Exam (elaborations)
ATI MENTAL HEALTH PROCTORED EXAM A,B&C LATEST 2024/2025
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ATI MENTAL HEALTHPROCTORED EXAM A,B&C
LATEST 2024/2025
Alzheimer's disease agitated and comba4ve when approached for nursing care
- appropriate ac4on?
Remain calm and talk quietly to the client
Typical characteris4c of clients w anorexia?
Relentless exercise
Eldery w alzheimer's has begun to strike out - awake and restless most of the
night - contact provider for med order. An4cipated med?
Lorazepam as needed
Ques4on a benzo for tx of?
Chronic pain syndrome
Male client admiHed to psych hospital under court order w dx of an4social
personality disorder - stealing a car and pushing it over a cliff - which behaviors
should the nurse expect?
LiHle responsibility or concern for his current situa4on
Er following rape - may manifest ptsd - can be described as?
Re-experiencing the fear and hopelessness of the original trauma
Counseling for gad and buspirone to control extreme restlessness and
irritability - most common se?
Drowsiness
Caring for client admiHed w etoh detox - commonly used to manage?
An4anxiety agents
Client dx w wernicke korsakoff syndrome - expect to exhibit?
,Short-term memory loss and disorienta4on
Client tells nurse tv is a two way radio and states "voices are coming from the
tv...." - appropriate response?
"that must be very frightening"
Caring for client hospitalized w acute manic episode - priority nursing
interven4on?
Protect the client from impulsive behavior
Providing a teaching to a client who is taking disulfiram - avoid?
Vanilla extract
Teaching about donepezil for alzheimer's - accurate statement?
"aricept prolongs the 4me and func4oning of the earlier stages of the disease"
Depressed client tells "i am too 4red and depressed to aHend group therapy
today" - respond?
"aHending group therapy, even if you are 4red, may help your depression"
Appropriate short term goal for a client exhibi4ng manic behavior?
Pain4ng alone for 15 minutes
Order to admin donepezil daily - should be administered?
At bed4me
Expect to observe in a client exhibi4ng impulsive behavior?
Low tolerance for frustra4on
Admits to ea4ng disorder program - now 85 pounds - early manifesta4on of
anorexia?
Amenorrhea
Ini4ally, should expect a client to react to a dx of cancer with?
Denial
Client is transferred to a psych from the ed - treated for self-inflicted injuries -
highest priority?
,Promo4ng and maintaining client safety
AdmiXng a client to outpa4ent for a second series of ect - give immediate
considera4on w which statement?
"i only ate a light breakfast this morning"
Caring for elderly in inpa4ent - understand which w regard to client's
an4depressant?
Elderly clients require lower doses of an4depressants than younger clients
Nurse outpa4ent mental health clinic - client dx w an4social - most appropriate
nursing interven4on?
Set limits on the inappropriate behavior
Caring for a client w agoraphobia - most effec4ve technique?
Gradual desensi4za4on by controlled exposure to the situa4on of client fears
Hx of extremely elevated, irritable mood for a week - nurse notes grandiosity,
insomnia, flight of ideas, and psychomotor agita4on - priority short term goal?
Adequate nutri4on and rest paHerns
Caring for client who has been taking lithium for last 6 months - no longer
responding well - a]er dc lithium, provider prescribes valproic acid -
instruc4ons?
Liver fxn and hematology levels must be monitored regularly
A]er a depressed client is discharged, client's spouse stops aHending family
counseling sessions - "i don't have 4me" - therapeu4c response?
"it must be difficult for you to talk about these family problems"
Dx w an4social - making progress w tx sata
Assis4ng another client to complete a menu
reques4ng a weekend pass to go home
Acute care mental facility newly dx w an4social - include in plan of care?
SeXng clear rules and expecta4ons for the client's behavior
, AdmiHed yed w alcoholism - "i have not had anything to drink for 24 hours" -
anxious and shaky - other behaviors expected?
Coarse tremors, tachycardia, insomnia
Caring for hospitalized client w an4social behavior - therapeu4c tx approach?
Par4cipa4on in group therapy
Several teenagers bring an unconscious friend - "uses drugs but don't know" -
cocaine overdose?
Dilated pupils
Unconscious client brought to er d/t heroin od - manifesta4on of opioid
withdrawal?
Rhinorrhea
Dx w an4social - which manifesta4on is inconsistent w dx?
Intense guilt
Expect an rx to mg client's withdrawal from etoh?
Chlordiazepoxide (librium)
Required to report child abuse - jus4fica4on for repor4ng abuse?
There is inconsistency btwn the hx and injury
Develop behavioral modifica4on program to help a young anorexic client gain
weight - contraindicated interven4on?
PermiXng the client to spend quiet 4me alone a]er each meal
Oa admiHed for probable delirium - best support dx?
"the change in behavior came so quickly! I wasn't sure what was happening to
her"
Assessment of newly admiHed - dependence on lorazepam (a4van) -
appropriate ac4on?
Taper the med gradually
Client rx methadone - can be effec4ve drug replacement addicted to which?
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