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1. 1. A nurse is admitting a client who has schizophrenia. During the initial
interview, the client takes off his belt and screams, "A snake!" Which of the
following responses is appropriate?
a. "You know that is you belt and not a snake, don't you?"
b. "Your belt doesn't look like a snake."
c. "This is your belt. I understand how this is scary for you."
d. "Why do you think your belt is a snake?": C
2. A nurse working in the emergency department is assessing a client who has
generalized anxiety disorder. Which of the following actions should the nurse
take first?
A)Move the client to a quiet area
B)Allow the client time to express his feelings
C)Instruct the client to use guided imagery
D)Assist the client to identify his coping skills: A
3. A nurse is caring for a client who has dementia. Which of the following is an
appropriate nursing intervention?
A) Encourage the client to make choices regarding care.
B) Advise family to visit frequently as a group
C) Maintain a low-stimulation environment
D) Assign several tasks at the same time.: C
4. A nurse is counseling an adult client whose parent just died. The client
states, "My son is 4, and I don't know how h
n he finds out that his grandpa died." The nurse should inform the client that
the preschool-age child commonly has which of the following concepts of
death?
a. Death is contagious and can cause other people he loves to die
b. Death creates an interest in the physical aspects of dying
c. Death is not permanent and the loved one may come back to life. d. Death
is a part of life that eventually happens to everyone.: C
5. A nurse in the emergency department is admitting a client who has a history
of alcohol use disorder. The client has a blood alcohol level of 0.26 g/dL. The
nurse should anticipate a prescription for which of the following medications?
(p. 156)
a. Chlordiazepoxide
b. Disulfram
c. Acamprosate
d. Naltrexone: A
, MENTAL HEALTH ATI PROCTORED EXAM
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6. 6. A nurse is advising an assistive personnel (AP) on the care of a client who
has major depressive disorder. The AP states that he is irritated by the client's
depression. Which of the following statements by the nurse is appropriate?
a. "Please don't take what the client said seriously when she is depressed"
b. "I'll change your assignment to someone who doesn't have depressive
disorder."
c. "It's important that the client feel safe verbalizing how she is feeling."
d. "Everybody feels that way about this client, so don't worry about it.": C
7. 7. A nurse is caring for a client who reports he is angry with his partner
because she thinks he is trying to seek attention. When the nurse questions
the client, he becomes angry and tells her to leave. Which of the following
defense mechanisms is the client demonstrating? (p. 30)
a. Compensation
b. Displacement
c. Denial: B
8. A nurse working in a mental health facility has just put a client in
provider-prescribed seclusion. Which of the following is
the nurse required to document? (Select all that apply)
a. The client's feelings about being secluded
B.The client's behaviors that resulted in the need for seclusion
c. Previous interventions used to prevent the need for seclusion
d. The client's vital signs
e. Thetimethecliententeredseclusion: B C D E
9. 9. A nurse is assessing a client who has major depressive disorder. The
client states, "I may as well be dead. I have always been a failure." Which of
the following is an appropriate response by the nurse?
a. "Let's discuss these feelings further."
b. "why do you think you feel this way?"
c. "Feeling like a failure is expected with depression."
d. "You have a great deal to offer in life.": A
10. 10. A nurse is planning care for a group of clients in an outpatient facility.
For which of the following clients should the nurse plan to provide assistance
with ADLs?
a. A client who has intense manifestations of agoraphobia
b. A client who has negative manifestations of schizophrenia c. A client who
is in treatment for hypomania
d. A client who is in treatment for alcohol use disorder: B