NGN ATI MENTAL HEALTH PROCTORED EXAM
2024 /NGN ATI PROCTORED MENTAL HEALTH
EXAM 70 QUESTIONS WITH DETAILED VERIFIED
ANSWERS AND RATIONALE /A+ GRADE
... [Show More] ASSURED
A nurse is providing behavior therapy for a client who has
obsessive-compulsive disorder. The client repeatedly checks
that the doors are locked at night. Which of the following
instructions should the nurse give the client when using
thought stopping technique?
a. Snap a rubber band on your wrist when you think about
checking the locks.
b. Ask a family member to check the locks for you at night.
c. Focus on abdominal breathing whenever you go to check
the locks.
d. Keep a journal of how often you check the locks each night.
- ....ANSWER...a. Snap a rubber band on your wrist when you
think about checking the locks.
A nurse is caring for a client who is starting treatment for
substance use disorder. Which of the following actions
indicates the nurse is practicing the ethical principle of
nonmaleficence?
a. Provide the client with quality care regardless of their
ability to pay for treatment.
b. Educating the client about legal rights concerning
treatment.
c. Withholding the prescribed medication that is causing
adverse effects for the client.
d. Being truthful with the client about the manifestations of
withdrawal. - ....ANSWER...c. Withholding the prescribed
medication that is causing adverse effects for the client.
A nurse in a group home facility is caring for a client who is
developmentally disabled. The client has been stealing
belongings from other clients. Which of the following
techniques should the nurse use?
a. Crisis intervention to decrease anxiety.
b. Aversion therapy to provide distraction
c. Positive reinforcement to increase desired behavior.
d. Systematic desensitization to extinguish the behavior. -
....ANSWER...c. Positive reinforcement to increase desired
behavior.
A nurse is caring for a client who is experiencing a panic
attack. Which of the following actions should the nurse take?
a. Ask the client to discuss precipitating events
b. Speaks to the client in a high-pitched voice.
c. Place the client in seclusion
d. Have the client breathe into a paper bag. - ....ANSWER...d.
Have the client breathe into a paper bag.
A nurse is teaching the caregiver of a client who has advanced
Alzheimer's disease about home safety. Which of the
following
statements by the caregiver indicates an understanding of the
teaching?
a. I will give his most recent photo to the police
b. I will place a sliding bolt lock just above the doorknob
c. I will ensure the bedroom is dark while he is sleeping at
night
d. I will notify law enforcement within 2 hours if he cannot
be found - ...ANSWER...b. I will place a sliding bolt lock just
above the doorknob
A nurse is beginning a therapeutic relationship with a client.
The nurse
should plan to accomplish which of the following tasks during
the working
phase?
a. Establish boundaries between the nurse and the client
b. Evaluate progress toward predetermined goals
c. Inform the client about confidentiality rights
d. Set short- and long-term objective for the future -
...ANSWER...b. Evaluate progress toward predetermined
goals
A nurse Is planning care for a client who has anorexia nervosa
and is
admitted to an inpatient eating disorder unit. Which of the
following is an
appropriate intervention?
a. Use systematic desensitization to address the client's fears
regarding weight gain
b. Allow the client to select meal times
c. Initiate a relationship built on trust with the client.
d. Negotiate with the client the opportunity to reweigh -
...ANSWER...a. Use systematic desensitization to address the
client's fears regarding weight gain
A nurse is providing discharge teaching about manifestations
of
relapse to the family of a client who has schizophrenia. Which
of the
following information should the nurse include in the
teaching?
a. The client develops an inability to concentrate
b. The client increases participation in social activities
c. The client exhibits an inflated sense of self
d. The client begins sleeping more than usual -
...ANSWER...a. The client develops an inability to
concentrate
A nurse in a mental health facility is caring for a client. Which
of the
following actions should the nurse take during the working
phase of the
nurse-client relationship? - ...ANSWER...a. Summarize goals
and objectives.
b. Address confidentiality.
c. Promote problem-solving skills.
d. Establish a participation contract
A nurse is planning care for a client who has dementia. Which
of the
following interventions should the nurse include in the plan?
a. Remove clocks from the client's room (no want to orient to
time)
b. Confront the client when he exhibits inappropriate
behavior
c. Give detailed instructions for completion of self-care
activities
d. Provide finger food to enhance caloric intake -
...ANSWER...d. Provide finger food to enhance caloric intake
A nurse is developing a teaching plan for the family of an
older adult
client who is to receive transcranial magnetic stimulation.
Which of the
following information should the nurse include in the teaching
plans?
a. The client might have a headache after treatment (a/e mild
discomfort
and tingling sensation at the site of the electromagnet)
b. The client will require intubation after treatment (client is
alert during the
procedure)
c. The client is at risk for aspiration during treatment (nothing
is placed in the
mouth, only a noninvasive magnet in the head)
d. The client will experience a seizure during treatment -
...ANSWER...a. The client might have a headache after
treatment (a/e mild discomfort
A nurse overhears a client saying, "I am a spy, a spy for the
FBI. I am an
I, an eye for an eye, an eye in the sky. Sky is up high. The
nurse should
document the client's statement as which of the following
speech
alterations?
a. Clang association
b. Echolalia
c. Word salad
d. Neologism - ...ANSWER...a. Clang association
A nurse is assessing a client who has neuroleptic malignant
syndrome. Which of the following clinical findings should the
nurse
expect?
a. Hypotonicity (muscle rigidity)
b. Temperature 40 (104F) (sudden high fever)
c. Heart rate 48/min (bradycardia)
d. WBC 3,000/mm - ...ANSWER...b. Temperature 40 (104F)
A nurse in an acute care mental health facility is planning
discharge
care for a client who sustained a traumatic brain injury. For
which of the
following needs should the nurse collaborate with a clinical
psychologist?
a. The client needs to begin a group therapy program prior to
discharge
b. The client needs to find a place to live after discharge.
c. The client needs a prescription for medication to promote [Show Less]