Mental Health ATI Proctored Exams Test
Bank Updated 2023-2024 with All Questions
from Past Actual Exams and 100% Correct
Answers
A nurse is caring for a client who has anorexia nervosa. The client states, "If I gain
weight, I'll never get a boyfriend." Which of the following cognitive distortions is the
client displaying?
A. Overgeneralization
B. Personalization
C. Emotional reasoning
D. Catastrophizing ---------- Correct Answer ----------- Catastrophizing
*A client displays the cognitive distortion of catastrophizing by assuming the worst
possible outcomes will occur
A nurse is assisting with the planning of a staff education session about the
administration of antidepressant medications to older adult clients. Which of the
following pieces of information should the nurse recommend including?
A. Older adult clients require a lower initial dose of antidepressant medication than adult
clients
B. Older adult client should not receive antidepressant medication
C. Older adult clients achieve the therapeutic effects of antidepressant medications
more quickly than adult clients
D. Older adult clients have a decreased risk of adverse effects from antidepressant
medication ---------- Correct Answer ----------- Older adult clients require a lower initial
dose of antidepressant medication than adult clients
*Older adult clients should start at half of the adult dose for antidepressant medications.
This is due to altered rates of absorption and the increased risk of adverse effects
A nurse is contributing to the plan of care for a client who has borderline personality
disorder and self-mutilates. Which of the following treatment approaches should the
nurse recommend?
A. Restrict participation in group therapy sessions
B. Establish consequences for self-mutilation
C. Maintain close observation of the client
,D. Provide an unstructured environment ---------- Correct Answer ----------- Maintain
close observation of the client
*Clients who have borderline personality disorder are at risk of self-harm during times of
increased anxiety. Maintaining close observation reduces the client's risk of injury
A nurse is collecting data from a client who has a history of alcohol use disorder and is
experiencing alcohol withdrawal. Which of the following findings should the nurse
identify as a manifestation of severe alcohol withdrawal?
A. Decreased appetite
B. Slurred speech
C. Insomnia
D. Hallucinations ---------- Correct Answer ----------- Hallucinations
*Hallucinations are a manifestation of severe alcohol withdrawal. Other manifestations
of severe alcohol withdrawal include diaphoresis, hyperthermia, and tachycardia
A nurse is reinforcing teaching with the partner of a client who has a new diagnosis of
bipolar disorder. Which of the following behaviors should the nurse describe as a trigger
for a relapse of mania?
A. Using a daily planner
B. Sleeping too much
C. Eating too much protein
D. Drinking alcohol ---------- Correct Answer ----------- Drinking alcohol
*The use of alcohol, caffeine, some over-the-counter medications, and some
substances can trigger a relapse
A nurse on an inpatient mental health unit is caring for a client who is angry and
showing signs of potential violence. Which of the following actions should the nurse take
to de-escalate the client's anger?
A. Call security personnel for a show of force
B. Inform the client that restraints will be used as a consequence for verbal abuse
C. Speak to the client in a loud, forceful voice
D. Give the client extra personal space ---------- Correct Answer ----------- Give the client
extra personal space
*A client who is experiencing escalating anger requires additional space to feel less
threatened. The nurse should stand 1 foot farther away from the client than the client's
arms and legs can reach
,A nurse is planning care for a client who has dissociative disorder and is experiencing
flashbacks while in public. Which of the following interventions should the nurse include
in the plan to help the client recognize and counter the flashbacks?
A. Encourage reality testing
B. Provide opportunities for socialization
C. Consistently remind the client of past traumatic events
D. Discourage client expressions of negative feelings ---------- Correct Answer -----------
Encourage reality testing
*Reality testing involves scanning the surrounding to see if others are afraid and
reorientations to time and place. This can help clients recognize that the flashbacks are
not real
A nurse is assisting with planning recreational activities for a young adult client who has
an acute exacerbation of schizophrenia. Which of the following activities should the
nurse recommend for this client?
A. Walking with a staff member
B. Playing ping-pong in the dayroom with another client
C. Playing basketball with other clients in the gym
D. Riding on a stationary bike alone in the fitness room ---------- Correct Answer -----------
Walking with a staff member
*The nurse should plan to encourage the client to participate in nonthreatening,
noncompetitive physical activities. Walking with the staff also provides an opportunity for
verbal interaction between the client and the staff
A nurse is caring for a client who was just admitted for treatment of anorexia nervosa.
Which of the following actions should the nurse take?
A. Discuss the nutritional value of foods during meal times
B. Weight the client 3 mornings per week
C. Allow the client to exercise for up to 1 hour per day
D. Monitor the client for 1 hour following meals and snacks ---------- Correct Answer ------
----- Monitor the client for 1 hour following meals and snacks
*The nurse should monitor the client after eating meals and snacks to prevent purging
A nurse on an inpatient mental health unit is planning care for a client who was admitted
following a suicide attempt. Which of the following actions should the nurse include in
the plan?
A. Keep the door of the client's room to open while the client is awake
B. Ensure that the client's meal tray contains no knives
C. Observe the client swallow medications
, D. Have a staff member observe the client once every 30 minutes ---------- Correct
Answer ----------- Observe the client swallow medications
*The nurse should plan to observe when the client swallows medications to ensure that
he does not save the medications to take all at once
A nurse is caring for a client who has post-traumatic stress disorder (PTSD) and who is
undergoing eye movement desensitization and reprocessing (EMDR) therapy. The
nurse should identify that EMDR includes which of the following strategies?
A. Exposes the client to circumstances that trigger the PTSD
B. Assists the client with behavioral modification
C. Encourages the client to visualize a relaxing scene when traumatic memories occur
D. Uses stimuli to change how the client processes the trauma ---------- Correct Answer
----------- Uses stimuli to change how the client processes the trauma
*EMDR uses stimuli such as tapping, eye movements, or audio sounds combined with
verbalization of the traumatic event by the client. While the client recalls the traumatic
event, these stimuli create neurological and physiological changes in how the client
integrates the memories. EMDR is a type of psychotherapy carried out during several
sessions by a therapist who is trained in the method
A nurse in a rehabilitation center for clients with substance use disorders is collecting
data from a client who is being admitted. The client tells the nurse, "I am afraid of other
people finding out that I am in a rehabilitation center." Which of the following responses
should the nurse make?
A. "You don't need to worry about that."
B. "You should be proud of yourself for getting treatment."
C. "Why do you care what other people think?"
D. "Tell me more about how you are feeling about being here." ---------- Correct Answer
----------- "Tell me more about how you are feeling about being here."
*The nurse is using therapeutic communication by exploring the client's feelings and
encouraging the client to discuss them.
A nurse is discussing family therapy with a client. Which of the following statements by
the nurse is therapeutic?
A. "Family therapy helped my family."
B. "I need to sign you up for family therapy."
C. "Family therapy can bring about change."
D. "Why do you think you need family therapy?" ---------- Correct Answer -----------
"Family therapy can bring about change."
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