ATI MENTAL HEALTH A 2019 PROCTORED EXAM REVISION QUESTIONS AND ANSWERS(CORRECT)

1. A nurse is teaching a client with schizophrenia about her new prescription for risperidone. Which of the following statements should the nurse include in the teaching? a. You should discontinue the medication if you develop muscle rigidity b. You will experience weight loss while taking this medication c. You will notice your symptoms improve than 24 hours of taking this medication d. You should increase your consumption of complex carbohydrates 2. A nurse is admitting a client who has generalized anxiety disorder. Which of the following actions should the nurse plan to take first? a. Provide the client with a quiet environment b. Determine how the client handle stress c. Teach the client to use guided imagery d. Ask the client to identify her strengths 3. A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings should the nurse report to the provider? a. States that he hasn't bathed in 2 days b. Reports eating twice in the past week c. Make inappropriate sexual comments d. Speak in rhyming sentences 4. A nurse is planning care for a client who has OCD. Which of the following recommendation should the nurse include in the client’s plan of care? a. Validation therapy b. Thought stopping c. Operant conditioning d. Reality orientation therapy 5. A nurse is caring for a client who has bipolar disorder and experiencing a manic episode. Which of the following actions should the nurse take? a. Encouraged client to join group activities b. Dim the lights in the client’s room c. Provide detailed explanations to the client d. Administer methylphenidate to the client 6. A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first? a. Initiate referrals b. Review Community Resources c. Identify prior coping skills d. Discuss the importance of confidentiality 7. A nurse overhears a client saying, “I am a spy, a spy for the FBI. I am an I, an eye for an eye, and eye in the sky. Sky is up high.” The nurse should document the client statement as which of the following speech alterations? a. Echolalia b. Word salad c. Neologism d. Clang Association 8. An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter States,” I am so worried that my mother is depressed.” Which of the following responses should the nurse make? a. Everyone gets depressed from time to time b. You shouldn't worry about this, because depressive disorder is easily treated c. Older adults are usually diagnosed with depressive disorder as they age d. Tell me the reasons you think your mother is depressed 9. A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care? a. Meets own needs without manipulating others b. Initiate social interactions with caregivers c. Change his behavior as a result of peer pressure d. Acknowledges that his delusions are not real 10. A nurse is providing behavioral therapy for a client who has OCD. The client repeatedly checks that the doors unlocked 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 11. A nurse is caring for a client who is starting treatment for substance abuse disorder. Which the following actions indicates the nurse is practicing the ethical principle of nonmaleficence? a. Providing a client with quality care regardless of ability to pay for treatment b. Educating the client about legal rights concerning treatment c. Withholding a prescribed medication that is causing adverse effect for the client d. Being truthful with the client about the manifestations of withdrawal 12. 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 decreasing anxiety b. Aversion therapy to provide distraction c. Pairing a maladaptive behavior w a painful stimuli to change behavior d. Positive reinforcement to increase desired behavior e. Systematic desensitization to extinguish the behavior 13. 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. Speak to the client and a high-pitched voice c. Place the client in seclusion d. Have the client breathe into a paper bag 14. A nurse is caring for a client following a physical assault. The client states, “I don't remember what happened to me.” The nurse should recognize that the client is using which of the following defense mechanisms? a. Repression b. Displacement c. Rationalization d. Denial 15. A nurse is caring for a client who has anorexia nervosa. Which of the following findings requires immediate intervention by the nurse? a. +2 edema of the lower extremities b. BUN 21 mg/dL c. Lanugo covering the body d. Blood pH 7.60 16. A nurse is caring for a client in a mental facility. The client is educated and threatens to harm herself and others. Which of the following is a nurse's priority intervention? a. Place the client in restraints b. Administer and anti-anxiety medication to the client c. Put the client in seclusion d. Set limits on the client's behavior 17. A nurse is preparing to administer haloperidol 7 mg IM to a client who is severely agitated. Available as Haloperidol injection 5mg/ml. How many ml should the nurse administer? (Round to the nearest tenth) 1.4 ml 18. 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 the healthcare team would. Which of the following actions should the nurse take? a. Ask the client's family to encourage the client to receive ECT b. Inform the client that ECT does not require client consent c. Document the client’s refusal of the treatment in the medical record d. Tell the client he cannot refuse the treatment because he was involuntarily committed 19. A nurse in emergency department is caring for a client who reports feeling sad, worthless, and hopeless 9 months after the death of her son. Which of the following actions should the nurse take first? a. Request a mental health consult for the client b. Ask the client if she has thought about harming herself c. Encourage the client to attend a grief support group d. Discuss the client's coping skills 20. A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation. The nurse should encourage decline to participate in which of the following groups? a. Dual diagnosis treatment group b. Dialectical behavior treatment group c. For client who exhibit self injurious behavior d. Desensitization therapy e. Co-dependents support group 21. A nurse is reviewing the medication administration record of a client who has schizophrenia. The nurse should plan to initiate abnormal involuntary movement scale to monitor for adverse effects of which of the following medications? a. Amantadine b. Diphenhydramine c. Benztropine d. Haloperidol i. To screen for EPS ii. AE for antipsychotics 22. A nurse is counseling a client following the death of the client’s partner 8 months ago. Which of the following client statements indicates maladaptive grieving? a. I am so sorry for the times I was angry with my partner b. I find myself thinking about my partner often c. I still don't feel up to returning to work d. I like looking at his personal items in the closet 23. A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan? a. The client will report a decrease in hallucinations b. The client will communicate needs c. The client will verbalized improved mood d. The client will attend to personal hygiene 24. A nurse is caring for a client who is prescribed the massage therapy to treat panic disorder. The client states, “I can't stand to be touched by another person.” Which of the following responses should the nurse make? a. Why don't you like to be touched by others? b. Don't worry about it. Your anxiety will lessen once a massage begins c. I will tell your provider that you would like a treatment other than massage d. I will request that the massage therapist wear gloves during the treatment 25. A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan? a. Encourage physical activity for the client during the day b. Discourage the client from expressing feelings of anger c. Keep a bright light on in the client’s room at night d. Identify and schedule alternate group activities for the client 26.