ATI MENTAL HEALTH PROCTORED EXAM -RETAKE GUIDE

A nurse is caring for a school-aged child who has conduct disorder and is being physically aggressivetoward

other children in the unit. Which of the following actions should the nurse take first?

• Place the child in seclusion

• Use therapeutic hold technique

• Apply wrist restraints

• Administer risperidone

• A nurse is caring for a client who has a new diagnosis of bulimia nervosa. Which of the following diagnosis

procedures should the nurse anticipate the provider should describe during the medical evaluation?

• Chest x-rayb.

ECG

• Coagulation studies

• Liver function test

• A nurse is caring for a client who exhibits excessive compliance, passivity, and self-denial. The nurse

should recognize that these findings are associated with which of the following personality disorders?

• Dependent

• Paranoid

• Borderline

• Histrionic

• A nurse is caring for a client who isinvoluntarily admitted for major depressive disorder and refusesto

take prescribed antianxiety medication. Which of the following actions should the nurse take?

• Inform the client that he does not have the right to refuse medication

• Administer the medication to the client via IM injection

• Offer the client the medication at the nextscheduled dose time

• Implement consequences until the client take the medication

• A nurse is caring for a client in the emergency department who states she was beaten and sexually assaultby

her partner. After a rapid assessment, which of the following actions should the nurse plan to take next?

• Conduct a pregnancy test

• Requests mental health consultation for the client

• Provide a trained advocate to stay with the clientd.

Offer prophylactic medication to prevent STI’s

• A nurse is caring for a client who has major depressive disorder. After discussing the treatment with his

partner, the client verbally agrees to electroconvulsive therapy (ECT) but will not sign the consent form.

Which of the following actions should the nurse take?

• Request that the client’s partner sign the consent formb.

Cancel the scheduled ECT procedure

• Proceed with the preparation for ECT based on implied consent

• Inform the client about the 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?

• Rationalization

• Denial

• Compensationd.

Displacement

• 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 irritated by the client’s depression. Which of the following statements by the nurse

is appropriate?

• Please don’t take what the clientsaid seriously when she is depressedb.

It’s important that the client feel safe verbalizing how she isfeeling

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• Everybody feels that way about this clientso don’t worry about it

• I’ll change your assignment to someone who doesn’t have depressive disorder

• A nurse is assessing a child in the emergency department. Which of the following findings places the childat

the greatest risk for physical abuse?

• The child is 10years old

• The child is homeschooled

• The has no siblings

• The child has cystic fibrosis

• A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client

repeatedly checksthat the doors are locked at night. Which of the following instructionsshould the nurse

give the client when using thought stopping technique?

• Keep a journal of how often you check the locks each night

• Snap a rubber band on your wrist when you think about checking the locks

• Ask a family member to check the lock for you at night

• Focus on abdominal breathing whenever you go to check the locks

• A nurse is assessing a client who is experiencing alcohol withdrawal. For which of the following findings

should the nurse anticipate administration of lorazepam/

• Bradycardia

• Stupor

• Afebrile

• Hypertension

• A nurse is creating a plan of care of a client who has anorexia nervosa. Which of the following

intervention should the nurse include in the plan?

• Weigh the client twice per day

• Prepare the client for electroconvulsive therapy

• Set a weight gain goal of 2.2kg (5lbs) per week

• Encourage the client to participate in family therapy

• A nurse is planning care for a 3-year-old child who has autism spectrum disorder. Which of the following

finding should the nurse expect?

• Readily initiates conversation

• Enjoysimaginative play

• Strong relationship with sibling and peersd.

Attachment to objects that spin

• A nurse is planning care for a client who has bipolar disorder. The client reports notsleeping for 3 days

and is exhibiting a euphoric mood. The nurse should identify which of the following as the priority

intervention.

• Secure the client’s valuable possessions

• Limit loud noisesin the client’s environment

• Encourage the client to participate in structured solitary activities

• Provide high calorie snacks to the client

• A nurse is evaluating the medication response of a client who takes naltrexone for the treatment of

alcohol use disorder. The nurse should identify that which of the following is a therapeutic effect of this

medication.

• Blocks aldehyde dehydrogenase

• Preventsthe anxiety of abstinencec.

Reduces substance craving

d. Decreasesthe likelihood ofseizures

• A nurse in an alcohol treatment facility is caring for a client who states “my job is so stressful that the only

way I can come it is to drink.” The nurse should recognize that the client is displaying which of the

following defense mechanisms?

• Repression

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