ATI PN MENTAL HEALTH PROCTORED EXAM 2020
1. A nurse is caring for an adult client who has visible injuries as a result of intimate partner violence. Which of the following actions should the nurse take?
Answer: Encourage the client to develop a safety plan
2. A nurse in an urgent care clinic i...
1 a nurse is caring for an adult client who has visible injuries as a result of intimate partner violence which of the following actions should the nurse tak
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ATI PN MENTAL HEALTH PROCTORED EXAM 2020
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ATI PN MENTAL HEALTH PROCTORED EXAM 2020
1. A nurse is caring for an adult client who has visible injuries as a result of
intimate partnerviolence. Which of the following actions should the nurse take?
Answer: Encourage the client to develop a safety plan
2. A nurse in an urgent care clinic is collecting data from a client whose friend reports a
suspicion ofcocaine use. The nurse should identify that which of the following
manifestations is an indicator of the client’s use of this substance?
Answer: Hypertension
3. A nurse in a mental health facility is caring for a client who has dementia. The
client’sagitation is increasing. Which of the following actions should the
nurse take first?
Answer: Offer diversionary activities
4. A nurse is caring for a client who has bipolar disorder. The client suddenly appears
agitated and begins pacing at the end of the hallway with clenched fists. Which of the
following actions should the nurse take first?
Answer: Determine the client’s intentions
5. A nurse is reinforcing discharge teaching with a client who has a new prescription for
alprazolam.Which of the following instructions is the priority for the nurse to include?
Answer: Do not drive until your reaction to the medication is determined
6. A nurse is caring for a client who is 2 days postoperative following a hip arthroplasty.
When a news report about military action comes on the television, the client says to the
nurse, “My youngest child died 6 months ago while serving in the military.” Which of
the following responsesshould the nurse make?
Answer:
-This must be very difficult time for you
-Your child’s death must be a terrible loss
-Tell me something you remember about your child
7. A nurse is contributing to the plan of care for a client who has bipolar disorder and is
exhibiting mania,Which of the following interventions should the nurse include to improve
the nutritional status of the client?
Answer: Have the client’s favorite snacks available at all times.
8. A nurse is collecting data from a client who has paranoid personality disorder. Which of
thefollowing manifestations should the nurse expect?
Answer: Projects blame onto others
9. A nurse on and inpatient unit is assisting with a group therapy session. During the
session, a client begins to shout using aggressive language. Which of the following
statements should thenurse make to the client?
, Answer: When you raise your voice, it makes me feel
uncomfortable and unsafe.”
10. A nurse in a mental health facility is caring for a client who
has schizophrenia. The client becomes violent in the dayroom and
begins throwing objects at staff and other clients.After calling for
assistance. Which of the following actions should the nurse take
next?
Answer: Tell the client calmly to sit down
11. A nurse caring for a group of clients on a mental health unit.
Which of the followingclient behaviors should the nurse reports
to the charge nurse?
Answer: A client who is manic has been pacing the unit for several
hours
12. A nurse is collecting data from a client who is taking valproic
acid for the treatment of bipolar disorder. The nurse should identify
that which of the following findings is priority to report to the
provider?
Answer: Bleeding gums
13. A nurse is attempting to resolve an ethical dilemma that
involves a client’s medical decisions and his own personal values.
After collecting data and identifying the problem, whichof the
following actions should the nurse take next?
Answer: Determine the benefits and consequences of
respecting the client’smedical decisions
14. A LPN/LVN observes that a client is pacing, agitated, and
presenting aggressive gestures. The client's speech pattern is
rapid, and affect is belligerent. Based on these observations, the
nurse's immediate priority of care is to:
Answer: Provide safety for the client and other clients on the unit
15. Select the nursing interventions for a hospitalized client with
mania who is exhibitingmanipulative behavior. Select all that
apply.
Answer:
1) Communicate expected behaviors to the client
3) Assist the client in identifying ways of setting limits on personal
behaviors
4) Follow through about the consequences of behavior in a non-punitive
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