ATI Mental Health Proctored Exam 2019

1.A client is fearful of driving and enters a behavioral therapy program to

help him overcome his anxiety. Using systematic desensitization, he is able

to drive down a familiar street without experiencing a panic attack. The

nurse should recognize that to continue positive results, the client should

participate in which of the following?

a. Biofeedback

b. Therapist modeling

c. Frequent pacing

d. Positive reinforcement

2. 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 like looking at his personal items in the closet.”

c. “I find myself thinking about my partner often.”

d. “I still don’t feel up to returning to work.”

Rationale: 8 months too long Maladaptive Grief: . Distorted or exaggerated grief response - unable to

perform activities of daily living.

RISK FACTORS FOR MALADAPTIVE GRIEVING

●● Being dependent upon the deceased

●● Unexpected death at a young age, through violence, or by a socially unacceptable manner

●● Inadequate coping skills or lack of social support

●● Pre-existing mental health issues, such as depression or substance use disorder

3./21 A nurse in an inpatient mental health facility is assessing a client who

has schizophrenia and is taking haloperidol (anti-psychotic, 1st gen).

Which of the following clinical findings is the nurse’s priority?

a. Headache

b. Insomnia (sedation)

c. Urinary hesitancy (Complication → ANTIcholinergic effects)

d. High fever (Complication → agranulocytosis)

Other complications: Acute dystonia, Pseudoparkinsonism, Akathisia, Tardive dyskinesia,

Neuroendocrine effects (Gynecomastia, Weight gain, Menstrual irregularities), NMS, Orthostatic

Hypotension, Sedation, Sexual dysfunction, Skin effects, Liver impairment