ATI Mental health proctored Exam
Q&A
1.A nurse is caring for a client who has major depressive disorder. After discussing the treatment with his
... [Show More] partner. The client verbally agrees to electroconvulsive therapy (ECT) but will not sign the consent form. Which of the following actions should the nurse take?
• Inform the client about the risks of refusing ECT
• Cancel the scheduled ECT procedure
• Request that the client’s partner sign the consent form
• Proceed with preparation for ECT based on implied consent
2. A nurse is caring for a client who recently experienced the unexpected death of his child.
Which of the following actions should the nurse take first?
• Request a prescription for alprazolam for the client
• Initiate a referral for the client to receive individual counseling
• Asking the client if he is thinking about self-harm
• Identify the client ‘s support system.
3.A nurse is interviewing a client who reports ongoing feelings of depression after the death of
his siblings 9 months ago. Which of the following actions should the nurse take?
• Explain to the client that the duration of grief is highly variable and can last for years.
• Encourage the client to avoid discussing the events surroundings the siblings’ death
• Recommend that the client participate in more solitary activities
• Caution the client against angry at the sibling
4.A nurse is providing discharge teaching about manifestation of relapse to the family of a client
who has schizophrenia. which of the following information should the nurse include in the teachings?
• The client increase participation in social activities
• The client exhibits an inflated sense of self
• The client begins sleeping more than usual
• The client develops an inability to concentrate
5.A nurse manager is observing a newly licensed a nurse preparing to administer an IM medication to a client who is manic and refused the medication. which of the following actions should the nurse manager take first?
• Discuss the purpose of the medication first
• Demonstrate how to verbally de-escalate the situation
• Assess the need for physical restraints (course hero)
• Stop the newly licensed nurse from administering the medication
6. A nurse is developing a plan of care for school-age child who has autism spectrum disorder.
which of following intervention should the nurse include in the plan?
• Allow flexibility in the child’s daily schedule
• Use a reward system for appropriate behavior
• Discourage the child from making eye contact with caregivers
• Assign the child to room with another child of the same age
7. A nurse is assessing a client who has bipolar disorder. which of the following finding should the nurse identify as an indicator that the client is experiencing acute mania?
• Report lack of sleep
• Writes a detailed daily activity schedule
• Isolates self from others
• Refuses to engage in conversation
8.A nurse is reviewing medical record of a client who has anorexia nervosa. Which of the
following findings should the nurse report to the provider? Exhibit
• Heart rhythm
• Edema
• Temperature
• Intake
A nurse is reviewing the medical record of a client who has anorexia nervosa. Which
of the following findings should the nurse report to the provider?
A. Intake - Anorexia is an eating disorder characterized by an abnormally low body weight, intense fear of gaining weight and a distorted perception of self hence intake should be monitored and reported.
•
9.A nurse in an acute care mental health facility is receiving morning report for a group of
clients. Which of the following clients should the nurse plan to assess first?
• a client who has posttraumatic stress disorder and is reported to have experienced a flashback during the night
• a client who has generalized anxiety disorder and reports being frightened about upcoming dental appointment
• a client who is depressed and occasionally expresses suicidal thoughts, but whose mood is reported to have improved this morning
• a client who was recently admitted, has severe negative manifestation of schizophrenia, and is refusing to get up for breakfast.
10. A nurse is teaching the family of a client who has Alzheimer’s disease about safety intervention for nighttime wandering which of the following intervention should the nurse include?
• Encourage the client to take naps during the day
• Place the client’s mattress on the floor
• Install locks at the bottom of exit door
• Place rubber-backed throw rugs on the tile floors
11. A nurse is assessing a child in the emergency department. Which of the following findings
places the child at the greatest risk for physical abuse?
• The child has cystic fibrosis
• The child has no siblings
• The child is 10 years old
• The child is homeschooled
12. A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the
following tasks should the nurse delegate to assistive personnel?
• Check the client ‘s condition after the procedure
• Give the client atropine 30 min before the procedure
• Assist the client to ambulate for the first time following the procedure
• Witness the client’s signature on the consent for the procedure.
13. A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following action should the nurse take?
• Inform the client that ECT does not require client consent
• Ask the client’s family to encourage the client to receive ECT
• Document the client ‘s refusal of the treatment in the medical record
• Tell the client he cannot refuse the treatment because he was involuntarily committed
14.A nurse is caring for a client who is experiencing manifestation of alcohol withdrawal. which of the following medication should the nurse plan to administer?
• Bupropion
• Lorazepam
• Methadone
• Clozapine
d. lorazepam
*benzodiazepine- first treatment for alcohol withdrawal
15. A nurse is evaluating the medication response of a client who takes naltrexone for the treatment of alcohol use disorder. the nurse should identify which of the following is a therapeutic effect of this medication
• Block aldehyde dehydrogenase
• Reduces substance craving
• Prevent the anxiety of substance
• Decreases the likelihood seizures
16. A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode.
which of the following actions should the nurse take?
• Administer methylphenidate to the client
• Encourage the client to join group activities
• Provide detailed explanation to the client
• Dim the light in the client’s room
17. a nurse is caring for a school age child who has conduct disorder and is in physical restraints
after becoming physically aggressive toward other clients on the unit. Which of the following action should the nurse take?
• Monitor the child’s vital signs every 15 min
• Keep the restraints on for minimum of 1 hour
• Arrange an in-person evaluation by the child’s provider with in 2hr on initiatings
• Ask the provider to review the prescription for restrain every 24hrs
18. A charge nurse is discussing the care of a client who has substance use disorder with a staff
nurse. Which of the following statement by the staff nurse should the charge nurse identify as countertransference?
• The client asked me to go for a date with him, but I refused
• The client needs to accept responsibility for his substance use
• The client generally shares his feelings during therapy sessions
• The client is just like my brother who finally overcome his habit
19. A nurse is providing teaching to a client who has a substance use disorder and a new prescription for methadone. Which of the following information should the nurse include in the teaching?
• You might experience constipation while taking this medication web md
• Discontinue this medication if you develop a productive cough
• Monitor yourself for weight gain while taking this medication
• You should expect this medication to cause insomnia
20. A nurse is assessing a client who is taking chlorpromazine. The client ‘s dosage was decreased 3 months ago to reduce adverse effects. Which of the following findings should the nurse identify as an indicator that reduced dosage of chlorpromazine is effective?
• Improved gait
• Decreased salivation
• Increased heart rate
• Decreased ringing in the ears [Show Less]