ATI MENTAL HEALTH PROCTORED FORM A & FORM B 2019EXAM (140 Q & A)/ MENTAL HEALTH ATI PROCTORED EXAM FORM A & B 2019(UPDATED 2022-2023)

ATI MENTAL HEALTH PROCTORED FORM A & FORM B

2019EXAM (140 Q & A)/ MENTAL HEALTH ATI PROCTORED

EXAM FORM A & B 2019(UPDATED 2022-2023)

1. A nurse is caring for a school-aged child who has conduct disorder and is being physically

aggressive toward other children in the unit. Which of the following actions should the nurse take

first?

a. Place the child in seclusion

b. Use therapeutic hold technique

c. Apply wrist restraints

d. Administer risperidone

3. A nurse is caring for a client who exhibits excessive compliance, passivity, and self-denial. The

nurse should recognize that these findings are associated with which of the following personality

disorders?

a. Dependent

b. Paranoid

c. Borderline

d. Histrionic

4. A nurse is caring for a client who is involuntarily admitted for major depressive disorder and

refuses to take prescribed antianxiety medication. Which of the following actions should the nurse

take?

a. Inform the client that he does not have the right to refuse medication

b. Administer the medication to the client via IM injection

c. Offer the client the medication at the next scheduled dose time

d. Implement consequences until the client take the medication

5. A nurse is caring for a client in the emergency department who states she was beaten and

sexually assault by her partner. After a rapid assessment, which of the following actions should the

nurse plan to take next?

a. Conduct a pregnancy test

b. Requests mental health consultation for the client

c. Provide a trained advocate to stay with the

prophylactic medication client.

d. offer prophylactic medication to prevent STIs

6. A nurse is caring for a client who has major depressive disorder. After discussing the treatment

with

his 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?

a. Request that the client's partner sign the consent

form

b. Cancel the schedule ECT procedure

c. Proceed with the preparation for ECT based on implied consent

d. Inform the client about the risks of refusing the ECT

7. A nurse is caring for a client who reports that he is angry with his partner because she thinks he

is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and

tells her to leave. Which of the following defense mechanisms is the client demonstrating?

a. Rationalization

b. Denial

c. Compensation

d. Displacement

8. A nursing is advising an assistive personnel (AP) on the care of a client who has major

depressive disorder. The AP states that he is irritated by the client's depression. Which of the

following statements by the nurse is appropriate?

a. Please don't take what the client said seriously when she is

depressed

b. It's important that the client feel safe verbalizing how she is feeling

c. Everybody feels that way about this client so don't worry about it

d. I'll change your assignment to someone who doesn't have depressive disorder

9. 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?

a. The child is 10years old

b. The child is homeschooled

c. The has no siblings

d. The child has cystic fibrosis

10. A nurse Is providing behavioral 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. Keep a journal of how often you check the locks each night

b. Snap a rubber band on your wrist when you think about checking the locks

c. Ask a family member to check the lock for you at night

d. Focus on abdominal breathing whenever you go to check the locks

11. A nurse is assessing a client who is experiencing alcohol withdrawal.For which of the

following findings should the nurse anticipate administration of lorazepam/

a. Bradycardia

b. Stupor

c. Afebrile

d. Hypertension

12. A nurse is creating a plan of care of a client who has anorexia nervosa.Which of the following

intervention should the nurse include in the plan?

a. Weigh the client twice per day

b. Prepare the client for electroconvulsive therapy

c. Set a weight gain goal of 2.2kg (5lbs) per week

d. Encourage the client to participate in family therapy

13. A nurse is planning care for a 3-year-old child who has autism spectrum disorder. Which of the

following finding should the nurse expect?

a. Readily initiates conversation

b. Enjoys imaginative play

c. Strong relationship with sibling and

peers

d. Attachment to objects that spin

14. A nurse is planning care for a client who has bipolar disorder. The client reports not sleeping

for 3 days and is exhibiting a euphoric mood. The nurse should identify which of the following as

the priority intervention.

a. Secure the client's valuable possessions

b. Limit loud noises in the client's environment

c. Encourage the client to participate in structured solitary activities

d. Provide high calorie snacks to the client

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 that which of the following is a therapeutic

effect of this medication.

a. Blocks aldehyde dehydrogenase

b. Prevents the anxiety of

abstinence

c. Reduce substance craving

d. Decreases the likelihood of seizures

16. A nurse in an alcohol treatment facility is caring for a client who states "my job is so stressful

that the

only way I can come it is to drink." The nurse should recognize that the client is displaying which

of the following defense mechanisms?

a. Repression

b. Rationalization

c. Introjection

d. Intellectualization

17. A nurse is caring for a client who has depression following a recent job loss. Which of the

following questions should the nurse ask to assess the client's personal coping skills?

a. How does this situation affect your life?

b. Do you see your current situation affecting your

future?

c. Can you describe how you are currently feeling?

d. How have you dealt with similar situations in the past

18. A school nurse is caring for an adolescent client whose teacher reports changes in school

performance and withdrawal from interaction with classmates. Which of the following intervention

is the nurse's priority at this time?

a. Contact the adolescent's parents

b. Suggest the adolescent join support groups

c. Ask the adolescent if he is considering hurting himself

d. Determine when the adolescent's change in behavior began

19. A nurse is assessing a client who is withdrawing from heroin. Which of the following

manifestations should the nurse expect?

a. Slurred speech

b. Hypotension

c. Bradycardia

d. Hyperthermia

20. A nurse is assessing a client who has histrionic personality disorder. Which of the following

finds should the nurse expect?

a. Lack of remorse

b. Attention seeking