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ATI MENTAL HEALTH PROCTORED 2023
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ATI MENTAL HEALTH PROCTORED 2023
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ATI MENTAL HEALTH PROCTORED 2023A6charge6nurse6is6discussing6mental6status6exams6with6a6newly6licensed6nurse.6Which6o
f6the6following6statements6by6the6newly6licensed6nurse6indicates6an6understanding6of6the
6teaching?6(Select6all6that6apply).6
A.6"To6assess6cognitive6ability,6I6should6ask6the6client6to6count6backward6by6sevens."
B.6"To6assess6affect,6I6should6observe6the6client's6facial6expression.
C.6"To6assess6language6ability,6I6should6instruct6the6client6to6write6a6sentence."
D.6"To6assess6remote6memory,6I6should6have6the6c6-6ans-
A.6"To6assess6cognitive6ability,6I6should6ask6the6client6to6count6backward6by6sevens."
B.6"To6assess6affect,6I6should6observe6the6client's6facial6expression.
C.6"To6assess6language6ability,6I6should6instruct6the6client6to6write6a6sentence."
A6nurse6is6planning6care6for6a6client6who6has6a6mental6health6disorder.6Which6of6the6follo
wing6actions6should6the6nurse6include6as6a6psychobiological6intervention?
A.6Assist6the6client6with6systematic6desensitization6therapy.
B.6Teach6the6client6appropriate6coping6mechanisms
C.6Assess6the6client6for6comorbid6health6conditions.
D.6Monitor6the6client6for6adverse6effects6of6the6medications.6-6ans-
D.6Monitor6the6client6for6adverse6effects6of6the6medications.
A6nurse6in6an6outpatient6mental6health6clinic6is6preparing6to6conduct6an6initial6client6inter
view.6When6conducting6the6interview,6which6of6the6following6actions6should6the6nurse6ide
ntify6as6the6priority?
A.6Coordinate6holistic6care6with6social6services
B.6Identify6the6client's6perception6of6her6mental6health6status.
C.6Include6the6client's6family6in6the6interview.
D.6Teach6the6client6about6her6current6mental6health6disorder.6-6ans-
B.6Identify6the6client's6perception6of6her6mental6health6status.
A6nurse6is6told6during6change6of6shift6report6that6a6client6is6stuporous.6When6assessing6t
he6client,6which6of6the6following6findings6should6the6nurse6expect?
A.6The6client6arouses6briefly6in6response6to6a6sternal6rub.
B.6The6client6has6a6glasgow6coma6scale6score6less6than67.
C.6The6client6exhibits6decorticate6rigidity.
,D.6The6client6is6alert6but6disoriented6to6time6and6place.6-6ans-
A.6The6client6arouses6briefly6in6response6to6a6sternal6rub.
A6nurse6is6planning6a6peer6group6discussion6about6the6DSM-
5.6Which6of6the6following6information6is6appropriate6to6include6in6the6discussion?
6(Select6all6that6apply)
A.6The6DSM-56includes6client6education6handouts6for6mental6health6disorders.
B.6The6DSM-56establishes6diagnostic6criteria6for6individual6mental6health6disorders.
C.6The6DSM-
56indicates6recommended6pharmacological6treatment6for6mental6health6disorders.
D.6The6DSM-56assists6nurses6in6planning6care6for6client's6who6have6mental6health6d6-
6ans-B.6The6DSM-56establishes6diagnostic6criteria6for6individual6mental6health6disorders.
D.6The6DSM-
56assists6nurses6in6planning6care6for6client's6who6have6mental6health6disorders.
E.6The6DSM-56indicates6expected6assessment6findings6of6mental6health6disorders.
A6nurse6in6an6emergency6mental6health6facility6is6caring6for6a6group6of6clients.6The6nurse
6should6identify6that6which6of6the6following6clients6requires6a6temporary6emergency6admi
ssion?
A.6A6client6who6has6schizophrenia6with6delusions6of6grandeur
B.6A6client6who6has6manifestations6of6depression6and6attempted6suicide6a6year6ago
C.6A6client6who6has6borderline6personality6disorder6and6assaulted6a6homeless6man6with6
a6metal6rod
D.6A6client6who6has6bipolar6disorder6and6paces6quickly6around6the6room6wh6-6ans-
C.6A6client6who6has6borderline6personality6disorder6and6assaulted6a6homeless6man6with6
a6metal6rod
A6nurse6decides6to6put6a6client6who6has6a6psychotic6disorder6in6seclusion6overnight6beca
use6the6unit6is6very6short-
staffed,6and6the6client6frequently6fights6with6other6clients.6The6nurse's6actions6are6an6exa
mple6of6which6of6the6following6torts?
A.6Invasion6of6privacy
B.6False6imprisonment
C.6Assault
D.6Battery6-6ans-B.6False6imprisonment
A6client6tells6a6nurse,6"Don't6tell6anyone6but6I6hid6a6sharp6knife6under6my6mattress6in6ord
er6to6protect6myself6from6my6roommate,6who6is6always6yelling6at6me6and6threatening6me.
"6Which6of6the6following6actions6should6the6nurse6take?
A.6Keep6the6client's6communication6confidential,6but6talk6to6the6client6daily,6using6therap
eutic6communication6to6convince6him6to6admit6to6hiding6the6knife
,B.6Keep6the6client's6communication6confidential,6but6watch6the6client6and6his6roommate6
closely.
C.6Tell6the6cl6-6ans-
D.6Report6the6incident6to6the6health6care6team,6but6do6not6inform6the6client6of6the6intentio
n6to6do6so.
A6nurse6is6caring6for6a6client6who6is6in6mechanical6restraints.6Which6of6the6following6state
ments6should6the6nurse6include6in6the6documentation?6(Select6all6that6apply)
A.6"Client6ate6most6of6his6breakfast."
B.6"Client6was6offered686oz6of6water6every6hr."
C.6"Client6shouted6obscenities6at6assistive6personnel."
D.6"Client6received6chlorpromazine6156mg6by6mouth6at61000."
E.6"Client6acted6out6after6lunch."6-6ans-B.6"Client6was6offered686oz6of6water6every6hr."
C.6"Client6shouted6obscenities6at6assistive6personnel."
D.6"Client6received6chlorpromazine6156mg6by6mouth6at61000.
A6nurse6hears6a6newly6licensed6nurse6discussing6a6client's6hallucinations6in6the6hallway6
with6another6nurse.6Which6of6the6following6actions6should6the6nurse6take6first?
A.6Notify6the6nurse6manager.
B.6Tell6the6nurse6to6stop6discussing6the6behavior.
C.6Provide6an6in-service6program6about6confidentiality.
D.6Complete6an6incident6report.6-6ans-B.6Tell6the6nurse6to6stop6discussing6the6behavior
A6nurse6is6caring6for6the6parents6of6a6child6who6has6demonstrated6changes6in6behavior6a
nd6mood.6When6the6mother6of6the6child6asks6the6nurse6for6reassurance6about6her6son's6
condition,6which6of6the6following6responses6should6the6nurse6make?
A.6"I6think6your6son6is6getting6better.6What6have6you6noticed."
B.6"I'm6sure6everything6will6be6okay.6It6just6takes6time6to6heal."
C.6"I'm6not6sure6whats6wrong.6Have6you6asked6the6doctor6about6your6concerns?"
D.6"I6understand6you're6concerned.6Let's6discuss6wh6-6ans-
D.6"I6understand6you're6concerned.6Let's6discuss6what6concerns6you6specifically."
A6nurse6is6caring6for6a6client6who6smokes6and6has6lung6cancer.6The6client6reports,6"I'm6c
oughing6because6I6have6that6cold6that6everyone6has6been6getting."6The6nurse6should6ide
ntify6that6the6client6is6using6which6of6the6following6defense6mechanisms?
A.6Reaction6formation
B.6Denial
C.6Displacement
D.6Sublimation6-6ans-B.6Denial
A6nurse6is6providing6preoperative6teaching6for6a6client6who6was6just6informed6that6she6re
quires6emergency6surgery.6The6client6has6a6respiratory6rate630/
, min6and6says,6"This6is6difficult6to6comprehend.6I6feel6shaky6and6nervous."6The6nurse6sho
uld6identify6that6the6client6is6experiencing6which6of6the6following6levels6of6anxiety?
A.6Mild
B.6Moderate
C.6Severe
D.6Panic6-6ans-B.6Moderate
A6nurse6is6caring6for6a6client6who6is6experiencing6moderate6anxiety.6Which6of6the6followi
ng6actions6should6the6nurse6take6when6trying6to6give6necessary6information6to6the6client
?6(Select6all6that6apply.)
A.6Reassure6the6client6that6everything6will6be6okay.
B.6Discuss6prior6use6of6coping6mechanisms6with6the6client.
C.6Ignore6the6client's6anxiety6so6that6she6will6not6be6embarrassed.
D.6Demonstrate6a6calm6manner6while6using6simple6and6clear6directions.
E.6Gather6information6from6the6client6using6c6-6ans-
B.6Discuss6prior6use6of6coping6mechanisms6with6the6client.
D.6Demonstrate6a6calm6manner6while6using6simple6and6clear6directions.
A6nurse6is6talking6with6a6client6who6is6at6risk6for6suicide6following6the6death6of6his6spouse
.6Which6of6the6following6statements6should6the6nurse6make?
A.6"I6feel6very6sorry6for6the6loneliness6you6must6be6experiencing."
B.6"Suicide6is6not6the6appropriate6way6to6cope6with6loss."
C.6"Losing6someone6close6to6you6must6be6very6upsetting."
D.6"I6know6how6difficult6it6is6to6lose6a6loved6one."6-6ans-
C.6"Losing6someone6close6to6you6must6be6very6upsetting."
A6charge6nurse6is6discussing6the6characteristics6of6a6nurse-
client6relationship6with6a6newly6licensed6nurse.6Which6of6the6following6characteristics6sh
ould6the6nurse6include6in6the6discussion?6(Select6all6that6apply)
A.6The6needs6of6both6participants6are6met.
B.6An6emotional6commitment6exists6between6the6participants.
C.6It6is6goal-directed.
D.6Behavioral6change6is6encouraged.
E.6A6termination6date6is6established.6-6ans-C.6It6is6goal-directed.
D.6Behavioral6change6is6encouraged.
E.6A6termination6date6is6established.
A6nurse6is6in6the6working6phase6of6a6therapeutic6relationship6with6a6client6who6has6meth
amphetamine6use6disorder.6Which6of6the6following6actions6indicates6transference6behavi
or?
A.6The6client6asks6the6nurse6whether6she6will6go6out6to6dinner6with6him.
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