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NGN ATI MENTAL HEALTH PROCTORED 2023 LATEST UPDATE NEWEST (AUGUST) 180 QUESTIONS AND ANSWERS

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NGN ATI MENTAL HEALTH PROCTORED 2023 LATEST UPDATE NEWEST (AUGUST) 180 QUESTIONS AND ANSWERS A nurse is discussing free association as a therapeutic tool with a client who has major depressive disorder. Which of the following client statements indicates understanding of this technique? A. "I ...

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  • December 8, 2023
  • 37
  • 2023/2024
  • Exam (elaborations)
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NGN ATI MENTAL HEALTH PROCTORED
2023 LATEST UPDATE NEWEST (AUGUST)
180 QUESTIONS AND ANSWERS



A nurse is discussing free association as a therapeutic tool with a client who has major
depressive disorder. Which of the following client statements indicates understanding of this
technique?

A. "I will write down my dreams as soon as I wake up."
B. "I may begin to associate my therapist with important people in my life."
C. "I can learn to express myself in a nonaggressive manner."
D. "I should say the first thing that comes to my mind."

A nurse is preparing to implement cognitive reframing techniques for a client who has an
anxiety disorder. Which of the following techniques should the nurse include in the plan of care?
(Select all that apply)

A. Priority restructuring
B. Monitoring thoughts
C. Diaphragmatic breathing
D. Journal keeping
E. Meditation

,A nurse is caring for a client who has a new prescription for disulfiram for treatment of alcohol
use disorder. The nurse informs the client that this medication can cause nausea and vomiting if
he drinks alcohol. Which of the following types of treatment is this method an example?

A. Aversion therapy
B. Flooding
C. Biofeedback
D. Dialectical behavior therapy

A nurse is assisting with systematic desensitization for a client who has an extreme fear of
elevators. Which of the following actions should the nurse implement with this form of therapy?

A. Demonstrate riding in an elevator, and then ask the client to imitate the behavior.
B. Advise the client to say "stop" out loud every time he begins to feel an anxiety
response related to an elevator.
C. Gradually expose the client to an elevator while practicing relaxation techniques.
D. Stay with the client in an elevator until his anxiety response diminishes.




A nurse wants to use democratic leadership with a group whose purpose is to learn appropriate
conflict resolution techniques. The nurse is correct in implementing this form of group leadership
when she demonstrates which of the following actions?

A. Observes group techniques without interfering with the group process
B. Discusses a technique and then directs members to practice the technique
C. Asks for group suggestions of techniques and then support discussion
D. Suggests techniques and asks group members to reflect on their use
C. Democratic leadership supports group interaction and decision making to solve problems.




A nurse is planning group therapy for clients dealing with bereavement. Which of the following
activities should the nurse include in the initial phase? (Select all that apply)

A. Encourage the group to work toward goals
B. Define the purpose of the group
C. Discuss termination of the group
D. Identify informal roles of members within the group
E. Establish an expectation of confidentiality within the group

,A nurse working on an acute mental health unit forms a group to focus on self-management of
medications. At each of meetings, two of the members use the opportunity to discuss their
common interest in gambling on sports. This is an example of which of the following concepts?

A. Triangulation
B. Group process
C. Subgroup
D. Hidden agenda

A nurse is conducting a family therapy session. The adolescent son tells the nurse that he plans
ways to make his sister look bad so his parents will think he's the better sibling, which he
believes will give him more privileges. The nurse should identify this dysfunctional behavior as
which of the following?

A. Placation
B. Manipulation
C. Blaming
D. Distraction

A nurse is working with an established group and identifies various member roles. Which of the
following should the nurse identify as an individual role?

A. A member who praises input from other members
B. A member who follows the direction of other members
C. A member who brags about accomplishments
D. A member who evaluates the group's performance toward a standard

A nurse is preparing to provide an educational seminar on stress to other nursing staff. Which of
the following information should the nurse include in the discussion?

A. Excessive stressors cause the client to experience distress.
B. The body's initial adaptive response to stress is denial.
C. Absence of stressors results in homeostasis.
D. Negative, rather than positive, stressors produce a biological response.

A nurse is discussing acute vs prolonged stress with a client. Which of the following effects
should the nurse identify as an acute stress response? (Select all that apply)

A. Chronic pain
B. Depressed immune system
C. Increased blood pressure

, D. Panic attacks
E. Unhappiness

A nurse is teaching a client about stress-reduction techniques. Which of the following client
statements indicates understanding of the teaching?

A. "Cognitive reframing will help me change my irrational thoughts to something positive."
B. "Progressive muscle relaxation uses a mechanical device to help me gain control over
my pulse rate."
C. "Biofeedback causes my body to release endorphins so that I feel less stress and anxiety."
D. "Mindfulness allows me to prioritize the stressors that I have in my life so that I have
less anxiety."




A client says she is experiencing increased stress because her significant other is "pressuring me
and my kids to go live with him. I love him, but I'm not ready to do that." Which of the following
recommendations should the nurse make to promote a change in the client's situation?

A. Learn to practice mindfulness
B. Use assertiveness techniques
C. Exercise regularly
D. Rely on the support of a close friend

A nurse is caring for a client who states, "I'm so stressed at work because of my coworker. He
expects me to finish his work because he's too lazy!" When discussing effective communication,
which of the following statements by the client to his coworker indicates client understanding?

A. "You really should complete your own work. I don't think it's right to expect me to complete
your responsibilities."
B. "Why do you expect me to finish your work? You must realize that I have my own
responsibilities."
C. "It is not fair to expect me to complete your work. If you continue, then I will report
your behavior to our supervisor."
D. "When I have to pick up extra work, I feel very overwhelmed. I need to focus on my
own responsibilities."

A nurse is providing teaching for a client who is scheduled to receive ECT for the treatment of
major depressive disorder. Which of the following client statements indicates understanding of
the teaching?

A. "It is common to treat depression with ECT before trying medications."
B. "I can have my depression cured if I receive a series of ECT treatments."

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