ATI Mental Health Proctored Exam 2020 Practice A

1. A nurse is contributing to the plan of care for a client who has borderline personality disorder and exhibits manipulative behaviors. which of the following interventions should the nurse include in the plan of care? - Establish and explain consequences for the clients behavior 2. A nurse is assisting with screening for a group of client for major depressive disorder (MDD). The nurse should identify that which of the following clients is at an increased risk for development of MDD? - A client who just gave birth. 3. A nurse in a mental health facility is collecting data from a client who has schizophrenia. The nurse should identify that which of the following findings is referred to as a negative symptom of schizophrenia? - Apathy 4. A nurse is monitoring the nutritional status of a client who has bulimia nervosa. The nurse should monitor the client for which of the following complications? - Hyponatremia 5. A nurse is reinforcing teaching with the parent of a child who has ADHD and is exhibiting disruptive behavior at home. which of the following actions should the nurse instruct the parent to take? - initiate a point system for the child. 6. A nurse is collecting data from a client who has major depressive disorder. which of the following findings is the priority for the nurse to report to the provider? - feelings of hopelessness. 7. A nurse in a mental health facility is caring for a client who is becoming agitated. which of the following actions should the nurse take first? - offer diversionary activities. 8. a nurse is reinforcing teaching about expected withdrawal manifestations with a client who has enrolled in a smoking cessation course. which of the following client statements indicates an understanding of the information? - "I will probably feel irritable within 24 hours of my last cigarette." 9. A nurse is caring for a client who has anxiety disorder and is refusing to take a medication. which of the following responses should the nurse make? - "you have the right to refuse this medication" 10. A nurse is caring for a client who has schizophrenia. which of the following actions by the nurse is a violation of the client's confidentiality? - the nurse places the client's diagnosis on the whiteboard in the clients room. (this is a HIPAA violation) 11. A nurse is assisting with the planning of an interprofessional care conference for a newly admitted client who is in the acute stage of anorexia nervosa. which of the following members of the interprofessional team should the nurse include? - Dietician 12. A nurse is caring for a client who is 2 days postoperative following a hip arthroplasty. when a news report about military action appears on the television, the client says to the nurse, "my youngest child died 6 months ago while serving in the military." which of the following responses should the nurse make? (SATA) - "This must be a very difficult time for you" "your child's death must be a terrible loss." "tell me something you remember about your child." 13. a nurse in an inpatient unit is assisting with a group therapy session. during the session, a client begins to shout and use aggressive language. which of the following statements should the nurse make to the client? - "when you raise your voice, it makes me feel uncomfortable and unsafe." 14. a nurse is caring for a client who takes naltrexone for the treatment of alcohol use disorder. the nurse should identify that which of the following statements indicates the medication is effective? - "I drink less alcohol in a day while taking naltrexone." 15. A nurse is caring for a client in a day treatment program. which of the following actions should the nurse take? ( click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data). - Request transport for the client to an emergency department. 16. a nurse in an urgent care clinic is collecting data from a client whose friend reports a suspicion of cocaine use. The nurse should identify that which of the following findings is an indicator of the clients use of this substance? - Hypertension 17. a nurse is contributing to the plan of care for a client who has bipolar disorder. which of the following actions should the nurse include to promote a therapeutic environment during the working phase of the nurse client relationship? - Reinforce teaching about medication 18. a nurse is assisting with the admission of a client who has schizophrenia. which of the following actions should the nurse take first? - conduct an abnormal involuntary movement scale test. 19. A nurse is preparing to administer 3 mg IM to a client. Available is haloperidol solution 5mg/mL. how many mL should the nurse plan to administer? - 0.6 20. a nurse is collecting data from a newly admitted client. which of the following questions should the nurse include to gather psychosocial information? - "Do you have a hobby that you enjoy?" 21. a nurse is reinforcing teaching with a client who has generalized anxiety disorder and a new prescription for buspirone. which of the following statements should the nurse identify as an indication that the client understands the information? - "I should expect my symptoms to improve in about 2 to 3 weeks." 22. a nurse is reinforcing teaching with a client who has schizophrenia and a new prescription for chlorpromazine. which of the following statements should the nurse include in the teaching? - "The voices you have been hearing should decrease." 23. a nurse in a long term care center is caring for an adult who has Alzheimer's disease and whose partner died several years ago. the client appears upset and asks the nurse when their partner will visit again. the nurse states, "it seems like you are feeling lonely, lets take a walk outside and talk." which of the following communication strategies is the nurse using? - validation therapy 24. A nurse is caring for a client who has bipolar disorder. the client suddenly appears agitated and begins pacing at the end of the hallway with clenched fists. which of the following actions should the nurse take first? - determine the clients intentions. 25. a nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. which of the following interventions should the nurse take first? - remove harmful objects from the clients room. 26. a nurse is collecting data from a client who is experiencing opioid withdrawal. which of the following findings should the nurse expect? - pupillary dilation 27. a nurse is collecting data from a client who has bulimia nervosa. which of the following findings should the nurse expect? - dental caries 28. a nurse is reinforcing teaching about thought stopping with a client who has a phobia of riding in automobiles. which of the following client statements indicates an understanding of the instructions? - "I will snap a rubber band on my wrist when I feel anxious about riding in a car."