NGN ATI MENTAL HEALTH PROCTORED
NEWEST 2023-2024 ACTUAL TEST 180
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A
, 1) A nurse is caring several clients who are attending community-based mental health
programs.Which of the following clients should the nurse plan to visit first?
A. A client who recently burned her arm while using a hot iron at home.
B. A client who requests that her antipsychotic medication be changed due to some new adverse
effects.
C. A client who says he is hearing a voice that tells him he is not worth living anymore.
D. A client who tells the nurse he experienced manifestations of severe anxiety before and
during a job interview.
A community mental health nurse is planning care to address the issue of depression among
older adult clients in the community. Which of the following interventions should the nurse plan
as a method of tertiary prevention?
A. Educating clients on health promotion techniques to reduce the risk of depression
B. Performing screenings for depression at community health programs
C. Establishing rehabilitation programs to decrease the effects of depression
D. Providing support groups for clients at risk for depression
A nurse is working in a community mental health facility. Which of the following services does
this type of program provide? (Select all that apply)
A. Educational groups
B. Medication dispensing programs
C. Individual counseling programs
D. Detoxification programs
E. Family therapy
A nurse in an acute mental health facility is assisting with discharge planning for a client who
has a severe mental illness and requires supervision much of the time. The client's wife works
all day but is home by late afternoon. Which of the following strategies should the nurse suggest
as appropriate follow-up care?
A. Receiving daily care from a home health aide
B. Having a weekly visit from a nurse case
worker C. Attending a partial hospitalization
program
D. Visiting a community mental health center on a daily basis
,A nurse is caring for a group of clients. Which of the following clients should a nurse consider
for referral to an assertive community treatment (ACT) group?
A. A client in an cute care mental health facility who has fallen several times while running
down the hallway
B. A client who lives at home and keeps "forgetting" to come in for his monthly
antipsychotic injection for schizophrenia
C. A client in a day treatment program who says he is becoming more anxious during
group therapy
D. A client in a weekly grief support group who says she still misses her deceased husband
who has been dead for 3 months
A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical
psychoanalysis. Which of the following client statements indicates an understanding of this form
of therapy?
A. "Even if my anxiety improves, I will need to continue this therapy for 6 weeks."
B. "The therapist will focus on my past relationships during our sessions."
C. "Psychoanalysis will help me reduce my anxiety by changing my behaviors."
D. "This therapy will address my conscious feelings about stressful experiences."
A nurse is discussing free association as a therapeutic tool with a client who has major
depressive disorder. Which of the following client statements indicates understanding of this
technique?
A. "I will write down my dreams as soon as I wake up."
B. "I may begin to associate my therapist with important people in my life."
C. "I can learn to express myself in a nonaggressive manner."
D. "I should say the first thing that comes to my mind."
A nurse is preparing to implement cognitive reframing techniques for a client who has an
anxiety disorder. Which of the following techniques should the nurse include in the plan of care?
(Select all that apply)
A. Priority restructuring
B. Monitoring thoughts
C. Diaphragmatic breathing
D. Journal keeping
E. Meditation
, A nurse is caring for a client who has a new prescription for disulfiram for treatment of alcohol
use disorder. The nurse informs the client that this medication can cause nausea and vomiting if
he drinks alcohol. Which of the following types of treatment is this method an example?
A. Aversion therapy
B. Flooding
C. Biofeedback
D. Dialectical behavior therapy
A nurse is assisting with systematic desensitization for a client who has an extreme fear of
elevators. Which of the following actions should the nurse implement with this form of therapy?
A. Demonstrate riding in an elevator, and then ask the client to imitate the behavior.
B. Advise the client to say "stop" out loud every time he begins to feel an anxiety
response related to an elevator.
C. Gradually expose the client to an elevator while practicing relaxation techniques.
D. Stay with the client in an elevator until his anxiety response diminishes.
A nurse wants to use democratic leadership with a group whose purpose is to learn appropriate
conflict resolution techniques. The nurse is correct in implementing this form of group leadership
when she demonstrates which of the following actions?
A. Observes group techniques without interfering with the group process
B. Discusses a technique and then directs members to practice the technique
C. Asks for group suggestions of techniques and then support discussion
D. Suggests techniques and asks group members to reflect on their use
C. Democratic leadership supports group interaction and decision making to solve problems.
A nurse is planning group therapy for clients dealing with bereavement. Which of the following
activities should the nurse include in the initial phase? (Select all that apply)
A. Encourage the group to work toward goals
B. Define the purpose of the group
C. Discuss termination of the group
D. Identify informal roles of members within the group
E. Establish an expectation of confidentiality within the group
NEWEST 2023-2024 ACTUAL TEST 180
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A
, 1) A nurse is caring several clients who are attending community-based mental health
programs.Which of the following clients should the nurse plan to visit first?
A. A client who recently burned her arm while using a hot iron at home.
B. A client who requests that her antipsychotic medication be changed due to some new adverse
effects.
C. A client who says he is hearing a voice that tells him he is not worth living anymore.
D. A client who tells the nurse he experienced manifestations of severe anxiety before and
during a job interview.
A community mental health nurse is planning care to address the issue of depression among
older adult clients in the community. Which of the following interventions should the nurse plan
as a method of tertiary prevention?
A. Educating clients on health promotion techniques to reduce the risk of depression
B. Performing screenings for depression at community health programs
C. Establishing rehabilitation programs to decrease the effects of depression
D. Providing support groups for clients at risk for depression
A nurse is working in a community mental health facility. Which of the following services does
this type of program provide? (Select all that apply)
A. Educational groups
B. Medication dispensing programs
C. Individual counseling programs
D. Detoxification programs
E. Family therapy
A nurse in an acute mental health facility is assisting with discharge planning for a client who
has a severe mental illness and requires supervision much of the time. The client's wife works
all day but is home by late afternoon. Which of the following strategies should the nurse suggest
as appropriate follow-up care?
A. Receiving daily care from a home health aide
B. Having a weekly visit from a nurse case
worker C. Attending a partial hospitalization
program
D. Visiting a community mental health center on a daily basis
,A nurse is caring for a group of clients. Which of the following clients should a nurse consider
for referral to an assertive community treatment (ACT) group?
A. A client in an cute care mental health facility who has fallen several times while running
down the hallway
B. A client who lives at home and keeps "forgetting" to come in for his monthly
antipsychotic injection for schizophrenia
C. A client in a day treatment program who says he is becoming more anxious during
group therapy
D. A client in a weekly grief support group who says she still misses her deceased husband
who has been dead for 3 months
A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical
psychoanalysis. Which of the following client statements indicates an understanding of this form
of therapy?
A. "Even if my anxiety improves, I will need to continue this therapy for 6 weeks."
B. "The therapist will focus on my past relationships during our sessions."
C. "Psychoanalysis will help me reduce my anxiety by changing my behaviors."
D. "This therapy will address my conscious feelings about stressful experiences."
A nurse is discussing free association as a therapeutic tool with a client who has major
depressive disorder. Which of the following client statements indicates understanding of this
technique?
A. "I will write down my dreams as soon as I wake up."
B. "I may begin to associate my therapist with important people in my life."
C. "I can learn to express myself in a nonaggressive manner."
D. "I should say the first thing that comes to my mind."
A nurse is preparing to implement cognitive reframing techniques for a client who has an
anxiety disorder. Which of the following techniques should the nurse include in the plan of care?
(Select all that apply)
A. Priority restructuring
B. Monitoring thoughts
C. Diaphragmatic breathing
D. Journal keeping
E. Meditation
, A nurse is caring for a client who has a new prescription for disulfiram for treatment of alcohol
use disorder. The nurse informs the client that this medication can cause nausea and vomiting if
he drinks alcohol. Which of the following types of treatment is this method an example?
A. Aversion therapy
B. Flooding
C. Biofeedback
D. Dialectical behavior therapy
A nurse is assisting with systematic desensitization for a client who has an extreme fear of
elevators. Which of the following actions should the nurse implement with this form of therapy?
A. Demonstrate riding in an elevator, and then ask the client to imitate the behavior.
B. Advise the client to say "stop" out loud every time he begins to feel an anxiety
response related to an elevator.
C. Gradually expose the client to an elevator while practicing relaxation techniques.
D. Stay with the client in an elevator until his anxiety response diminishes.
A nurse wants to use democratic leadership with a group whose purpose is to learn appropriate
conflict resolution techniques. The nurse is correct in implementing this form of group leadership
when she demonstrates which of the following actions?
A. Observes group techniques without interfering with the group process
B. Discusses a technique and then directs members to practice the technique
C. Asks for group suggestions of techniques and then support discussion
D. Suggests techniques and asks group members to reflect on their use
C. Democratic leadership supports group interaction and decision making to solve problems.
A nurse is planning group therapy for clients dealing with bereavement. Which of the following
activities should the nurse include in the initial phase? (Select all that apply)
A. Encourage the group to work toward goals
B. Define the purpose of the group
C. Discuss termination of the group
D. Identify informal roles of members within the group
E. Establish an expectation of confidentiality within the group
