ATI Mental Health B Proctored Exam for 2024/2025 COMPLETE SOLUTION 100% VERIFIED ANSWERS A, Exams of Nursing

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SF) OWN AD ATI MENTAL HEALTH B 1. A nurscis caring for a school-aged child who has conduct disorder and is being physically aggressive toward other children in the unit. Which of the following actions should the nurse take first? S Use therapeutic hold technique Apply wrist restraints d. Administer risperidone es A nurseis caring for a client who hasa new diagnosis of bulimia nervosa. Which of the following diagnosis procedures should the nurse anticipate the provider should describe during the medical evaluation? a. Chestx-ray b. BCG c. Coagulation studies d. _ Liverfunction test A nurse is caring for a client who exhibits excessive compliance, passivity, and selfdenial. The nurse should recognize that these findings are associated with which ofthe following personality disorders? a. b. Paranoid c. Borderline d. Histrionic Anurseis caring for a client who is involuntarily admitted for major depressive disorder and refuses to take prescribed antianxiety medication. Which of the following actions should the nurse take? a. Inform the client that he does not have the right to refuse medication b. Administer the medication to the client via IM injection d. Implement consequences until the client take the medication Anurseis caring for aclientin the emergency department who states she was beaten and sexually assault by her partner. After a rapid assessment, which of the following actions should the nurse plan to take next? a. Conducta pregnancy test b. Requests mental health consultation for the client c. Providea trained advocate to stay with the client d. A nurse is caring for a client who has major depressive disorder. After discussing the treatment with his partner, the client verbally agrees to clectroconvulsive therapy (ECT) but will not sign the consent form. Which of the following actions should the nurse take? a. Request that the client’s partner sign the consent form. b. ¢. Proceed with the preparation for ECT based on implied consent d. Inform the clientaboutthe risks of refusing the ECT A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating? a. Rationalization b. Denial c. Compensation a. Disglacenent A nursing is advising an assistive personnel (AP) on the care of a client who has major depressive disorder. The AP states that he is i 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. c. Everybody feels that way about this clientso don’t worry about it I'lichange your assignment to someone who doesn’thave depressive disorder ATI MENTAL HEALTH B 17. 18. 19. 20. 21. 22. 23. 24. 25. Anurscis caring for a client who has depression following arecentjobloss. Which of the following questions should the nurse ask to assess the client’s personal coping skills? a. Howdoesthis situation affect your life? b. De a see ie currentsituation rn ehg? future? CQ d. Howhave you dealt with similar situations in the past A school nurse is caring foran adolescent client whose teacher reports changes in school performance and withdrawal from interaction with classmates. Which of the following intervention is the nurse’s priority at this time? S Contact the adolescent’s parents b. Suggest theadolescent join supportgroups c. Ask the adolescentifhe is considering hurting himself d. A nurse isassessing a client who is withdrawing from heroin. Which of the following manifestations should the nurse expect? S b. Hypotension c. Bradycardia d. Hyperthermia A nurseis assessing a client who hashistrionic personality disorder. Which of the following finds should the nurse expect? a. Lack of remorse b. c. Splitting of staff d. Identity disturbance A nurseis providing teaching to the daughter of an older client whe has obsessive-compulsive disorder. Which of the following statements by the daughter indicates an understanding of the disorder? b. Iwill provide my mother with detailed instructions about how to perform self-care ce. will wake my mother up a couple of times in the night to check on her d. I willdiscourage my mother from talking about physical complaints A nurseina mental health facility is caring for a client who has borderline personality disorder. Which of the following should the nurse expect? a. b. Pacing back and forth c. Preoccupation with details d. Disorganized speech a nurse is reviewing the laboratory results on adolescent who has anorexia nervosa. Which of the following findings should the nurse expect? Blood glucose 100 mg/dL T411 meg/dL c. Potassium 3.7 mEq/L a. Heb ogaL A nourseis teaching about benztropine to a client who has schizophrenia. Which of the following statements should the nurse include in the teachii 2 Thismodaonisgiventohlpwihextapyramilsde ots b. Thismedicationis given to help with your depression S s c. Benztropine helpsalleviate your hallucinations d. Benztropineis used to counteract your tachycardia A nurse is planning care for a client with acute delirium. Which of the following instructions should the nurse inchide in the plan? ATI MENTAL HEALTH B b. Refute the clients perception of visual hallucinations ATI MENTAL HEALTH B e. placetheclientina reclining chair 32. A nursc is reviewing laboratory valucs for a client who has bipolar disorder and a prescription for lithium. The nurse should identify that which of the following laboratory results places the client at risk for lithium toxicit a. Calcium 9.0 mg/dL ¢. chloride98 mEq/L d. potassium 5.0 mEq/L 33. A nurseis assisting with obtaining informed consent from client who hasbeen declared legally incompetent. Which of the following actions should the nurse take? a. Contact the facility social worker to obtain the consent b. Explain implied consentto the clients family fa d. Ask the charge nurse to obtain an informed consent 34. A nurscis giving a presentation about intimate partner abuse for community group. Which of the following statements buy a group member indicates understanding of teaching? a. b. abusers often have high self-esteem. c. the honcymoon stage of violence usually gets longer over time d. asabusecontinues, victims become more determined to be independent 35. A murseis planning care for a client who has experienced intimate partner abuse. The nurse should identify which of the following outcomes as the priority? a. Theclicntjoins a support group b. theclientidentifies techniques to reduce her stress fa d. Theclicntidentify support systems 36. A nurseis developing a behavioral contract with the client who has antisocial personality disorder. Which of the following client goals should the nurse include in the contract? a. Use projection during group therapy b. increase self-esteem c. use bargaining skills for bchavioral consequences d. 37. A nurse is caring for a client who has schizophreniaand takes clozapine. Which of the following findingsis a priority for the nurse to report to the provider? a. Nausea b. Random blood glucose 130 mg/dL c. Heart rate 104 per minute d. 38. A nurse is counseling and adult client whose parent just died. The client states, “My son is 4, and I don’t know how he'll react when he finds out that grandpa died.” The nurse should inform the client that the preschool age child commonly has which of the following concepts of death? a Deathispotpcemaneatan th oved one maycome back if b. Deathis contagious and can cause other people he loves to die c. Deathcreates an interest in the physicalaspects of dying d. Deathis a part of life that eventually happens to everyone 39. A nurseis reviewing the medical records for clients. Which of the following findings should the nurse identified as a risk factor for violent behavior? a. Schizoid personality disorder | ATI MENTAL HEALTH B c. Dysthymicdisorder d. long-termisolation 40. A nurse in a provider’s office is assessing a school age child who has a spiral fracture. The parent of the child 41. 42. 43. 45. provides different accounts for the cause of the injury. Which of the following actions should the nurse take first? Request that the parent leaves the room while you interview the child Report suspected abuse to child protective services Ask the child how the injury occurred | ea An older adult client is brought to the mental clinic by her daughter. The daughter reports that hcr mother isnot eating and seems uninterested in routine activities. The daughter states, I'm so worried that my mother is depressed. Which of the following responses should the nurse make? a. Older adults arc usually diagnosed with depressive disorder as they age b. everyone gets depressed from time to time ce. youshouldn’tworry about this, because depressive disorder is easily treated d. A nurseina mental health facility is caring fora client. Which of the following actions the nurse take during though working phase of the nurse-clicnt relationship? a. Summarize goals and objectives b, Address confidentiality fa d._ establisha participation contract a nurseis caring fora client who suddenly directsprofanities at her, then abruptly hangs his head and says, “please forgive me, I’m not sure what came over me I don’t know why said those things.” The nurse interprets this behavior as which of the following? a. b. Confabulation c. flight ofideas d. Neologism . A nurseisproviding teaching for the family of'a client who has dementia. Which of the following should the nurse include in the teaching as a contributing factor for this disorder? a. Hypotension c. Dehydration d. change in environment A nurseis caring for a client who hasbeen taking valproic acid. Which of the followingis expected outcome of the medication? a. The clientreportsimproved short-term memory b. the client hasa decreased cuphoric mood the client reports absence of auditory hallucinations : 4. theclentasdecreasedanety ATI MENTAL HEALTH B b. c. contractions of the jaw d. incongruent atfect 54. A nursein an inpatient mental health facility is assessing a client who has schizophrenia and is taking haloperidol. Which of the following clinical findings is the nurse’s priority? b. Insomnia c. Urinary hesitancy d. Headache 55. A nurse is speaking with a client. Which of the following responses by the nursedemonstrates the communication technique of reflection? a. “Iwould like to sit with you fora while” b. c. “Let’s work together to try to solve your problem” d. “Can you tell me what is happening now?” 56. A nurseisleading grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression? a. “I don’t know how! could copeif I didn’t have my family’s support” b. “It'll bea long time before |'m happy again” ¢ d. “I feellike I’m angry at the whole world right now” 57. A nurse is preparing to administer chlorpromazine hydrochloride 25 mg PO to an older adult client. Available is chlorpromazine hydrochloride syrup 10 mg/5 mL. How many mL should the nurse administer? (Round to nearest tenth} . 58. A nurseis teaching the parent of a school age child who has ADHD and a prescription for atomoxetine 40 mg daily. Which of the following information should the nurse include in the teaching? a. Expect the child to gain weight while taking this medication b. Crush the medication and mix itwith 120 mL (4 02) of juice c. Therapeutic effects will occur within 24 hr of starting treatment pe 59. A nurseis caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following actions should the nurse take? a. Place the client ina group therapy session b. Rotate staff members who work with the client fa d. _ Distract the client withincreased environmental stimuli 60. A nurseina mental facility is assessing a client for suicide risk factors using the SAD PERSONS scale. Which of the following findings indicates a risk for suicide? a. The client is married b. The clientis female c. The client is 50 years of age d. 61. A nurseisperforming a mental status examination fora client who has schizophrenia. The nurse should ATI MENTAL HEALTH B recognize that which of the following actions requires the client to think abstractly? ATI MENTAL HEALTH B a. Aclientwho reports that she took $20 from the cash register where she works b.Aclientwho reports that her partner ties their child toa bed as punishment ce. Aclientwho reports that he enjoys smoking marijuana on weekends d. Aclient who reports lying to his provider abouthaving suicidal ideation 69. A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client’s history should the nurse report to the provider? 2. Rocentead injury b. Hepatitis B infection c. Hypothyroidism d. Kneearthroplasty 1 month ago 70. A charge nurseis orientinga newly licensed nurse and observes the newly licensed nurse imitating her behaviors. The nurse should recognize this behavior as which of the following defense mechanisms? a. Suppression b. Reaction formation © Heaton d. Compensation