ATI Mental Health Proctored Exam 2019 |
QUSESTIONS AND ANSWERS | VERIFIED
Save
Terms in this set (74)
1.A client is fearful of driving and a. Biofeedback
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
,2. A nurse is counseling a client d. "I still don't feel up to returning to work."
following the death of the client's
partner 8 months ago. Which of the Rationale: 8 months too long Maladaptive Grief: .
following client statements Distorted or exaggerated grief response - unable
indicates maladaptive grieving? to
a. "I am so sorry for the times I was perform activities of daily living.
angry with my partner."
b. "I like looking at his personal items RISK FACTORS FOR MALADAPTIVE GRIEVING
in the closet."
c. "I find myself thinking about my ●● Being dependent upon the deceased
partner often." ●● Unexpected death at a young age, through
d. "I still don't feel up to returning to violence, or by a socially unacceptable manner
work." ●● 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 d. High fever (Complication → agranulocytosis)
health facility is assessing a
client who has schizophrenia and is Other complications: Acute dystonia,
taking haloperidol (antipsychotic, Pseudoparkinsonism, Akathisia, Tardive dyskinesia,
1st gen). Neuroendocrine effects (Gynecomastia, Weight
Which of the following clinical gain, Menstrual irregularities), NMS,
findings is the nurse's priority? Orthostatic Hypotension, Sedation, Sexual
a. Headache dysfunction, Skin effects, Liver impairment
b. Insomnia (sedation)
c. Urinary hesitancy (Complication →
ANTIcholinergic effects)
d. High fever (Complication →
agranulocytosis)
,4. A nurse is planning care for a client c. Thought Stopping (say "stop" when compulsive
who has obsessive behaviors arise & substitute
compulsive disorder. Which of the w/ positive thought)
following recommendations
should the nurse include in 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)
5. A nurse is caring for a client who is c. Avoid power struggles by remaining neutral (do
in the manic phase of not react
bipolar disorder. Which of the personally to pt's comments)
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
personally to pt's comments)
d. Allow the client to set limits for his
behavior (nurse sets limits)
, 6. A nurse is providing behavioral d. "Snap a rubber band on your wrist when you
therapy for a client who has think about
OCD. The client repeatedly checks checking the locks."
that the doors are locked at
night. Which of the following Thought stopping: teach pt to say "stop" when
instructions should the nurse give negative
the client when using thought thoughts/compulsive behaviors arise & substitute
stopping technique? positive thought - goal forpt use command silently
a. "Keep a journal of how often you over time
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."
QUSESTIONS AND ANSWERS | VERIFIED
Save
Terms in this set (74)
1.A client is fearful of driving and a. Biofeedback
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
,2. A nurse is counseling a client d. "I still don't feel up to returning to work."
following the death of the client's
partner 8 months ago. Which of the Rationale: 8 months too long Maladaptive Grief: .
following client statements Distorted or exaggerated grief response - unable
indicates maladaptive grieving? to
a. "I am so sorry for the times I was perform activities of daily living.
angry with my partner."
b. "I like looking at his personal items RISK FACTORS FOR MALADAPTIVE GRIEVING
in the closet."
c. "I find myself thinking about my ●● Being dependent upon the deceased
partner often." ●● Unexpected death at a young age, through
d. "I still don't feel up to returning to violence, or by a socially unacceptable manner
work." ●● 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 d. High fever (Complication → agranulocytosis)
health facility is assessing a
client who has schizophrenia and is Other complications: Acute dystonia,
taking haloperidol (antipsychotic, Pseudoparkinsonism, Akathisia, Tardive dyskinesia,
1st gen). Neuroendocrine effects (Gynecomastia, Weight
Which of the following clinical gain, Menstrual irregularities), NMS,
findings is the nurse's priority? Orthostatic Hypotension, Sedation, Sexual
a. Headache dysfunction, Skin effects, Liver impairment
b. Insomnia (sedation)
c. Urinary hesitancy (Complication →
ANTIcholinergic effects)
d. High fever (Complication →
agranulocytosis)
,4. A nurse is planning care for a client c. Thought Stopping (say "stop" when compulsive
who has obsessive behaviors arise & substitute
compulsive disorder. Which of the w/ positive thought)
following recommendations
should the nurse include in 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)
5. A nurse is caring for a client who is c. Avoid power struggles by remaining neutral (do
in the manic phase of not react
bipolar disorder. Which of the personally to pt's comments)
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
personally to pt's comments)
d. Allow the client to set limits for his
behavior (nurse sets limits)
, 6. A nurse is providing behavioral d. "Snap a rubber band on your wrist when you
therapy for a client who has think about
OCD. The client repeatedly checks checking the locks."
that the doors are locked at
night. Which of the following Thought stopping: teach pt to say "stop" when
instructions should the nurse give negative
the client when using thought thoughts/compulsive behaviors arise & substitute
stopping technique? positive thought - goal forpt use command silently
a. "Keep a journal of how often you over time
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."
