ATI Mental Health Proctored Exam (Best Review)

ATI Mental Health Proctored Exam (Best Review) 20. A nurse is caring several clients who are attending community-based mental health programs. Which of the following clients should the nurse plan to visit first?: A client who says he is hearing a voice that tells him he is not worth living anymore. 21. A community mental health nurse is planning care to address the issue of depression among older adult clients in the community. Which of the following interventions should the nurse plan as a method of tertiary preven- tion?: Establishing rehabilitation programs to decrease the effects of depression 22. A nurse is working in a community mental health facility. Which of the following services does this type of program provide? (Select all that apply)- : -Educational groups -Medication dispensing programs -Individual counseling programs -Family therapy 23. A nurse in an acute mental health facility is assisting with discharge plan- ning for a client who has a severe mental illness and requires supervision much of the time. The client's wife works all day but is home by late afternoon. Which of the following strategies should the nurse suggest as appropriate follow-up care?: Attending a partial hospitalization program 24. A nurse is caring for a group of clients. Which of the following clients should a nurse consider for referral to an assertive community treatment (ACT) group?: A client who loves at home and keeps "forgetting" to come in for his monthly antipsychotic injection for schizophrenia 25. A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical psychoanalysis. Which of the following client statements indicates an understanding of this form of therapy?: The therapist will focus on my past relationships during our sessions." 26. 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?: I should say the first thing that comes to my mind." 27. 27. 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): -Priority restructuring -Monitoring thoughts -Journal keeping 28. 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?: Aversion therapy 29. 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?: Gradually expose the client to an elevator while practicing relaxation techniques. 30. 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?: Observes group techniques without interfering with the group process 31. 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): -Define the purpose of the group -Discuss termination of the group -Establish an expectation of confidentiality within the group 32. 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?: Hidden agenda 33. 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 follow- ing?: Manipulation 34. A nurse is working with an established group and identifies various mem- ber roles. Which of the following should the nurse identify as an individual role?: A member who brags about accomplishments 35. 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?: Excessive stressors cause the client to experience distress. 36. 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 E. Unhappiness 37. A nurse is teaching a client about stress-reduction techniques. Which of the following client statements indicates understanding of the teaching?- : Cognitive reframing will help me change my irrational thoughts to something positive. 38. A client says she is experiencing increased stress because her signifi- cant 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?: Use assertiveness techniques 39. 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 state- ments by the client to his coworker indicates client understanding?: When I have to pick up extra work, I feel very overwhelmed. I need to focus on my own responsibilities 40. 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?: I will receive a muscle relaxant to protect me from injury during ECT 41. A charge nurse is discussing TMS with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?: "I will schedule the client for daily TMS treatments for the first several weeks." 42. A nurse is assessing a client immediately following an ECT procedure. Which of the following findings should the nurse expect? (Select all that apply): C. Memory loss D. Nausea E. Confusion 43. A nurse is leading a peer group discussion about the indications for ECT. Which of the following indications should the nurse include in the discussion?: Bipolar disorder with rapid cycling 44. A nurse is planning care for a client following surgical implantation of a VNS device. The nurse should plan to monitor for which of the following adverse effects? (Select all that apply): A. Voice changes D. Dysphagia E. Neck pain 45. A nurse observes a client who has OCD repeatedly applying, removing, and then reapplying makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following underlying reasons?- : Attempt to reduce anxiety 46. A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take?: Stay with the client and remain quiet 47. A nurse is assessing a client who has generalized anxiety disorder. Which of the following findings should the nurse expect? (Select all that apply): A. Excessive worry for 6 months D. Restlessness E. Need for reassurance 48. A nurse is caring for a client who has body dysmorphic disorder. Which of the following actions should the nurse plan to take first?: Assessing the client's risk for self harm 49. A nurse is caring for a client who has acute stress disorder and is experiencing severe anxiety. Which of the following statements should the nurse make?: Tell me about how you are feeling right now." 50. A nurse working on an acute mental health unit is caring for a client who has PTSD. Which of the following findings should the nurse expect? (Select all that apply): A. Difficulty concentrating on tasks C. Negative self-image D. Recurring nightmares 51. A nurse is involved in a serious and prolonged mass casualty incident in the emergency department. Which of the following strategies should the nurse use to help prevent developing a trauma-related disorder? (Select all that apply): B. Take breaks during the incident for food and water C. Debrief with others following the incident E. Take advantage of offered counseling 52. A nurse is collecting an admission history for a client who has acute stress disorder (ASD). Which of the following information should the nurse expect to collect?: The client expresses a sense of unreality about the traumatic event 53. A nurse is caring for a client who has derealization disorder. Which of the following findings should the nurse identify as an indication of derealiza- tion?: The client states that the furniture in the room seems to be small and far away 54. A nurse in an acute mental health facility is planning care for a client who has dissociative fugue. Which of the following interventions should the nurse add to the plan of care?: Work with the client on grounding techniques 55. A nurse working in an acute mental health facility is caring for a 35-year-old female client who has manifestations of depression. The client lives at home with her partner and two young children. She currently smokes and has a history of chronic asthma. Which of the following factors put the client at risk for depression? (Select all that apply): A. Age B. Gender C. History of chronic asthma E. Being married 56. A nurse working on an acute mental health unit is admitting a client who has major depressive disorder and comorbid anxiety disorder. Which of the following actions is the nurse's priority?: Placing the client on one-to-one observation 57. A nurse working in an outpatient clinic is providing teaching to a client who has a new diagnosis of premenstrual dysphoric disorder (PMDD). Which of the following statements by the client indicates understanding of the teaching?'': I am aware that my PMDD causes me to have rapid mood swings."