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ATI RN Mental Health Proctored Exam Expert Verified 70 Q&A REAL EXAM 2024
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1. A client is experiencing acute anxiety. Which intervention should the nurse implement first? A) Administering a PRN anti-anxiety medication B) Providing a calm, quiet environment C) Encouraging deep breathing exercises D) Using distraction techniques **Answer: B) Providi...

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  • March 15, 2024
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pg. 1 ATI RN Mental Health Proctored Exam Expert Verified 70 Q&A REAL EXAM 1. A client is experiencing acute anxiety. Which intervention should the nurse implement first? A) Administering a PRN anti -anxiety medication B) Providing a calm, quiet environment C) Encouraging deep breathing exercises D) Using distraction techniques **Answer: B) Providing a calm, quiet environment** Explanation: Creating a calm, quiet environment is the priority intervention to help reduce anxiety. This action helps decrease stimulation and promotes relaxation. 2. A client with schizophrenia suddenly stops participating in group therapy and isolates in their room. Which action should the nurse take first? A) Confronting the client about their behavior B) Allowing the client to isolate and observing from a distance C) Notifying the healthcare provider immediately D) Encouraging the client to attend group therapy **Answer: D) Encouraging the client to attend group therapy** pg. 2 Explanation: Encouraging the client to attend group therapy helps them remain engaged in treatment. Confrontation may increase anxiety, and notifying the healthcare provider can be done after assessing the situation. 3. A client diagnosed with major depressive disorder tells the nurse, "I don't want to live anymore. My family would be better off without me." What is the nurse's priority action? A) Assessing the client's suicide risk B) Providing empathy and support C) Encouraging the client to discuss feelings with their family D) Reassuring the client that things will get better **Answer: A) Assessing the client's suicide risk** Explanation: The priority is to assess the client's risk for suicide. This involves evaluating the seriousness of the threat, presence of a suicide plan, access to means, and support system. 4. A client diagnosed with bipolar disorder is in the manic phase. Which intervention should the nurse include in the client's plan of care? A) Encouraging the client to rest and limit activity B) Providing structured activities to channel excess energy C) Administering a sedative to promote sleep D) Allowing the client to make decisions independently **Answer: B) Providing structured activities to channel excess energy** Explanation: Providing structured activities helps redirect the client's excess energy into more productive outlets, promoting a sense of control and decreasing agitation. pg. 3 5. A client diagnosed with generalized anxiety disorder is prescribed lorazepam (Ativan). Which information should the nurse include when teaching the client about this medication? A) It should be taken as needed for anxiety relief B) It may cause dependence if used long -term C) It is safe to consume with alcohol in moderation D) It can be stopped abruptly without adverse effects **Answer: B) It may cause dependence if used long -term** Explanation: Lorazepam is a benzodiazepine that can lead to dependence if used long -
term. Clients should be cautioned against abrupt discontinuation and advised to follow the prescribed regimen. 6. A client diagnosed with schizophrenia is experiencing auditory hallucinations. Which nursing intervention takes priority? A) Acknowledging the client's feelings related to hallucinations B) Administering antipsychotic medication as prescribed C) Providing distraction techniques to divert attention from hallucinations D) Documenting the occurrence and content of hallucinations **Answer: B) Administering antipsychotic medication as prescribed** Explanation: Administering antipsychotic medication is the priority intervention to help alleviate the hallucinations and stabilize the client's symptoms. 7. A client with anorexia nervosa is admitted to the psychiatric unit. What is the nurse's priority intervention? pg. 4 A) Establishing a contract with the client to eat a certain number of calories per meal B) Weighing the client daily to monitor for weight gain C) Assessing the client's vital signs and nutritional status D) Initiating group therapy sessions focused on body image **Answer: C) Assessing the client's vital signs and nutritional status** Explanation: Assessment of vital signs and nutritional status is the priority to determine the client's physical stability and immediate needs. 8. A client with post -traumatic stress disorder (PTSD) experiences a flashback during a therapy session. What should the nurse do first? A) Encouraging the client to describe their flashback in detail B) Redirecting the client's focus to their current surroundings C) Administering an antianxiety medication to calm the client D) Allowing the client to experience the flashback without interruption **Answer: B) Redirecting the client's focus to their current surroundings** Explanation: Redirecting the client's focus helps ground them in reality and decreases the intensity of the flashback, providing a sense of safety. 9. A client diagnosed with borderline personality disorder engages in self -harming behaviors. What is the nurse's priority action? A) Setting strict limits on the client's behaviors B) Providing a safe environment to prevent self -harm C) Encouraging the client to express their feelings through art therapy D) Administering an antipsychotic medication to stabilize mood

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