NGN ATI MENTAL HEALTH A,B,C PROCTORED
EXAM 2019 ACTUAL EXAM QUESTIONS WITH
VERIFIED DETAILED SOLUTIONS/A+ GRADE
ASSURED
A nurse is teaching a client who has schizophrenia about her new prescription for
risperidone. Which of the following statements should the nurse include in the
teaching?
• "You should continue this medication if you develop muscle rigidity".
• "You will experience weight loss while taking this medication."
• "You will notice your symptoms improve within 24 hours of taking
thismedication."
• "You should increase your consumption of complex carbohydrates."
The nurse is caring for a client following a physical assault. The client states "I don't
remember what happened to me." The nurse should recognize that the client is using
which of the following defense mechanisms?
A nurse is caring for a client who has anorexia nervosa. Which of the following
findingsrequire immediate intervention by the nurse?
a) +2 edema of the lower extremities
• BUN 21 mg dL
• Lanugo covering the body
• Blood pH 7.60
A nurse is caring for a client in a mental health facility. The client is agitated and
threatens to harm herself and others. Which of the following is the priority
intervention?
, • Place the client in restraints
• Administer an anti-anxiety medication to the client
• Put the client in seclusion
• Set limits on the client’s behavior
A nurse is caring for a client who was involuntarily committed and is scheduled to
receive electroconvulsive therapy (ECT). The client refuses the treatment and will not
discuss why with the health care team. Which of the following actions should the
nursetake?
• Ask the clients family to encourage the client to receive ECT
• Inform the client that ECT does not require a consent.
• Document the client’s refusal of the treatment in the medical record.
• Tell the client he cannot refuse the treatment because he was
involuntarilycommitted.
A nurse in the emergency department is caring for a client who reports feeling sad,
worthless, and hopeless 9 months after the death of her son. Which of the following
actions should the nurse take first?
• Request a mental health consult for the client.
• Ask the client if she has thought about harming herself.
• Encourage the client to attend a grief support group.
• Discuss the clients’ coping skills.
A nurse is caring for a client who has borderline personality disorder and has been
engaging in self- mutilation. The nurse should encourage the client to participate in
which of the following groups.
• Dual diagnosis treatment group
• Dialectical treatment group
• Desensitization therapy
• Co-dependents support group.
,The nurse is reviewing the medication administration record of a client who has
schizophrenia. The nurse should plan to initiate the Abnormal Involuntary Movement
Scale to monitor for adverse effects of which of the following medications.?
A nurse is counseling a client following the death of a clients partner 8 months ago.
Which of the following client statements indicates maladaptive grieving?
• I am so sorry for the times I was angry with my partner.
• I find myself thinking about my partner often.
• I still don’t feel up to returning to work.
• I like looking at his personal items in the closet.
A nurse is caring for a client who has borderline personality disorder. Which of the
following outcomes should the nurse include in the treatment plan?
• The client will report a decrease in hallucinations.
• The client will communicate needs
• The client will verbalize improved mood
• The client will attend to personal hygiene.
A nurse is caring for a client who is prescribed massage therapy to treat panic disorder.
The client states "I can’t stand to be touched by another person." Which of the
followingresponses should the nurse make?
• Why don't you like to be touched by others?
• Don't worry about it. Your anxiety will lessen once the massage begins.
• I will tell your provider you would like a treatment other than a massage.
• I will request that the massage therapist wear gloves during your treatment.
A nurse is creating a plan of care for a client who has major depressive disorder.
Whichof the following interventions should the nurse include in the plan?
, • Encourage physical activity for the client during the day
• Discourage the client from expressing feelings of anger
• Keep a bright light on in the client’s room at night.
• Identify and schedule alternative group activities for the client.
A nurse is providing counseling for a family that consists of two parents and their two
adolescent children. Which of the following family members should the nurse identify as
acting in the role as the monopolizer?
• The mother who expresses hostility toward her spouse.
• The adolescent son who refuses to share personal feelings.
• The father who intervenes whenever the siblings argue.
• The adolescent daughter who attempts to dominate the conversation.
A nurse is developing a teaching plan for the family of an older adult client who is to
receive transcranial magnetic stimulation. Which of the following information should
thenurse include in the teaching plan?
• The client might have a headache after treatment.
• The client will experience seizure during treatment.
• The client will require intubation after treatment.
• The client is at risk for aspiration during treatment.
A nurse is providing teaching about disulfiram to a client who has a history of alcohol
use. Which of the following instructions should the nurse include in the teaching?
(Selectall that apply)
• "You will need to take the medication once daily"
• "You will receive treatment in an inpatient setting"
• "You should avoid using mouthwash that contains alcohol"
• "You should avoid drinking carbonated beverages while taking the medication"
• "You can expect to develop a physical dependence to the medication"
A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the
following actions should the nurse take?
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