NGN ATI MENTAL HEALTH PROCTORED
EXAM TEST BANK FOR 2023/2024 WITH
COMPLETE SOLUTION
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
(ANS- a. Biofeedback
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."
(ANS- d. "I still don't feel up to returning to work."
,A nurse in an inpatient mental health facility is assessing a client who has
schizophrenia and is taking haloperidol (anti-psychotic, 1st gen). Which of the
following clinical findings is the nurse's priority? a. Headache b.
Insomnia
c. Urinary hesitancy
d. High fever
(ANS- d. High fever
A nurse is planning care for a client who has obsessive compulsive disorder.
Which of the following
a. Reality Orientation therapy
b. Operant Conditioning
c. Thought Stopping
d. Validation Therapy (ANS- c. Thought Stopping
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 perform self-
care."
b. "I will limit my mother's clothing choices when she is getting dressed."
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."
(ANS- b. "I will limit my mother's clothing choices when she is getting
dressed."
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
(ANS- c. Avoid power struggle by remaining neutral
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." (ANS- d. "Snap a rubber band on your wrist when you think about
checking the locks."
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
(ANS- b. Fatigue
A nurse is reviewing the medical record of a client who is taking clozapine.
For which of the following findings should the nurse withhold the
medication and notify the provider? a. WBC count b. Heart rate c.
Report of photosensitivity
d. Blood glucose level
(ANS- a. WBC count
A nurse is creating a plan of care for a client who has major depressive disorder.
Which of the following interventions should the nurse 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
(ANS- b. Encourage physical activity for the client during the day
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
EXAM TEST BANK FOR 2023/2024 WITH
COMPLETE SOLUTION
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
(ANS- a. Biofeedback
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."
(ANS- d. "I still don't feel up to returning to work."
,A nurse in an inpatient mental health facility is assessing a client who has
schizophrenia and is taking haloperidol (anti-psychotic, 1st gen). Which of the
following clinical findings is the nurse's priority? a. Headache b.
Insomnia
c. Urinary hesitancy
d. High fever
(ANS- d. High fever
A nurse is planning care for a client who has obsessive compulsive disorder.
Which of the following
a. Reality Orientation therapy
b. Operant Conditioning
c. Thought Stopping
d. Validation Therapy (ANS- c. Thought Stopping
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 perform self-
care."
b. "I will limit my mother's clothing choices when she is getting dressed."
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."
(ANS- b. "I will limit my mother's clothing choices when she is getting
dressed."
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
(ANS- c. Avoid power struggle by remaining neutral
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." (ANS- d. "Snap a rubber band on your wrist when you think about
checking the locks."
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
(ANS- b. Fatigue
A nurse is reviewing the medical record of a client who is taking clozapine.
For which of the following findings should the nurse withhold the
medication and notify the provider? a. WBC count b. Heart rate c.
Report of photosensitivity
d. Blood glucose level
(ANS- a. WBC count
A nurse is creating a plan of care for a client who has major depressive disorder.
Which of the following interventions should the nurse 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
(ANS- b. Encourage physical activity for the client during the day
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
