ATI MENTAL HEALTH PROCTORED TEST BANK 2023 QUESTIONS AND CORRECT ANSWERS AND RATIONALES|ALREADY GRADED A|

ATI MENTAL HEALTH PROCTORED

TEST BANK 2023 QUESTIONS AND

CORRECT ANSWERS AND

RATIONALES|ALREADY GRADED A|

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

tohelp him overcome his anxiety. Using systematic desensitization, he is

ableto 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 toperform

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 whohas

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,

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

4. A nurse is planning care for a client who has obsessive compulsive

disorder. Which of the following recommendations should the nurse

includein the client’s plan of care?

a. Reality Orientation therapy (re-orient to reality)

b. Operant Conditioning (receives positive rewards for positive behavior)

c. Thought Stopping (say “stop” when compulsive behaviors arise &

substitute w/ positive thought)

d. Validation Therapy (acknowledging pt’s feelings)

4. A nurse is providing teaching to the daughter of an older client who

has obsessive-compulsive disorder. Which of the following

statements by the daughter indicates an understanding of the

teaching?

a. “I will provide my mother with detailed instructions about how to

performself- care.” (Give simple directions)

b. “I will limit my mother’s clothing choices when she is getting

dressed.”

(If client is indecisive, limit the client's choices; if client still unable to make a decision, give client one

outfit to wear)

c. “I will wake my mother up a couple of times in the night to check on her.”

d. “I will discourage my mother from talking about her physical complaints.”

5. A nurse is caring for a client who is in the manic phase of

bipolar disorder. Which of the following actions should the

nurse take?

a. Provide in depth explanation of nursing expectations (inability to

focus -give concise explanations)

b. Encourage the client to participate in group activities

(decrease stimulation)

c. Avoid power struggles by remaining neutral (do not react

personallyto pt’s comments)

d. Allow the client to set limits for his behavior (nurse sets limits)

6. A nurse is providing behavioral therapy for a client who has OCD. The

client repeatedly checks that the doors are locked at night. Which of the

following instructions should the nurse give the client when using

thoughtstopping technique?

a. “Keep a journal of how often you check the locks each night.”

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. “Snap a rubber band on your wrist when you think

about checking the locks.”

Thought stopping: teach pt to say “stop” when negative thoughts/compulsive

behaviors arise & substitute positive thought - goal forpt use command silently

over time

7. A nurse is caring for a client who has a cocaine use disorder. Which

ofthe following manifestations should the nurse expect the client to have

during withdrawal?

a. Hand tremors (Intoxication)

b. Fatigue

c. Seizures (Intoxication)

d. Rapid speech

Rationale: Pg: 97 WITHDRAWAL MANIFESTATIONS● Depression, fatigue, craving, excess sleeping orinsomnia,

dramatic unpleasant dreams, psychomotor retardation, agitation● Not life-threatening, but possible

occurrence of suicidal ideation

Cocaine = STIMULANT → OPPOSITE of HEROIN

● Withdrawal = opposite effects

8. A nurse is reviewing the medical record of a client who is taking

clozapine. For which of the following findings should the nurse withhold

themedication and notify the provider?

a. WBC count

b. Heart rate

c. Report of photosensitivity

d. Blood glucose level

9. /59. A nurse is creating a plan of care for a client who has major

depressive disorder. Which of the following interventions should

thenurse include in the plan?

a. Keep the ring light on in the client’s room at night

b. Encourage physical activity for the client during the day

c. Identity and schedule alternative group activities for the client

d. Discourage the client from expressing feeling of anger

10. A nurse is assessing a client who is experiencing acute

alcohol withdrawal. Which of the following findings should the

nurse expect?

a. Diminished reflexes

b. Hypotension - increased BP

c. Insomnia

d. Bradycardia

11. A nurse is caring for a client who has schizophrenia and displays

severe symptoms of the disorder. Which of the following actions should

thenurse take?

a. Use medication to decrease frequency of auditory and

visual hallucinations

b. Assist the client to identify somatic and thought broadcast delusion

(Identify symptom triggers, such as loud noises (can trigger auditory hallucinations in certain clients) and

situations that seem to trigger conversations about the client’s delusions.

c. Manage the client’s loud, rambling, and incoherent

communication patterns

d. Direct the client to perform her own daily hygiene

and grooming tasks

Somatic delusions - believes that his body is changing in an unusual way, such as growing a third arm.Thought

broadcasting - believes that her thoughts are heard by others.

Schizophrenia: The client has psychotic thinking or behavior present for at least 6 months. Areas offunctioning,

including school or work, self-care, and interpersonal relationships, are significantly impaired.

12. A nurse is caring for a client who was involuntarily committed and is

scheduled to receive electroconvulsive therapy. The client refuses the

treatment and will discuss why with the healthcare team. Which of the

following actions should the nurse take?

a. Document the client’s refusal of the treatment

in the medication record

b. Tell the client he cannot refuse the treatment because

he was involuntarily committed

c. Inform the client the ECT does not require client consent

d. Ask the client family to encourage the client to receive ECT

Clients admitted under involuntary commitment are still considered competent and have the right torefuse TX