1. A nurse is planning overall strategies to address problems for a client who has
borderline personality disorder. Which of the following strategies is the priority for
the nurse to incorporate in the plan of care?
- d. implement measures to prevent intentional self-inflicted injury
2) A nurse...
ATI Mental Health Final Proctored Exam 70 Questions with Verified Answers 2023 1. A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in the plan of care? - d. implement measures to prevent inten tional self -inflicted injury 2) A nurse is admitting a client who has generalized anxiety disorder. Which of the following actions should the nurse plan to take first? - a. Provide the client with a quiet environment 3) A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following should the nurse report to the provider? - a. States that he hasn't bathed in 2 days 4) A nurse is planning care for a client who has obsessive -compulsive disorder. Which of the fo llowing recommendation should the nurse include in the clients plan of care? - b. Thought stopping 5) A nurse is caring for a client who has bipolar disorder and is experiencing a manic episode. Which of the following actions should the nurse take? - b. Dim the lights in the clients room 6) A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first. - c. Identify prior coping skills 7) A nurse overhea rs a client saying"I am a spy, a spy for the FBI I am an I,an eye for an eye in the sky. Sky is up high." The nurse should document the clients statement as which of the following speech alterations? - d. Clang association 8) An older adult client is brou ght to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states "Im so worried that my mother is depressed" which of the following responses should the nu rse make? - d. Tell me the reasons you think your mother is depressed. 9) A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan care? - b. Initiates social interac tions with caregivers. A nurse is providing behavior 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 tech nique? - a. Snap a rubber band on your wrist when you think about checking the locks. 11) A nurse is caring for a client who is starting treatment for substance use disorder. Which of the following actions indicate the nurse is practicing the ethical principle of nonmaleficence? - c. Withholding the prescribed medication that is causing adverse effects for the client. 12) A nurse in a group home facility is caring for a client who is developmentally disabled. The client has been stealing belongings from o ther clients. Which of the following techniques should the nurse use? - c. Positive reinforcement to increase desired behavior. 13) A nurse is caring for a client who is experiencing a panic attack. Which of the following actions should the nurse take? - d. Have the client breathe into a paper bag. 14) The nurse is caring for a client following a physical assault. The client states " don't remember what happened to me." The nurse should recognize that the client is using which of the following defense mec hanisms? - a. Repression 15) A nurse is caring for a client who has anorexia nervosa. Which of the following findings require immediate intervention by the nurse? - d. Blood pH 7.60 16) A nurse is caring for a client in a mental health facility. The clie nt is agitated and threatens to harm herself and others. Which of the following is the priority intervention? - d. Set limits on the clients behavior
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