2019 |With Verified Questions And Answers With
Rationales| Questions And Answers With Rationales
|Graded A+
THIS EXAM INCLUDES:
➢ ATI Mental Health Proctored Exam
➢ Questions And Answers
➢ 2019 Exam
➢ Graded A+
,ATI Mental Health Proctored Exam
Question 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
Correct Answer: D
Rationale: Positive reinforcement strengthens desired behaviors by providing
rewards. In systematic desensitization, continued success requires reinforcing the
ability to confront feared stimuli without anxiety.
Question 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."
Correct Answer: D
Rationale: Eight months after a loss, inability to return to work indicates
maladaptive grieving (distorted/exaggerated grief response). Normal grieving
should not persistently impair daily functioning for this duration.
Question 3
A nurse in an inpatient mental health facility is assessing a client who has
,schizophrenia and is taking haloperidol (first-generation antipsychotic). Which of
the following clinical findings is the nurse's priority?
A. Headache
B. Insomnia
C. Urinary hesitancy
D. High fever
Correct Answer: D
Rationale: High fever may indicate agranulocytosis (life-threatening) or
neuroleptic malignant syndrome (NMS), both medical emergencies. Headache,
insomnia, and urinary hesitancy are not immediately life-threatening.
Question 4
A nurse is planning care for a client who has obsessive-compulsive disorder.
Which of the following recommendations should the nurse include in the client's
plan of care?
A. Reality orientation therapy
B. Operant conditioning
C. Thought stopping
D. Validation therapy
Correct Answer: C
Rationale: Thought stopping teaches the client to say "stop" when compulsive
urges arise and substitute a positive thought. This is an effective behavioral
technique for OCD.
Question 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
B. Encourage the client to participate in group activities
C. Avoid power struggles by remaining neutral
D. Allow the client to set limits for his behavior
, Correct Answer: C
Rationale: Remaining neutral and avoiding power struggles prevents escalation.
Clients in mania may be provocative; the nurse should not react personally. The
nurse, not the client, sets limits.
Question 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 thought stopping
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."
Correct Answer: D
Rationale: Snapping a rubber band provides a physical aversive stimulus to
interrupt compulsive thoughts. This is a form of thought stopping.
Question 7
A nurse is caring for a client who has a cocaine use disorder. Which of the
following manifestations should the nurse expect the client to have during
withdrawal?
A. Hand tremors
B. Fatigue
C. Seizures
D. Rapid speech
Correct Answer: B
Rationale: Cocaine withdrawal causes fatigue, depression, craving, hypersomnia
or insomnia, and psychomotor retardation. Hand tremors and seizures occur
during intoxication, not withdrawal.