease frequency of auditory and visual\nhallucinations\nb. Assist the client to identify somatic and thought broadcast delusion\n(Identify symptom triggers, such as loud noises (can trigger auditory hallucinations in certain clients)\nand situations that seem to trigger conversations about the client’s delusions.\nc. Manage the client’s loud, rambling, and incoherent communication\npatterns\nd. Direct the client to perform her own daily hygiene and\ngrooming tasks
. 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?\na. Document the client’s refusal of the treatment in the medication record\nb. Tell the client he cannot refuse the treatment because he was involuntarily committed\nc. Inform the client the ECT does not require client consent\nd. Ask the client family to encourage the client to receive ECT
A nurse is providing crisis intervention for a client who was involved in a\nviolent mass casualty situation in the community. Which of the following\nactions should the nurse take during the initial session with the client?\na. Identify the client’s usual coping style.\nb. Encourage the client to display anger toward the cause of the crisis.\n(Reduce stress-related manifestations, such as using techniques to alleviate a panic attack)\nc. Tell the client that this life will soon return to normal (False assurance)\nd. Help the client focus on a wide variety of topics regarding the crisis.\n(Reduce stress)
- A nurse in the emergency department is caring for a client who reports\nfeeling sad, worthless, and hopeless 9 months after the death of her son.\nWhich of the following actions should the nurse take first?\na. Encourage the client to attend a grief support group\nb. Discuss the client’s coping skills\nc. Request a mental health consult for the client\nd. Ask the client if she has thought about harming herself\ngiven –
A nurse is caring for a client who is experiencing active auditory\nhallucination. Which of the following should the nurse take?\na. Avoid asking direct questions about the client’s experience\nb. Tell the client her experience is not real\nc. Convey sympathy for her client’s experience\nd. Focus the client on reality based activities
A nurse is conducting an admission interview with a client who is\nexperiencing mania. Which of the following findings the nurse reports to the\nprovider?\na. Reports eating twice in the past week (physical exhaustion & possible\ndeath – MEDICAL EMERGENCY)\nb. States that he hasn’t bathed in 2 days\nc. Speaks in rhyming sentences\nd. Makes inappropriate sexual comment
A nurse is caring for a client who has anorexia nervosa. Which of the\nfollowing findings requires immediate intervention by the nurse?\na. Lanugo covering the body\nb. Blood pH 7.40\nc. +2 edema of the lower extremities\ndehydration → inc aldosterone production → Na & water retention & K excretion\nd. BUN 21 mg/dL
A nurse is planning care for a client who has a recent diagnosis of\nantisocial personality disorder. Which of the following outcomes should\nthe nurse in the care plan?\na. The client treats others with respect\nb. The client recognizes the importance of others\nc. The client reduces self-dramatization\nd. The client conforms to social norms regarding clothing choices
A nurse is caring for a client who is prescribed massage therapy to treat\npanic disorder. The client states \I can’t stand to be touched by another\nperson\”. Which of the following response should the nurse make?\na. Why don’t you like to be touched by others? (don’t ask \”why\” questions)\nb. I will request that the massage therapist wear gloves during your\ntreatment (till being touched)\nc. I will tell your provider know that you would like a treat other\nthan a message (avoid triggers)\nd. Don’t worry about it. Your anxiety will lessen once the massage begins\n(false reassurance
A nurse in a group home facility is caring for a client who is bdevelopmentally disabled. The client has been stealing belongings from\nthe other clients. Which of the following techniques should the nurse use?\na. Crisis intervention to decrease anxiety\nb. Aversion therapy to provide distraction (Pairing of a maladaptive\nbehavior with a punishment or unpleasant stimuli to promote a change in the behavior)\nc. Systematic desensitization to extinguish the behavior (Anxiety)\nd. Positive reinforcement to increase desired behavior
A nurse is teaching the caregiver of a client who has advanced\nAlzheimer’s disease about home safety. Which of the following\nstatements by the caregiver indicates an understanding of the teaching?\na. I will give his most recent photo to the police\nb. I will place a sliding bolt lock just above the doorknob (locks\nprevent wandering outside)\nc. I will ensure the bedroom is dark while he is sleeping at night (well lit\nenvironment)\nd. I will notify law enforcement within 2 hours if he cannot be found
. A nurse is beginning a therapeutic relationship with a client. The nurse\nshould plan to accomplish which of the following tasks during the working\nphase?\na. Establish boundaries between the nurse and the client\nb. Evaluate progress toward predetermined goals\nc. Inform the client about confidentiality rights\nd. Set short- and long-term objective for the future
A nurse Is planning care for a client who has anorexia nervosa and is\nadmitted to an inpatient eating disorder unit. Which of the following is an\nappropriate intervention? (p. 167)\na. Use systematic desensitization to address the client’s fears regarding\nweight gain\nb. Allow the client to select meal times (A structured and inflexible eating schedule\nat the start of therapy, only permitting food during scheduled times, promotes new eating\nhabits and discourages binge or binge-purge behavior.)\nc. Initiate a relationship built on trust with the client.\nd. d. Negotiate with the client the opportunity to reweigh.
A nurse is providing discharge teaching about manifestations of\nrelapse to the family of a client who has schizophrenia. Which of the\nfollowing information should the nurse include in the teaching?\na. The client develops an inability to concentrate\nb. The client increases participation in social activities\nc. The client exhibits an inflated sense of self\nd. The client begins sleeping more than usual
A nurse in a mental health facility is caring for a client. Which of the\nfollowing actions should the nurse take during the working phase of the\nnurse-client relationship?\na. Summarize goals and objectives.\nb. Address confidentiality.\nc. Promote problem-solving skills.\nd. Establish a participation contract
A nurse is planning care for a client who has dementia. Which of the\nfollowing interventions should the nurse include in the plan?\na. Remove clocks from the client’s room (no want to orient to time)\nb. Confront the client when he exhibits inappropriate behavior (avoid\nconfrontation)\nc. Give detailed instructions for completion of self-care activities (break\ninstructions into short time frames)\nd. Provide finger food to enhance caloric intake (ensure adequate food/fluid\nintake)
A nurse is developing a teaching plan for the family of an older adult\nclient who is to receive transcranial magnetic stimulation. Which of the\nfollowing information should the nurse include in the teaching plans?\na. The client might have a headache after treatment (a/e mild discomfort\nand tingling sensation at the site of the electromagnet)\nb. The client will require intubation after treatment (client is alert during the\nprocedure)\nc. The client is at risk for aspiration during treatment (nothing is placed in the\nmouth, only a noninvasive magnet in the head)\nd. The client will experience a seizure during treatment (RARE) (ECT)
A nurse overhears a client saying, \I am a spy
A nurse in an acute care mental health facility is planning discharge\ncare for a client who sustained a traumatic brain injury. For which of the\nfollowing needs should the nurse collaborate with a clinical psychologist?\na. The client needs to begin a group therapy program prior to\ndischarge\nb. The client needs to find a place to live after discharge.\nc. The client needs a prescription for medication to promote nighttime\nsleep while in the facility\nd. The client needs to relearn how to perform skills that require fine motor\ncoordination.
A nurse is caring for a client who reports that he is angry with his partner\nbecause she is thinking he is just trying to gain attention. When the nurse\nattempts to talk to the client, he becomes angry and tells her to leave. Which\nof the following defense mechanism is the client demonstrating?\na. Denial\nb. Displacement\nc. Compensation\nd. Rationalization
A nurse is teaching a client who has schizophrenia about her new\nprescription for risperidone. Which of the following statements should be\nnurse include in the teaching?\na. You should discontinue this medication if you develop muscle\nrigidity\nb. You will experience weight loss while taking this medication\nc. You will notice symptoms improve within 24 hours of taking this\nmedication\nd. You should increase your consumption of complex carbohydrates
A nurse is talking to a client following a group therapy session. The\nclient tells the nurse that one of the other clients in the group made an\ninappropriate comment. Which of the following responses should the\nnurse make?\na. You sound upset about today’s session\nb. I agree that the comment was inappropriate\nc. Why do you think that he said that to you?\nd. I think you should ignore the comment
A nurse is providing teaching about disorder management for a client\nwho has PTSD. Which of the following statements should the nurse include\nin the teaching?\na. Response prevention is an effective treatment for PTSD\nb. You should try to limit the number of hours that you sleep each day\nc. Talking about the traumatic experience is recommended\nd. Avoiding stimuli that trigger memories of the trauma can help you\novercome your PTSD
A nurse is providing teaching about disulfiram to a client who has\na history of alcohol use. Which of the following instructions should the nurse\ninclude in the teaching?\na. You will need to take the medication once daily\nb. You should avoid drinking carbonated beverages while taking the\nmedication (Avoid Alcohol → Acetaldehyde Symptoms; cough syrup, aftershave lotion,\nmouthwash, hand sanitizer)\nc. You can expect to develop a physical dependence to the medication\nd. You will receive treatment in an inpatient setting\ne. You should avoid using mouthwash that contain alcohol
A nurse is providing teaching to a client who has depressive disorder\nand a new prescription for doxepin. Which of the following instructions\nshould the nurse include in the teaching?\na. Decrease the prescribed dose by half when mood improves\nb. Sit on the side of the bed for a few minutes before standing\nc. Eat a snack before going to bed\nd. Avoid over the counter magnesium when taking this medication
. A nurse is caring for a client who has borderline personality disorder\nand has been engaging in self-mutilation. The nurse should encourage the\nclient to participate in which of the following groups?\na. Co-dependent’s Support Group\nb. Dual Diagnosis Treatment Group\nc. Desensitization Therapy (Anxiety)\nd. Dialectical Behavior Treatment
A charge nurse is discussing the care of a client who has a substance\nuse disorder with a staff nurse. Which of the following statements by the\nstaff nurse should the charge nurse identify as countertransference?\na. The client is just like my brother who finally overcome his habit\nb. The client generally shares his feelings during group therapy sessions\nc. The client asked me to go on a date with him, but I refused\nd. The client needs to accept responsibility for his substance use
A nurse is caring for a client who has a personality disorder and is\nusing transference to cope. Which of the following behaviors should the\nnurse expect?\na. Refusing to participate in group activities\nb. Reaction to the nurse as though she were his mother\nc. Expressing frustration regarding unit rules\nd. Talking negatively about other staff member
. A nurse is admitting a client who has generalized anxiety disorder.\nWhich of the following actions should the nurse plan to take first?\na. Determine how the client handles stress I’m just thinking this cuz it said first and\nthis seems like an assessment which is what you do first\nb. Ask the client to identify her strengths\nc. Provide the client with a quiet environment at the same time it is\nimportant to provide them with a calm quiet environment, but I think this one is if they are\nexperiencing panic-level anxiety. Idk. I might be overthinking\nd. Teach the client to use guided imagery
A nurse is teaching a client who has bipolar disorder and a new\nprescription for lithium carbonate. Which of the following statements by\nthe client indicates an understanding of the teaching?\na. I should be on a low sodium diet – adequate sodium intake\nb. I should drink at least 6 liters of water per day – 1.5-3 L/day of water\nc. I will see my doctor to check my lithium level annually- monitor levels while\nundergoing TX. At start of TX, monitor q2-3 days until stable and then q1-3 months.\nd. I will call my doctor if I have a diarrhea -Diarrhea is an early indication of\nlithium toxicity
. A nurse is caring for a client who is experiencing a panic attack. Which\nof the following actions should the nurse take?\na. Place the client in seclusion -hmm…the wording seems harsh BUT, the\nimmediate nursing action for a client with anxiety is to decrease stimuli in the environment and\nprovide a calm and quiet environment.\nb. Ask the client to discuss precipitating events-for mild-moderate anxiety\nc. Have the client breathe into a paper bag (To help the hyperventilation, seclusion\nmight give em more anxiety & leaving them alone during a panic attack isn’t safe .. and it still seems\nlike a restraint ..idk)\nd. Speak to the client in a high-pitched voice -use a low-pitched voice
A nurse is caring for a client who is starting treatment for substance\nuse disorder. Which of the following actions indicates the nurse is\npracticing the ethical principle of nonmaleficence?\na. Providing the client with quality care regardless of ability to pay for\ntreatment Justice\nb. Withholding a prescribed meds that is causing adverse effects\nfor the client\nc. Being truthful with the client about the manifestations of withdrawal\nveracity\nd. Educating the client about legal rights concerning treatment
A nurse in the emergency department is counseling a client who reports\nexperiencing intimate partner violence. Which of the following actions should\nthe nurse take?\na. Request permission from the client to take photographs of the injuries.\nb. Offer to help the client escape from the partner the next time violence\noccurs\nc. determine what the client did to trigger the violent incident.\nd. Tell the client that staying with the partner shows a lack of judgment.
A nurse is reviewing the medication administration record of a client who\nhas schizophrenia. The nurse should plan to initiate the abnormal\ninvoluntary movement scale to monitor for adverse effects of which of\nthe following medications?\na. Amantadine\nb. Benztropine\nc. Diphenhydramine\nd. Haloperidol (Antipsychotic)
A nurse is planning overall strategies to address problems for a client\nwho has borderline personality disorder. Which of the following\nstrategies is the priority for the nurse to incorporate in the plan of care?\na. Discuss the appropriate use of assertive behavior with the client\nb. Assist the client to maintain awareness of her thoughts and feelings\nc. Implement measures to prevent intentional self-inflicted injury\nd. Encourage the client to attend weekly support group meetings
A nurse is planning overall strategies to address problems for a client\nwho has borderline personality disorder. Which of the following\nstrategies is the priority for the nurse to incorporate in the plan of care?\na. Discuss the appropriate use of assertive behavior with the client\nb. Assist the client to maintain awareness of her thoughts and feelings\nc. Implement measures to prevent intentional self-inflicted injury\nd. Encourage the client to attend weekly support group meetings
A nurse is caring for a client who has bipolar disorder and is experience\na manic episode. Which of the following actions should the nurse take?\na. Administer methylphenidate to the client\nb. Encourage the client to join group activities\nc. Dim the lights in the client’s room\nd. Provide detailed explanations to the client
A nurse is caring for a client who is admitted to a mental health facility\nafter attempting suicide. Which of the following actions should the nurse\ntake first?\na. Implement continuous one to one observation\nb. Establish a rapport to foster trust\nc. Ask the client to sign a no suicide contract\nd. Encourage the client to participate in group therapy
A nurse is providing teaching for a newly licensed nurse about the\nconstructive use of defense mechanisms. Which of the following examples\nshould the nurse include in the teaching?\na. A school age child whose mother died 2 years ago talks about her in\npresent tense\nb. An adult who was sexually abused as a child is unable to remember the\nincident\nc. A woman who has a health concern postpones a medical appt until after a\nvacation.\nd. A student who is upset with her teacher writes a story about an\nexcellent student
An older adult client is brought to the mental health clinic by her\ndaughter. The daughter reports that her mother is not eating and seems\nuninterested in routine activities. The daughter states, \I’m so worried\nthat my mother is depressed.\” Which of the following responses should\nthe nurse make?\na. \”Tell me the reasons you think your mother is depressed.\”\nb. \”You shouldn’t worry about this
A nurse is planning care for a newly admitted client who has anorexia\nnervosa. Which of the following interventions should the nurse include in\nthe plan?\na. Negotiate with the client how much weight she should gain each week\nb. Weigh the client weekly for the first month\nc. Notify the client about designated times for meals\nd. Decrease the client’s daily intake of fiber
A nurse in an alcohol treatment facility is caring for a client who states,\n\My job is so stressful that the only way I can cope is to drink.\” The\nnurse should recognize that the client is displaying which of the following\ndefense mechanisms?\na. Introjection (Unconscious adoption of the ideas or attitudes of others)\nb. Repression\nc. Rationalization\nd. Intellectualization”
. A nurse is providing counseling for a family that consists of two parents\nand their two adolescents’ children. Which of the following family members\nshould the nurse identify as acting in the role of monopolizer?\na. The father who intervenes whenever the siblings argue\nb. The mother who expresses hostility toward her spouse\nc. The adolescent son who refuses to share personal feelings\nd. The adolescent daughter who attempts to dominate the\ndiscussion
A nurse is caring for a client in a mental health facility. The client is\nagitated and threatens to harm herself and others. Which of the\nfollowing the nurse’s priority intervention?\na. Put the client in seclusion\nb. Place the client in restraints\nc. Administers an anti-anxiety medication to the client\nd. Set limits on the client’s behavior
A nurse is caring for a client in an inpatient mental health facility. The\nclient tells the nurse that the government is reading her mail. Which of\nthe following responses should the nurse make?\na. \All of your letters come sealed
. A nurse is assessing a client who is restless and constantly mutters\nto himself. Which of the following findings should lead the nurse to suspect\ndelirium?\na. The client’s speech is slow and repetitious\nb. The client is unable to recognize objects\nc. The client’s manifestation developed suddenly\nd. The client has a flat affect
A nurse is providing crisis intervention for a client who was involved in a\nviolent mass casualty situation in the community. Which of the following\nactions should the nurse take during the initial session with the client?\na. Identify the client’s usual coping style.\nb. Encourage the client to display anger toward the cause of the crisis.\n(Reduce stress-related manifestations, such as using techniques to alleviate a panic attack)\nc. Tell the client that this life will soon return to normal (False assurance)\nd. Help the client focus on a wide variety of topics regarding the crisis.\n(Reduce stress)
. A nurse is caring for a client who has borderline personality disorder.\nWhich of the following outcomes should the nurse include in the treatment\nplan?\na. The client will attend to personal hygiene\nb. The client will verbalize improve mood\nc. The client will report a decreased in hallucinations\nd. The client will communicate needs.
A nurse is assisting with obtaining informed consent for a client who has\nbeen legally incompetent. Which of the following actions should the nurse\ntake?\na. Explain implied consent to the client’s family.\nb. Contact the facility social work to obtain the consent.\nc. Request that the client’s guardian sign the consent\nd. Ask the charge nurse to obtain informed consent.