ATI MENTAL HEALTH PROCTORED EXAM
1.) A nurse manager is discussing the care of a client who has a personality
disorder with a newly licensed nurse.
... [Show More] Which of the following statements
by the newly licensed nurse indicates an understanding of the teaching?
a. “I can promote my client’s sense of control by establishing a
schedule.”
b. “I should encourage clients who have a schizoid personality
disorder to increase socialization.”
c. “I should practice limit-setting to help prevent client
manipulation.”
d. “I should implement assertiveness training with clients who have
antisocial personality disorder.”
2.) A nurse is caring for a client who has avoidant personality disorder.
Which of the following statements is expected from a client who has
this type of personality disorder?
a. “I’m scared that you’re going to leave me.”
b. “I’ll go to group therapy if you’ll let me smoke.”
c. “I need to feel that everyone admires me.”
d. “I sometimes feel better if I cut myself.”
3.) A nurse is caring for a client who has borderline personality disorder. The
client says, “The nurse on the evening shift is always nice! You are the
meanest nurse ever!” The nurse should recognize the client’s statement as
an example of which of the following defense mechanisms?
a. Regression.
b. Splitting.
c. Undoing.
d. Identification.
4.) A nurse is assisting with a court-ordered evaluation of a client who has
antisocial personality disorder. Which of the following findings should
the nurse expect? (Select all that apply.)
a. Demonstrates extreme anxiety when placed in a social situation.
b. Has difficulty making even simple decisions.
c. Attempts to convince other clients to give him their belongings.
d. Becomes agitated if his personal area is not neat and orderly.
e. Blames others for his past and current problems.
5.) A charge nurse is preparing a staff education session on personality
disorders. Which of the following personality characteristics associated
with all of the personality disorders should the charge nurse include in the
teaching?
a. Difficulty in getting along with other members of a group.
b. Belief in the ability to become invisible during times of stress.
c. Display of defense mechanisms when routines are changed.
d. Claiming to be more important than other persons.
e. Difficulty understanding why it is inappropriate to have a personal
relationship with staff.
Chapter 21 Medications for Anxiety and Trauma- and Stressor-Related
Disorders
1.) A nurse working in a mental health clinic is providing teaching to a client
who has a new prescription for diazepam for generalized anxiety disorder.
Which of the following information should the nurse provide?
a. Three to six weeks of treatment is required to achieve therapeutic
benefit.
b. Combining alcohol with diazepam will produce a paradoxical
response.
c. Diazepam has a lower risk for dependence than other antianxiety
medications.
d. Report confusion as a potential indication of toxicity.
2.) A nurse working in an emergency department is caring for a client who
has benzodiazepine toxicity due to an overdose. Which of the following
actions is the nurse’s priority?
a. Administer flumazenil.
b. Identify the client’s level of orientation.
c. Infuse IV fluids.
d. Prepare the client for gastric lavage.
3.) A nurse is caring for a client who is to begin taking fluoxetine for
treatment of generalized anxiety disorder. Which of the following
statements indicates the client understands the use of this medication?
a. “I will take the medication at bedtime.”
b. “I will follow a low-sodium diet while taking this medication.”
c. “I will need to discontinue this medication slowly.”
d. “I will be at risk for weight loss with long-term use of this
medication.”
4.) A nurse is assessing a client 4 hr after receiving an initial dose of
fluoxetine. Which of the following findings should the nurse report to the
provider as indications of serotonin syndrome? (Select all that apply.)
a. Hypothermia.
b. Hallucinations.
c. Muscular flaccidity.
d. Diaphoresis.
e. Agitation.
5.) A nurse is caring for a client who takes paroxetine to treat posttraumatic
stress disorder. The client states that he grinds his teeth during the night,
which causes pain in his mouth. The nurse should identify which of the
following interventions as possible measures to manages the client’s
bruxism? (Select all that apply.)
a. Concurrent administration of buspirone.
b. Administration of a different SSRI. [Show Less]