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2024 NEW ATI MENTAL HEALTH
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PROCTORED EXAM WITH NGN
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1. A client diagnosed with a mild anxiety disorder has been referred to treatment in a
community mental health center. Treatment most likely provided at the center
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includes
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A) medical management of symptoms.
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B) daily psychotherapy.
C) constant staff supervision.
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psychological stabilization
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2. The nurse consults the DSM for which of the following purposes?
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A) To devise a plan of care for a newly admitted client
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B) To predict the client's prognosis of treatment outcomes
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C) To document the appropriate diagnostic code in the client's medical record
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D) To serve as a guide for client assessment
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3. The nurse is assessing the factors contributing to the well-being of a newly admitted
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client. Which of the following would the nurse identify as having a positive impact on
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the individual's mental health?
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A) Not needing others for companionship
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B) The ability to effectively manage stress
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C) A family history of mental illness
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D) Striving for total self-reliance
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4.Which of the following statements about mental illness are true? Select all that apply.
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A) Mental illness can cause significant distress, impaired functioning, or both.
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B) Mental illness is only due to social/cultural factors.
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C) Social/cultural factors that relate to mental illness include excessive dependency
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on or withdrawal from relationships.
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D) Individuals suffering from mental illness are usually able to cope effectively with
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daily life.
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E) Individuals suffering from mental illness may experience dissatisfaction with
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relationships and self
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5. Which of the following are true regarding mental health and mental illness?
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a. Behavior that may be viewed as acceptable in one culture is always
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unacceptable in other cultures.
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b. It is easy to determine if a person is mentally healthy or mentally ill.
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c. In most cases, mental health is a state of emotional, psychological, and
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social wellness evidenced by satisfying interpersonal relationships, effective
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behavior and coping, positive self-concept, and emotional stability.
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D) Persons who engage in fantasies are mentally ill.
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6. A client grieving the recent loss of her husband asks if she is becoming mentally ill
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because she is so sad. The nurse's best response would be,
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a. ìYou may have a temporary mental illness because you are experiencing so
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much
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pain.î
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b. ìYou are not mentally ill. This is an expected reaction to the loss you have
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experienced.î
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c. ìWere you generally dissatisfied with your relationship before your
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husband's death?î
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d. ìTry not to worry about that right now. You never know what the future
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brings
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7. Which would be a reason for a student nurse to use the DSM?
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a. Identifying the medical diagnosis
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b. Treat clients
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c. Evaluate treatments
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d. Understand the reason for the admission and the nature of psychiatric
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illnesses.
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8. The legislation enacted in 1963 was largely responsible for which of the following
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shifts in care for the mentally ill?
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a. The widespread use of community-based services
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b. The advancement in pharmacotherapies
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c. Increased access to hospitalization
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d. Improved rights for clients in long-term institutional care
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9. Which one of the following is a result of federal legislation?
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a. Making it easier to commit people for mental health treatment against their
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will.
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b. Making it more difficult to commit people for mental health treatment
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against their will.
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c. State mental institutions being the primary source of care for mentally ill
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persons.
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d. Improved care for mentally ill persons.
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10. The goal of the 1963 Community Mental Health Centers Act was to
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A) ensure patients' rights for the mentally ill.
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B) deinstitutionalize state hospitals.
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C) provide funds to build hospitals with psychiatric units.
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D) treat people with mental illness in a humane fashion.
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11. The creation of asylums during the 1800s was meant to
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A) improve treatment of mental disorders.
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B) provide food and shelter for the mentally ill.
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C) punish people with mental illness who were believed to be possessed.
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D) remove dangerous people with mental illness from the community.
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12. The major problems with large state institutions are: Select all that apply.
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A) attendants were accused of abusing the residents.
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B) stigma associated with residence in an insane asylum.
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C) clients were geographically isolated from family and community.
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D) increasing financial costs to individual residents.
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13. A significant change in the treatment of people with mental illness occurred in the
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1950s when
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a. community support services were established.
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b. legislation dramatically changed civil commitment procedures.
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c. the Patient's Bill of Rights was enacted.
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d. psychotropic drugs became available for use.
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14. Before the period of the enlightenment, treatment of the mentally ill included
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A) creating large institutions to provide custodial care.
B) focusing on religious education to improve their souls.
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C)
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placing the mentally ill on display for the public's amusement.
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D) providing a safe refuge or haven offering protection.
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15. The first training of nurses to work with persons with mental illness was in 1882 in
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which state?
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A) California
B) Illinois
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C) Massachusetts
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D) New York
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16. What is meant by the term ìrevolving door effectî in mental health care?
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a. An overall reduction in incidence of severe mental illness
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b. Shorter and more frequent hospital stays for persons with severe and
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persistent mental illness
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c. Flexible treatment settings for mentally ill
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d. Most effective and least expensive treatment settings
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17. Which of the following statements is true of treatment of people with mental illness
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in the United States today?
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a. Substance abuse is effectively treated with brief hospitalization.
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b. Financial resources are reallocated from state hospitals to community
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programs and support.
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c. Only 25% of people needing mental health services are receiving those
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services.
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d. Emergency department visits by persons who are acutely disturbed are
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declining.
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18. Which of the following is the priority of the Healthy People 2020 objectives for
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mental health?
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a. Improved inpatient care
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b. Primary prevention of emotional problems
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c. Stress reduction and management
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D) Treatment of mental illness
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19. Which is a positive aspect of treating clients with mental illness in a community-
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based care?
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a. ìYou will not be allowed to go out with your friends while in the program.î
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b. ìYou will have to have supervision when you want to go anywhere else in
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the community.î
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c. ìYou will be able to live in your own home while you still see a therapist
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regularly.î
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d. ìYou will have someone in your home at all times to ask questions if you
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have any concerns.î
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20. One of the unforeseen effects of the movement toward community mental health
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services is
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a. fewer clients suffering from persistent mental illnesses.
b. an increased number of hospital beds available for clients seeking treatment.
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c. an increased number of admissions to available hospital services.
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