ATI RN MENTAL HEALTH PROCTORED EXAM

ATI RN MENTAL HEALTH PROCTORED EXAM

VERSION 4

3.

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” 1 / 3

• 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? 2 / 3

• 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?

• Urinespecificgravity1.029

• 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
• / 3