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RN ATI Mental Health Proctored Exam with NGN: Questions & Verified Answers

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This comprehensive study guide contains exam-style questions and verified correct answers for the RN ATI Mental Health Proctored Exam, including Next Generation NCLEX (NGN) item types. Content covers essential psychiatric-mental health nursing topics including depressive disorders (major depressive disorder, tranylcypromine [MAOI] interactions, fluoxetine), anxiety disorders (panic attacks, phobias, situational crisis), eating disorders (anorexia nervosa, bulimia nervosa, laxative abuse, trigger foods, refeeding), bipolar disorder (acute mania, lithium adverse effects, psychomotor activity), schizophrenia (positive and negative symptoms, clozapine monitoring, command hallucinations, clang association, alogia, catatonia), substance use disorders (alcohol withdrawal, alcohol toxicity, opioid withdrawal, alcoholic cardiomyopathy, denial defense mechanism), personality disorders (borderline personality disorder, self-mutilation priority, antisocial personality disorder, operant conditioning), neurocognitive disorders (dementia, Alzheimer's disease, wandering, deceased partner), ADHD (priority interventions, environmental modifications), pharmacotherapy (olanzapine, chlorpromazine, benzotropine for acute dystonia, clozapine, lithium, MAOIs, SSRIs), therapeutic communication (active listening, summarizing, silence, reflection), client rights and legal issues (informed consent, seclusion and restraints, duty to report abuse/neglect, confidentiality, HIPAA), crisis intervention, grief and loss, family dynamics, child and older adult abuse, and suicide precautions. Includes select-all-that-apply questions, dosage calculation, priority actions, and NGN case studies (alcohol toxicity, anorexia nervosa). Designed for RN nursing students preparing for the ATI Mental Health Proctored Exam and NCLEX-RN.

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RN ATI MENTAL HEALTH
PROCTORED

EXAM WITH NGN EXAM

QUESTIONS AND CORRECT VERIFIED

ANSWERS




A nurse is admitting a client who has major depressive disorder and a new
prescription for tranylcypromine. Which of the following over-the-counter
medications that the client reports taking should alert a nurse to a potential
adverse reaction?

- Lansoprazole

- Naproxen

- Magnesium hydroxide

- Phenylephrine - ANS✔✔---Phenylephrine



A nurse is counseling an adolescent who has anorexia nervosa and reports
excessive laxative use and a fear of gaining weight. The client states, "I am so


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,fat I can't even stand to look at myself." Which of the following therapeutic
responses demonstrates the nurse's use of summarizing.

- "You're discussed several concerns about your weight. Let's go back and
talk about your belief that you are fat."

- "You're saying that you think you are fat and are using laxatives because
you are afraid of gaining weight."

- "You don't want to look at yourself because you think you are fat."

- "You and I can work together to overcome your fears of gaining weight."
- ANS✔✔--"You're saying that you think you are fat and are using laxatives
because you are afraid of gaining weight."



A nurse is reviewing the EMR of a client who has schizophrenia and is taking
clozapine. Which of the following findings is the priority for the nurse to notify
the provider?

- The client's chart indicates a 1.36 kg (lb) weight gain in 1 month

- The client reports an inability to breathe easily

- The client's laboratory results indicate a fasting blood glucose level of
130 mg/dl

- The client reports having recently starting smoking cigarettes - ANS✔✔--
- The client reports an inability to breathe easily



A nurse is obtaining a mental health history from an older adult client. Which of
the following actions should the nurse plan to take?

- Raise the pitch of the voice when speaking to the client

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, Begin the interview by explaining the plan of care

Interview the client in a private setting

- Ask the client the complete a detailed questionnaire - ANS✔✔---
Interview the client in a private setting



A charge nurse is preparing an educational session for a group of newly
licensed nurses to review client rights under the law. Which of the following
statements should the nurse make?

- "Information regarding clients should remain confidential until after their
death."

- "Failure to report suspected maltreatment or neglect of a disabled adult is
a felony in all states."

- "As long as client identity is disguised, their health information can be
shared between professionals on the internet."

- "In the event a client threatens harm to others, medications can be
administered without consent." - ANS✔✔--- "In the event a client threatens
harm to others, medications can be administered without consent."



A nurse is providing teaching to the partner of a client who is in a rehabilitation
program for alcohol use disorder. The nurse should identify that which of the
following statements by the client's partner indicates an understanding of the
teaching?

- "I will avoid social events until my partner has completed treatment."

- "It is important for me to focus my attention on my partner's addiction."


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