ATI Mental Health Proctored Exam 2019 - 70 Correct Questions & Answers

ATI Mental Health Proctored Exam 2019

1. A charge nurse is discussing mental status exams with a newly

licensed nurse. Which of the following statements by the newly

licensed nurse indicates an understanding of the teaching? (Select

all that apply)

A. "To assess cognitive ability, I should ask the client to count

backward by sevens."

B. "To assess affect, I should observe the client's facial expression."

C. "To assess language ability, I should instruct the client to write a

sentence."

D. "To assess remote memory, I should have the client repeat a list of

objects."

E. "To assess the client's abstract thinking, I should ask the client to

identify our most recent presidents."

2. A nurse is planning care for a client who has a mental health disorder.

Which of the following actions should the nurse include as a

psychobiological intervention?

A. Assist the client with systematic desensitization therapy.

B. Teach the client appropriate coping mechanisms.

C. Assess the client for comorbid health conditions.

D. Monitor the client for adverse effects of the medications.

3. A nurse in an outpatient mental health clinic is preparing to

conduct an initial client interview. When conducting the interview,

which of the following actions should the nurse identify as the

priority?

A. Coordinate holistic care with social services.

B. Identify the client's perception of her mental health status.

C. Include the client's family in the interview.

D. Teach the client about her current mental health disorder.

4. A nurse is told during change of shift report that a client is

stuporous. When assessing the client, which of the following

findings should the nurse expect?

A. The client arouses briefly in response to a sternal rub.

B. The client has a glasgow coma scale score less than 7.

C. The client exhibits decorticate rigidity.

D. The client is alert but disoriented to time and place.

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5. A nurse is planning a peer group discussion about the DSM-5. Which

of the following information is appropriate to include in the

discussion? (Select all that apply)

A. The DSM-5 includes client education handouts for mental health

disorders. B. The DSM-5 establishes diagnostic criteria for individual

mental health disorders.

C. The DSM-5 indicates recommended pharmacological treatment

for mental health disorders.

D. The DSM-5 assists nurses in planning care for client's who have

mental health disorders.

E. The DSM-5 indicates expected assessment findings of

mental health disorders.

6. A nurse in an emergency mental health facility is caring for a group of

clients. The nurse should identify that which of the following clients

requires a temporary emergency admission?

A. A client who has schizophrenia with delusions of grandeur

B.A client who has manifestations of depression and attempted

suicide a year ago

C. A client who has borderline personality disorder and assaulted a

homeless man with a metal rod

D.A client who has bipolar disorder and paces quickly around the

room while talking to himself

7. A nurse decides to put a client who has a psychotic disorder in

seclusion overnight because the unit is very short-staffed, and the

client frequently fights with other clients. The nurse's actions are an

example of which of the following torts?

A. Invasion of

privacy B. False

imprisonment

C. Assault

D. Battery

8. A client tells a nurse, "Don't tell anyone but I hid a sharp knife under

my mattress in order to protect myself from my roommate, who is

always yelling at me and threatening me." Which of the following

actions should the nurse take?

A. Keep the client's communication confidential, but talk to the client

daily, using therapeutic communication to convince him to admit to

hiding the knife.

B. Keep the client's communication confidential, but watch the

client and his roommate closely.

C. Tell the client that this must be reported to the health care team

because it concerns the health and safety of the client and others.

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9.

D. Report the incident to the health care team, but do not inform the

client of the intention to do so.

10.A A nurse is caring for a client who is in mechanical restraints. Which

of the following statements should the nurse include in the

documentation? (Select all that apply)

A. "Client ate most of his breakfast."

B. "Client was offered 8 oz of water every hr."

C. "Client shouted obscenities at assistive personnel."

D. "Client received chlorpromazine 15 mg by mouth at 1000."

E. "Client acted out after lunch."

11. A nurse hears a newly licensed nurse discussing a client's

hallucinations in the hallway with another nurse. Which of the

following actions should the nurse take first?

12.

A. Notify the nurse manager.

B. Tell the nurse to stop discussing the behavior.

C. Provide an in-service program about confidentiality.

D. Complete an incident report.

13.A A nurse is caring for the parents of a child who has demonstrated

changes in behavior and mood. When the mother of the child asks the

nurse for reassurance about her son's condition, which of the following

responses should the nurse make?

A. "I think your son is getting better. What have you noticed."

B. "I'm sure everything will be okay. It just takes time to heal."

C. "I'm not sure whats wrong. Have you asked the doctor about your

concerns?" D. "I understand you're concerned. Let's discuss what

concerns you specifically."

14. A nurse is caring for a client who smokes and has lung cancer. The

client reports, "I'm coughing because I have that cold that everyone

has been getting." The nurse should identify that the client is using

which of the following defense mechanisms?

A. Reaction

formation B.

Denial

C. Displacement

D. Sublimation

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