ATI MENTAL PROCTORED EXAM
NEWEST 2024 WITH 100% VERIFIED
ANSWERS [A+ GRADED]
A nurse is admitting a client diagnosed with posttraumatic stress
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disorder (PTD) to the mental health unit. The client is confused and
disoriented. When developing a plan of care, which of the following
would be the priority intervention for this client?
Select one:
a.
Stabilize the client's psychiatric needs.
b.
Accept and make the client feel safe.
c.
Explain unit rules to the client.
d.
Orient the client to the unit.
B.
Stabilizing the client's psychiatric needs with therapy and medications
will take some time, and therefore this is not the priority.
A client diagnosed with schizophrenia and experiencing frequent
auditory hallucinations is admitted to an inpatient psychiatric unit. Which
of the following would be the most effective, initial strategy for the nurse
to implement?
Select one:
a.
Agree with the client that the voices are audible.
b.
Ask the client to rest in a quiet area until the voices are gone.
c.
Ask the client to describe the components of the hallucination.
d.
Explain to the client that the hallucination is not real.
Ask the client to describe the components of the hallucination.
Do not attempt to convince the client that the hallucination is not real
because it is real to the client. Do not argue with the client or respond
directly to the voices.
Select one:
a.
A nurse is caring for an adolescent client who is recovering from a
traumatic below the knee amputation. The day after surgery, the client
refuses to look at or touch the affected leg. Which of the following
nursing interventions would be most beneficial to this client?
Gently examine and redress the stump without frowning or grimacing.
b.
Insist that the client participate in bathing and examining his affected leg.
c.
Avoid discussing the amputation until the client initiates conversation.
d.
Remind the client that full mobility is possible once fitted for a prosthesis.
A.
This client is exhibiting avoidance behaviors which are expected with a
sudden body image change and should resolve over a period of a few
days. It is inappropriate to insist that the client participates in seeing and
touching the leg affected leg, especially the first day after surgery.
A nurse is caring for an adolescent client admitted to the nursing unit
three days ago. The client is withdrawn, unwilling to eat, and does not
interact with the staff. The nurse correctly understands which of the
following would provide the best support for this client?
a.
An opportunity to view a popular DVD.
b.
A call from the client's sibling.
c.
A visit with a parent.
d.
A visit with friends from school.
d.
A popular DVD may be entertaining and distracting for the adolescent,
but will not provide support. A better choice would be to encourage the
adolescent to phone a friend.
During a group therapy session on a psychiatric unit, the nurse leader
observes that one of the clients frequently interrupts the session. Which
of the following nursing actions is the most appropriate for this situation?
Select one:
a.
Ask the client to speak privately with a nurse after the meeting.
b.
Discuss this observation during the post-meeting evaluation.
c.
Encourage another group member to reprimand the client.
d.
Tell the client that the interrupting behavior must be discontinued.
Ask the client to speak privately with a nurse after the meeting.
A therapeutic milieu group aims to help increase self-esteem, decrease
social isolation, encourage appropriate social behaviors, and educate
clients in basic living skills. Confronting the client during the meeting
could negatively affect self-esteem and increase social isolation. The
behavior needs to be addressed, but not in an openly confrontational
way.
A nurse is admitting a client diagnosed with schizophrenia. In order to
establish a therapeutic nurse-client relationship with the client, the
nurse's initial actions should include which of the following?
Select one:
a.
Maintain consistency
b.
Develop a contract
c.
Establish trust
d.
Provide confidentiality
Establish trust
Once the relationship has been established the client has a right to know
that shared information will be kept confidential unless something is
shared that is harmful to the client, client threatens self-harm, or the
client does not intend to follow through with the treatment plan. [Show Less]