ATI Mental Health Proctored Exam 3, 2021

ATI Mental Health Proctored Exam 3, 2021 graded

• 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 selegiline?

• Wafarin
• Fluoxetine
• Calcium carbonate
• Acetaminophen
• 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?

• Outside doors have locks
• The bed is in the low position
• Hallways are long distances
• The room has an area rug
• 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?

• “Ask a family member to check the locks for you at night”
• “Keep a journal of how often you check the locks each night”
• “Snap a rubber band on your wrist when you think about checking the locks”
• “Focus on abdominal breathing whenever you go to check 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?

• Insomnia
• Urinary hesitancy
• Headache
• High fever
• A nurse is caring for a client who has Alzheimer’s disease. Which of the following findings should the nurse

expect?

• Failure to recognize familiar objects
• Altered level of consciousness
• Excessive motor activity
• Rapid mood swings
• A nurse in a mental health facility is interviewing a new client. Which of the following outcomes must

occur if the nurse is to establish a therapeutic nurse-client relationship?

• The nurse is seen as an authority figure
• A written contract is established to clarify the steps of the treatment plan
• The nurse maintains confidentiality unless the client’s safety is compromised
• The nurse is seen as a friend
• A nurse is teaching a client who has a new prescription for disulfiram. Which of the following statements

by the client indicates an understanding of the teaching?

• “If I cut myself, I can clean the wound with isopropyl alcohol”
• “I can wear my cologne on special occasions”
• “When I bake my favorite cookies, I can use pure vanilla extract for flavoring”
• “I can continue to eat aged cheese and chocolate”
• A nurse is planning care for a client who has narcissistic personality disorder. Which of the following

actions is appropriate for the nurse to include in the plan of care?

• Ask the client to sign a no-suicide contract
• Remain neutral when communicating with the client
• Request an antipsychotic medication from the provider
• Provide the client with high-calorie finger foods
• A nurse is reviewing the laboratory report of a client who is taking carbamazepine for bipolar disorder.

Which of the following laboratory results should the nurse report to the provider?

• Urine specific gravity 1.029

• Platelets 90,000/mm

3

• Urine pH 5.6
• RBC 4.7/mm

3

• 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?

• “I should avoid being around others if I think I’m having a relapse”
• “I should let my counselor know if I am having trouble sleeping”
• “I shouldn’t worry about the voices because they are a part of my illness”
• “I should increase my carbohydrate intake to maintain my energy level”
• A nurse is assessing a client for negative manifestations of schizophrenia. Which of the following findings

should the nurse expect?

• Echopraxia
• Delusions
• Anergia
• Tangentiality
• 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?

• Poor problem-solving skills
• Markedly neglected hygiene
• Significant weight loss
• 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)

• 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?

• Ask the parents directly if the child’s fracture is due to physical abuse
• Direct the parents to the waiting room before interviewing the child
• Interview the child with the provider and social worker present
• 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?

• Ask the charge nurse to obtain informed consent
• Contact the facility social worker to obtain consent
• Request that the client’s guardian sign the consent
• Explain implied consent to the clients family
• 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)

• Teach the client about nutritional needs
• Initiate 0.9% sodium chloride with 40 mEq potassium chloride
• Administer acetaminophen 500 mg PO
• Encourage the client to attend group therapy sessions
• A nurse is assessing a client who has delirium. Which of the following findings requires immediate

intervention by the nurse?

• Rapid mood swings
• Command hallucinations
• Impaired memory
• Inappropriate speech patterns

• A nurse is developing a teach plan for the family of an older adult client who is to receive transcranial

magnetic stimulation. Which of the following information should the nurse include n the teaching plan?

• The client is at risk for aspiration during treatment
• The client will experience a seizure during treatment
• The client will require intubation after treatment
• The client might have a headache after treatment
• A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for

smoking cessation. Which of the following assessment findings in the client’s history should the nurse report to the provider?

• Recent head injury
• Hypothyroidism
• Knee arthroplasty 1 month ago
• Hepatitis B infection
• A nurse is developing a plan of care for a client who has paranoid personality disorder. Which of the

following actions should the nurse include in the plan?

• Provide written information about the client’s treatment plan
• Monitor the client for splitting behaviors
• Encourage countertransference when developing the nurse-client relationship
• Isolate the client from social or group interactions
• A nurse is caring for a client who receives lamotrigine daily for bipolar disorder and reports a rash on his

arm. Which of the following actions should the nurse take?

• Ask the client about a recent change in laundry detergent
• Explain that the medication causes a temporary rash
• Apply hydrocortisone cream on the client’s rash
• Withhold the next dose of the medication
• A nurse is caring for a client who begins yelling and pacing around the room. Which of the following

actions should the nurse take? (select all that apply)

• Stand directly in front of the client
• Identify the client’s stressors
• Request that security guards restrain the client
• Talk to the client using short, simple sentences
• Speak to the client in a loud voice
• A nurse is developing a plan of care for a school-age child who has autism spectrum disorder. Which of the

following interventions should the nurse include in the plan?

• Allow flexibility in the child’s daily schedule
• Assign the child to a room with another child of the same age
• Discourage the child from making eye contact with caregivers
• Use a reward system for appropriate behavior
• A nurse is caring for a client who has post-traumatic stress disorder. Which of the following clinical findings

is associated with this disorder?

• Depersonalization
• Pressured speech
• Hypervigilance
• Compulsive behavior
• A nurse is teaching a client about the use of cognitive reframing for stress management. Which of the

following statements by the client indicates an understanding of the teaching?

• “I will focus on a mental image while concentration on my breathing.”
• “I will practice replacing negative thoughts with positive self-statements.”
• “I will progressively relax each of my muscle groups when feeling stressed.”
• “I will learn how to voluntarily control my blood pressure and heart rate.”

• A nurse is caring for a client who has schizophrenia and has been taking chlorpromazine for 5 years. Which

of the following assessment tools should the nurse use to determine if the client is experiencing adverse effects of the medication?

• Addiction Severity Index (ASI)
• Mood Disorder Questionnaire (MDQ)
• Abnormal Involuntary Movement Scale (AIMS)
• Hamilton Depression Scale
• A nurse in a mental health facility is assessing a client for suicide risk factors using the SAD PERSONS scale.

Which of the following finding indicates a risk suicide?

• The client is married
• The client has diabetes mellitus
• The client is 50 years of age
• The client is female
• A nurse is providing crisis intervention for a client who was involved in a violent mass casualty situation in

the community. Which of the following actions should the nurse take during the initial session with the client?

• Identify the client’s usual coping style
• Help the client focus on a wide variety of topics regarding the crisis
• Tell the client that his life will soon return to normal
• Encourage the client to display anger toward the cause of the crisis
• A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations. Which of

the following actions should the nurse take first?

• Encourage the client to listen to music
• Monitor the client for indications of anxiety
• Ask the client what she is missing
• Focus the client on reality-based topics
• A nurse is planning to lead a support group for clients who have alcohol use disorder. One of the group

members is a client who speaks a different language than the nurse. The nurse should ask which of the following individuals to assist with communication?

• A family member of the client
• Another client who speaks the same language as the client
• A translator of the same gender as the client
• A unit secretary who speaks the same language as the client
• A nurse in an emergency department is assessing a client who reports recently using cocaine. Which of the

following clinical manifestations should the nurse expect?

• Lethargy
• Hypothermia
• Hypertension
• Bradycardia
• A nurse is caring for a client who has severe depression and is scheduled to receive electroconvulsive

therapy. The nurse should recognize that the client will receive succinylcholine to prevent which of the following adverse effects?

• Muscle distress
• Aspiration
• Elevated blood pressure
• Decreased heart rate
• A nurse in an outpatient clinic is assessing a client who has anorexia nervosa. Which of the following

findings indicates the need for hospitalization?

• Temperature 35.6 C (96.1 F)
• Heart rate 56/min
• Weight 10% below ideal weight
• Potassium 3.8 mEq/L