ATI Mental Health Proctored 2019
ATI Mental Health Proctored 2019
Complete Questions and Answers
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ATI Mental
... [Show More] Health Proctored Exam 2019
1.A client is fearful of driving and enters a behavioral therapy
program tohelp him overcome his anxiety. Using systematic
desensitization, he is ableto 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
b. Therapist modeling
c. Frequent pacing
d. Positive reinforcement
2. A nurse is counseling a client following the death of the client’s
partner 8months 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.”
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d. “I still don’t feel up to returning to work.”
Rationale: 8 months too long Maladaptive Grief: . Distorted or
exaggerated grief response - unable toperform activities of daily living.
RISK FACTORS FOR MALADAPTIVE GRIEVING
●● Being dependent upon the deceased
●● Unexpected death at a young age, through violence, or by a socially
unacceptable manner
●● Inadequate coping skills or lack of social support
●● Pre-existing mental health issues, such as depression or substance use
disorder
3./21 A nurse in an inpatient mental health facility is assessing a client
whohas schizophrenia and is taking haloperidol (anti-psychotic, 1st
gen).
Which of the following clinical findings is the nurse’s priority?
a. Headache
b. Insomnia (sedation)
c. Urinary hesitancy (Complication → ANTIcholinergic effects)
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d. High fever (Complication → agranulocytosis)
Other complications: Acute dystonia, Pseudoparkinsonism, Akathisia,
Tardive dyskinesia, Neuroendocrine effects (Gynecomastia, Weight gain,
Menstrual irregularities), NMS, OrthostaticHypotension, Sedation,
Sexual dysfunction, Skin effects, Liver impairment
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4. A nurse is planning care for a client who has obsessive compulsive
disorder. Which of the following recommendations should the nurse
includein the client’s plan of care?
a. Reality Orientation therapy (re-orient to reality)
b. Operant Conditioning (receives positive rewards for positive
behavior)
c. Thought Stopping (say “stop” when compulsive behaviors
arise & substitute w/positive thought)
d. Validation Therapy (acknowledging pt’s feelings)
4. A nurse is providing teaching to the daughter of an older client who
has obsessive-compulsive disorder. Which of the following
statements by thedaughter indicates an understanding of the teaching?
a. “I will provide my mother with detailed instructions about how to
performself-care.” (Give simple directions)
b. “I will limit my mother’s clothing choices when she is getting
dressed.” (If client is indecisive, limit the client's choices; if client still
unable to make a decision, give client one outfit to wear)
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c. “I will wake my mother up a couple of times in the night to check on
her.”
d. “I will discourage my mother from talking about her physical
complaints.”
5. A nurse is caring for a client who is in the manic phase of
bipolardisorder. Which of the following actions should the nurse
take?
a. Provide in depth explanation of nursing expectations (inability
to focus -give concise explanations)
b. Encourage the client to participate in group activities
(decreasestimulation)
c. Avoid power struggles by remaining neutral (do not react
personallyto pt’s comments)
d. Allow the client to set limits for his behavior (nurse sets limits)
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 thoughtstopping technique?
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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
thelocks.”
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d. “Snap a rubber band on your wrist when you think
aboutchecking the locks.”
Thought stopping: teach pt to say “stop” when negative
thoughts/compulsive behaviors arise & substitute positive thought -
goal forpt use command silently over time
7. A nurse is caring for a client who has a cocaine use disorder.
Which ofthe following manifestations should the nurse expect the
client to have during withdrawal?
a. Hand tremors (Intoxication)
b. Fatigue
c. Seizures (Intoxication)
d. Rapid speech
Rationale: Pg: 97 WITHDRAWAL MANIFESTATIONS● Depression,
fatigue, craving, excess sleeping orinsomnia, dramatic unpleasant
dreams, psychomotor retardation, agitation● Not life-threatening, but
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possible occurrence of suicidal ideation
Cocaine = STIMULANT → OPPOSITE of HEROIN
● Withdrawal = opposite effects
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 themedication and notify the provider?
a. WBC count
b. Heart rate
c. Report of photosensitivity
d. Blood glucose level
9./59. A nurse is creating a plan of care for a client who has major
depressive disorder. Which of the following interventions
should thenurse include in the plan?
a. Keep the ring light on in the client’s room at night
b. Encourage physical activity for the client during the day
c. Identity and schedule alternative group activities for the client
d. Discourage the client from expressing feeling of anger
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10. A nurse is assessing a client who is experiencing acute
alcohol withdrawal. Which of the following findings should the
nurse expect?
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a. Diminished reflexes
b. Hypotension - increased BP
c. Insomnia
d. Bradycardia [Show Less]