ATI PN MENTAL HEALTH PROCTORED EXAM 2020
1. A nurse in an urgent care clinic is collecting data from a client whose friend reports a suspicion
... [Show More] ofcocaine use. The nurse should identify that which of the following manifestations is an indicator of the client’s use of this substance?
Answer: Hypertension
2. A nurse in a mental health facility is caring for a client who has dementia. The client’sagitation is increasing. Which of the following actions should the nurse take first?
Answer: Offer diversionary activities
3. A nurse is caring for a client who has bipolar disorder. The client suddenly appears agitated and begins pacing at the end of the hallway with clenched fists. Which of the following actions should the nurse take first?
Answer: Determine the client’s intentions
4. A nurse is reinforcing discharge teaching with a client who has a new prescription for alprazolam.Which of the following instructions is the priority for the nurse to include?
Answer: Do not drive until your reaction to the medication is determined
5. A nurse is caring for a client who is 2 days postoperative following a hip arthroplasty. When a news report about military action comes on the television, the client says to the nurse, “My youngest child died 6 months ago while serving in the military.” Which of the following responsesshould the nurse make?
Answer:
-This must be very difficult time for you
-Your child’s death must be a terrible loss
-Tell me something you remember about your child
6. A nurse is caring for an adult client who has visible injuries as a result of intimate partnerviolence. Which of the following actions should the nurse take?
Answer: Encourage the client to develop a safety plan
7. A nurse is contributing to the plan of care for a client who has bipolar disorder and is exhibiting mania,Which of the following interventions should the nurse include to improve the nutritional status of the client?
Answer: Have the client’s favorite snacks available at all times.
8. A nurse is collecting data from a client who has paranoid personality disorder. Which of thefollowing manifestations should the nurse expect?
Answer: Projects blame onto others
9. A nurse on and inpatient unit is assisting with a group therapy session. During the session, a client begins to shout using aggressive language. Which of the following statements should thenurse make to the client?
Answer: When you raise your voice, it makes me feel uncomfortable and unsafe.”
10. A nurse in a mental health facility is caring for a client who has schizophrenia. The client becomes violent in the dayroom and begins throwing objects at staff and other clients.After calling for assistance. Which of the following actions should the nurse take next?
Answer: Tell the client calmly to sit down
11. A nurse caring for a group of clients on a mental health unit. Which of the followingclient behaviors should the nurse reports to the charge nurse?
Answer: A client who is manic has been pacing the unit for several hours
12. A nurse is collecting data from a client who is taking valproic acid for the treatment of bipolar disorder. The nurse should identify that which of the following findings is priority to report to the provider?
Answer: Bleeding gums
13. A nurse is attempting to resolve an ethical dilemma that involves a client’s medical decisions and his own personal values. After collecting data and identifying the problem, whichof the following actions should the nurse take next?
Answer: Determine the benefits and consequences of respecting the client’smedical decisions [Show Less]