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Ati rn mental health exam with ngn [actual screenshots]
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ATI MENTAL HEALTH 20231. A charge nurse is discussing mental status exams with a newly licensed
nurse. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching? (Select all that apply)
A) To assess cognitive ability, I should ask the client to count backward by
sevens.
B) To assess affect, I should observe the client's facial expression
C) To assess language ability, I should instruct the client to write a
sentence.
D) To assess remote memory, I should have the client repeat a list of
objects.E) To assess the client's abstract thinking, I should ask the client
to identify our most recent presidents.: A, B, C
2. A nurse is planning care for a client who has a mental health disorder.
Which of the following actions should the nurse include as a
psychobiological intervention?
A) Assist the client with systematic desensitization therapy.
B) Teach the client appropriate coping mechanisms.
C) Assess the client for comorbid health conditions.
D) Monitor the client for adverse effects of the medications.: D
3. A nurse in an outpatient mental health clinic is preparing to conduct an
initial client interview. When conducting the interview, which of the
following actions should the nurse identify as the priority? A) Coordinate
holistic care with social services.
B) Identify the client's perception of her mental health status.
C) Include the client's family in the interview.
D) Teach the client about her current mental health disorder: B
4. A nurse is told during change of shift report that a client is stuporous. When
assessing the client, which of the following findings should the nurse expect?
A) The client arouses briefly in response to a sternal rub.
B) The client has a glasgow coma scale score less than 7.
C) The client exhibits decorticate rigidity.
D) The client is alert but disoriented to time and place.: A
5. A nurse is planning a peer group about the DSM-5. Which of the following
information is appropriate to include in the discussion? (Select all that apply).
A) The DSM-5 includes client education handouts for mental health disorders.
, ATI MENTAL HEALTH 2023
B) The DSM-5 establishes diagnostic criteria for individual mental health
disorders.
C) The DSM-5 indicates recommended pharmacological treatment for
mental health disorders.
D) The DSM-5 assists nurses in planning care for client's who have mental
health disorders.
E) The DSM-5 indicates expected assessment findings of mental health
disor-ders.: B, D, E
6. A nurse in an emergency mental health facility is caring for a group of
clients. The nurse should identify that which of the following clients
requires a temporary emergency admission?
A) A client who has schizophrenia with delusions of grandeur
B) A client who has manifestations of depression and attempted suicide a
year ago.
C) A client who has borderline personality disorder and assaulted a
homeless man with a metal rod.
D) A client who has bipolar disorder and paces quickly around the room
while talking to himself.: C
7. A nurse decides to put a client who has a psychotic disorder in
seclusion overnight because the unit is very short-staffed, and the client
frequently fights with other clients. The nurse's actions are an example of
which of the following torts? A) Invasion of privacy
B) False imprisonment
C) Assault
D) Battery: B
8. A client tells a nurse, "Don't tell anyone but I hid a sharp knife under my
mattress in order to protect myself from my roommate, who is always
yelling at me and threatening me." Which of the following actions should the
nurse take?
A) Keep the client's communication confidential, but talk to the client
daily, using therapeutic communication to convince him to admit to hiding
the knife.
, ATI MENTAL HEALTH 2023
B) Keep the client's communication confidential, but watch the client and
his roommate closely.
C) Tell the client that this must be reported to the healthcare team
because it concerns the health and safety of the client and others.
D) Report the incident to the health care team, but do not inform the client
of the intention to do so.: D
9. A nurse is caring for a client who is in mechanical restraints. Which of the
following statements should the nurse include in the documentation?
(Select all that apply)
A) Client ate most of his breakfast
B) Client was offered 8 oz of water every hr
C) Client shouted obscenities at assistive personnel
D) Client received chlorpromazine 15 mg by mouth at 1000
E) Client acted out after lunch: B, C, D
10. A nurse hears a newly licensed nurse discussing a client's
hallucinations in the hallway with another nurse. Which of the following
actions should the nurse take first?
A) Notify the nurse manager
B) Tell the nurse to stop discussing the behavior
C) Provide an in-service program about confidentiality
D) Complete an incident report: B
11. A nurse is caring for the parents of a child who has demonstrated changes
in behavior and mood. When the mother of the child asks the nurse for
reassurance about her son's condition, which of the following responses
should the nurse make?
A) I think your son is getting better. What have you noticed
B) I'm sure everything will be okay. It just takes time to heal
C) I'm not sure what's wrong. Have you asked the doctor about your
concerns?D) I understand you're concerned. Let's discuss what
concerns you specifically: D
12. A nurse is caring for a client who smokes and has lung cancer. The
client reports, "I'm coughing because I have that cold that everyone has
been getting." The nurse should identify that the client is using which of the
following defense mechanisms?
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