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  • December 17, 2023
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  • 2023/2024
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ATI MENTAL HEALTH B
PROCTORED EAXM

1. A nurse is talking with a group of parents who have recently experienced the death of a child which of the
following actions should the nurse take?
• Encourage the parents to avoid discussing the death of their other children to protect their feelings
• Recommend each parent grieve in a private to avoid hindering each other’s healing
Suggest forming a weekly support group for parents who have experienced the death of


a child.
• Advise the parents to begin counseling if they are still grieving in a few months



2. A nurse in a community Health Center is working with a group of clients who have post- traumatic stress disorder.
Which of the following interventions should the nurse include to reduce anxiety among the group members?
• Response prevention
Guided imagery
• Aversion therapy
• Light therapy



3. A nurse is planning care for a client who is to undergo electroconvulsive therapy (ECT). Which of the following
actions should the nurse include in the plan?
• Administer phenytoin 30 min prior to procedure
• Instruct the client to expect a headache following the procedure
• Place the client in a four-point restraint prior
Monitor the client’s cardiac rhythm during the procedure to the procedure



4. A nurse is planning prevention strategies for
partner violence in the community. Which of the following strategies should the nurse include as a method of
secondary prevention? Provide teaching about the
use Establish screening programs to identify at risk clients of positive coping mechanisms

• Refer survivors to intimate partner abuse to a
legal advocacy program
• Organize rehabilitation therapy for clients who have experienced intimate partner abuse



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,5. A nurse in a mental health facility is caring for a client who has schizophrenia. Which of the following findings
places the client at a greater risk for self-directed injury or injuring others?
• Inability to communicate with others
• Feelings of absence of self-worth
• Lack of motivation to perform daily tasks
Command hallucinations
6. A nurse is caring for a child who is taking methylphenidate. The nurse should
monitor the child for which of the following findings as an adverse effect of
methylphenidate?
• Weight gain
• Tinnitus
Tachycardia
• Increased salivation



7. A nurse observes a client on a mental health unit pushing on the locked unit door. Which of the following
statements should the nurse make?
“It appears as though you would like to open the door.”
• “You will feel more comfortable after you've
been here for a while.”
• “It is ok to not want to be here.”
• “You really shouldn't be pushing on the door.”



8. A nurse is assisting a client who has a terminal illness adjust to progressive loss of independence. Which of the
following statements by the client
“I am going to order a wheelchair for when I'm unable to walk.” indicates acceptance of her illness?

• “I am going to stop paying my bills
since I won't be around much longer.”
• “I wish you would go take care of somebody who actually needs you.”
• “I am sure I'm going to be able to continue to care for myself without help.”



9. A nurse is preparing to participate in an interdisciplinary conference or client who has bipolar disorder. Which of
the following behaviors is the priority for the nurse to report to the treatment team?
• Calling family members
• Spending time alone
Giving away possessions
• Excessive crying



10. A nurse is teaching the partner of a client who has bipolar disorder how to identify manifestations of acute mania.
Which of the following findings should the clients partner report to the provider?
• Obsessive attention to detail
Inability to sleep
• Reports of fatigue
• Isolation from others



11. A nurse on an acute mental health facility is receiving change of shift report for four clients which of the following
clients should the nurse assess first?

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