ATI M ENTAL HEALTH 2023 PROCTOR EXAM WITH 71 QUESTIONS AND CORRECT ANSWERS GRADED A+ A nurse is providing teaching about relapse prevention to a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching? a. "I should avoid being around others if I think I'm having a relapse" b. "I should let my counselor know if I am having trouble sleeping" c. "I shouldn't worry about the voices because they are a part of my illness" d. "I should increase my carbohydrate intake to maintain my energy level" - ANSWER -b. I should let my counselor know if I am having trouble sleeping A nurse is assessing a client for negative manifestations of schizophrenia. Which of the following findings should the nurse expect? a. Echopraxia b. Delusions c. Anergia d. Tangentiality - ANSWER -c. Anergia A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder. Which of the following findings obtained during the initial assessment is the priority to report to other disciplines? a. Poor problem -solving skills b. Markedly neglected hygiene c. Significant weight loss d. Psychomotor retardation - ANSWER -d. Psychomotor retardation A nurse is preparing to administer methylphenidate 25 mg PO to a school age child who has ADHD. Available is methylphenidate 10mg/5mL liquid. How many mL should the nurse administer? (Round to nearest tenth) - ANSWER -a. 12.5 A nurse is caring for a school age child who has a fractured arm. The child has other injuries that cause the nurse to suspect abuse. Which of the following actions is appropriate for the nurse to take when assessing the child's situation? a. Ask the parents directly if the child's fracture is due to physical abuse b. Direct the parents to the waiting room before interviewing the child c. Interview the child with the provider and social worker present d. Ask clarifying questions as the child explains how the injuries occurred - ANSWER -d. Ask clarifying questions as the child explains how the injuries occurred A nurse is assisting with obtaining consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take? a. Ask the charge nurse to obtain informed consent b. Contact the facility social worker to obtain consent c. Request that the client's guardian sign the consent d. Explain implied consent to the clients family - ANSWER -c. Request that the client's guardian sign the consent A nurse in a mental health facility is reviewing a client's medical record. Which of the following actions should the nurse take first? (Click on the exhibit button for additional information about the client. There are 3 tabs that contain separate categories of data) a. Teach the client about nutritional needs b. Initiate 0.9% sodium chloride with 40 mEq potassium chloride c. Administer acetaminophen 500 mg PO d. Encourage the client to attend group therapy sessions - ANSWER -a. Teach the client about nutritional needs A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline. The nurse should recognize that which of the following client medications is contraindicated when taken with sele giline? a. Wafarin b. Fluoxetine c. Calcium carbonate d. Acetaminophen - ANSWER -b. Fluoxetine 2. A nurse in a long -term care facility is assessing a client who has dementia. Which of the following findings should the nurse identify as a risk for this client? a. Outside doors have locks b. The bed is in the low position c. Hallways are long distances d. The room has an area rug - ANSWER -c. Hallways are long distances A nurse is providing behavioral therapy for a client who has obsessive -compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought stopping technique? a. "Ask a family member to check the locks for you at night" b. "Keep a journal of how often you check the locks each night" c. "Snap a rubber band on your wrist when you think about checking the locks" d. "Focus on abdominal breathing whenever you go to check the locks" - ANSWER -c. "Snap a rubber band on your wrist when you think about checking the locks" A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is taking haloperidol. Which of the following clinical findings is the nurse's priority? a. Insomnia b. Urinary hesitancy c. Headache d. High fever - ANSWER -d. High fever A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect? a. Failure to recognize familiar objects
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