ATI MENTAL HEALTH PROCTORED EXAM 2019 – STUDY GUIDE

ATI MENTAL HEALTH PROCTORED EXAM 2019 – STUDY GUIDE

1.A nurse is caring for a newly admitted client in an acute care mental health facility.

Which of the following activities should the nurse plan during the working phase of

the therapeutic relationship?

1. Define the specific responsibilities of the client and of the nurse.

2. Assist the client to establish mutual goals.

3. Evaluate the client's progress toward meeting his goals.

4. Discuss how the client can incorporate new strategies into daily life.

3. Evaluate the client's progress toward meeting his goals.

During the working phase of the therapeutic relationship, the nurse and the client

explore together the problematic areas of the client's life. It is essential to

evaluate the progress the client is making toward the goals he has established.

2.A nurse on a mental health unit is caring for a group of clients. The nurse should

recommend weekly team meetings to discuss staff splitting regarding which of the

following clients?

1. A client who has a borderline personality disorder.

2. A client who has dementia.

3. A client who has separation anxiety disorder.

4. A client who has major depressive disorder.

1. A client who has a borderline personality disorder.

Splitting of staff members is a clinical finding frequently seen in clients who have

borderline personality disorder. Conducting weekly team meeting allows the staff

members to voice their feelings and agree upon strategies to implement when

working with the client.

3.A nurse is caring for a client who has bipolar disorder and is in a partial hospitalization

program in which a therapeutic milieu has been established. Which of the following

interventions should the nurse plan as the highest priority?

1. Assisting the client with baths and personal grooming.

2. Supporting the client's self-administration of medications.

3. Promoting communication with staff and other clients.

4. Encouraging the client to remain at the facility for at least 1 month.

2. Supporting the client's self-administration of medications.

Nonadherence to the medication regimen places this client at the greatest risk for

rehospitalization. Therefore, the priority intervention is to support the client in

achieving self- administration of medication.

4.A nurse is collecting data from a client who has depression and is taking a monoamine

oxidase inhibitor (MAOI). The nurse should report the use of which of the following

OTC medications?

1. Docusate Sodium

2. IBU

3. Pseudoephedrine

4. Famotidine

3. Pseudoephedrine

Pseudoephedrine is an OTC medication containing ephedrine and can interact

with MAOIs, causing a HTN crisis. Therefore, the nurse should report the use of

this medication to the provider.

5.A nurse is reinforcing teaching with the family of a client who has opioid use disorder.

The nurse should determine understanding of the teaching when the family identifies

which of the following manifestations as an indication of opioid intoxication?

1. Impaired coordination

2. Paranoia

3. Increased alertness

4. Tachypnea

1. Impaired coordination

Opiates, due to their sedative effect on the body, can result in impaired

coordination as an indication of intoxication.

6.A nurse is reinforcing teaching with an adolescent who has a history of aggressive

behavior. Which of the following statements is appropriate?

1. If you can control you actions this week, I'll talk to you parents about extending

your curfew.

2. Have you considered participating in a sport to help control your aggression?

3. If you become aggressive, your parents will take away privileges.

4. You're hurting others. Do you understand why that's wrong?

2. Have you considered participating in a sport to help control your aggression?

It is appropriate for the nurse to encourage sports and other physical activities,

which can provide an appropriate outlet for aggression.

7.A charge nurse is assisting a newly licensed nurse with the care of an agitated adult

client. The charge nurse plans to apply mechanical restraints. Which of the

following statements made by the newly licensed nurse demonstrates an

understanding of the appropriate guidelines for the use of restraints.

1. The nurse can have an assistive personnel evaluate the client's restraints at

regular intervals.

2. The provider should make an in-person evaluation of the client within 1 hour

of initiating the restraints.

3. The nurse requires a provider's prescription prior to initiating mechanical restraints.

4. The provider must reissue prescriptions for restraints every 8 hours for an

adult client.

2. The provider should make an in-person evaluation of the client within 1 hour of

initiating the restraints.

The Joint Commission requires an in-person evaluation of a client within 1 hour

of initiating restraints for safety and protection.

8.A client diagnosed with schizophrenia is experiencing auditory hallucinations. When

contributing to the plan of care for this client, the nurse should be aware of which of

the following?

1. Clients who have schizophrenia are incapable of ignoring hallucinations.

2. Anxiety may indicate that hallucinations are increasing.

3. Hallucinations become more prominent in the evening hours.

4. Clients who have schizophrenia generally accept explanations that

hallucinations are not real.

2. Anxiety may indicate that hallucinations are increasing.

The nurse should recognize increased anxiety as a possible indication that

hallucinations are increasing as well.

9.A client who has a diagnosis of depression reports consuming a quart of vodka a day.

On admission, which of the following questions should the nurse ask first?