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ATI RN Mental Health Complete Exam Questions With Detailed Answers || ALREADY GRADED A+

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ATI RN Mental Health Complete Exam Questions With Detailed Answers || ALREADY GRADED A+ A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching? A. "To assess cogni...

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  • September 22, 2024
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ATI RN Mental Health Complete Exam
Questions With Detailed Answers ||
ALREADY GRADED A+
A charge nurse is discussing mental status examinations with a newly licensed
nurse. Which of the following statements by the newly licensed nurse indicates a
need for further teaching?

A. "To assess cognitive ability, I should ask the client to count backward by 7."
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 objec -
ANSWER D. "To assess remote memory, I should have the client repeat a list of
objects."
ATI RN Mental Health Nursing Modules Ch. 9 Notes

A nurse is discussing acute vs. prolonged stress with a client. Which of the
following should the nurse identify as an acute stress response? (SATA)

A. Decreased appetite
B. Depressed immune system
C. Increased blood pressure
D. Panic attacks
E. Unhappiness

ATI RN Mental Health Nursing Modules Ch. 9 Notes - ANSWER *A, B, C, E*:
*Panic attacks* indicate a prolonged or maladaptive stress response.

ATI RN Mental Health Nursing Modules Ch. 9 Notes

A nurse is teaching a client about stress-reduction techniques. Which of the
following client statements indicates understanding of the teaching?

A. "Cognitive reframing will help me change my irrational thoughts to something
positive."
B. "Progressive muscle relaxation uses a mechanical device to help me gain control
over my pulse rate."

,C. "Biofeedback causes my body to release endorphins so that I feel less stress and
anxiety."
D. "Mindfulness allows me to prioritize the stressors that I hav - ANSWER *A*:
*Cognitive reframing* helps the client look at irrational cognitions (thoughts) in a
more realistic light and to restructure those thoughts in a more positive way.
*Biofeedback*, rather than progress muscle training, uses a mechanical device to
promote voluntary control over autonomic functions.
*Physical exercise*, rather than biofeedback, causes a release of endophins that
lower anxiety and reduce stress.
*Priority restructuring*, rather than mindfulness, teaches the client to prioritize
differently to reduce the number of stressors.

ATI RN Mental Health Nursing Modules Ch. 9 Notes

A client says she is experiencing increased stress because her significant other is
"pressuring me and my kids to go live with him. I love him, but I'm not ready to do
that." She also states that her significant other "keeps nagging at my oldest son,
which makes me mad, since he's my son, not his." Which of the following should
the nurse recommend to promote a change in the client's situation?

A. Learn to practice mindfulness.
B. Use assertiveness techniques.
C. Exercise regularly.
D. Rely on t - ANSWER *B*:
*Mindfulness*, *regular exercise*, and *social support* are appropriate to
decrease the client's stress. However, it does not change the client's situation.
*Assertive communication* allows the client to assert her feelings and then make a
change in the situation.

ATI RN Mental Health Nursing Modules Ch. 9 Notes

A nurse is caring for a client who states, "I'm so stressed at work because of my
coworker. He expects me to finish his work because he's too lazy!" When
discussing appropriate communication, which of the following statements by the
client to his coworker indicates client understanding?

A. "You really should complete your own work. I don't think it's right to expect me
to complete your responsibitilies."
B. "Why do you expect me to finish your work? You must realize that I have my
own responsib - ANSWER *D*:

,*Disapproving/disagreeing*, *"why" question*, and *aggressive/threatening
statements* can prompt a defensive reaction.
This response demonstrates *assertive communication, which allows the client to
state her feelings about the behavior and then promote a change.

ATI RN Mental Health Nursing Modules Ch. 9 Notes

A nurse is providing teaching for a client who is scheduled to receive
electroconvulsive therapy (ECT) for the treatment of major depressive disorder.
Which of the following client statements indicates understanding of the teaching?

A. "It is common to treat depression with ECT before trying medications."
B. "I can have my depression cured if I receive a series of ECT treatments."
C. "I will have seizures lasting 1 1/2 to 2 minutes during ECT."
D. "I will receive a muscle relaxant to protect me - ANSWER D:
ECT: for major depressive disorder not responsive to meds, ↓ incidence and
relapse of depression, causes seizures of 25-60 seconds.

A muscle relaxant, such as succinylcholine (Anectine), is administered to reduce
the risk of injury during induced seizure activity.

ATI RN Mental Health Nursing Modules Ch. 10 Notes

A charge nurse is discussing transcranial magnetic stimulation (TMS) with a
newly licensed nurse. Which of the following statements by the newly licensed
nurse indicates a need for further teaching?

A. "TMS is indicated for clients whose depression is not relieved by medication."
B. "I will provide postanesthesia care following TMS."
C. "TMS is usually performed as an outpatient procedure."
D. "I will schedule the client for daily TMS treatments for the first several weeks."

ATI RN Mental Heal - ANSWER *B*:
Postanesthesia care is not necessary because the client does not receive anesthesia
and is alert during the procedure.

ATI RN Mental Health Nursing Modules Ch. 10 Notes

A nurse is assessing a client immediately following an electroconvulsive therapy
(ECT) proceedure. Which of the following are expected findings? (SATA)

, A. Hypotension
B. Paralytic ileus
C. Memory loss
D. Nausea
E. Tachycardia

ATI RN Mental Health Nursing Modules Ch. 10 Notes - ANSWER *C, D, E*:
BP is expected to be elevated.

ATI RN Mental Health Nursing Modules Ch. 10 Notes

A nurse is leading a peer group discussion about the indications for
electroconvulsive therapy (ECT). Which of the following is appropriate to include
in the discussion?

A. Borderline personality disorder
B. Acute withdrawal related to substance use disorder
C. Bipolar disorder with rapid cycling
D. Dysthymic disorder

ATI RN Mental Health Nursing Modules Ch. 10 Notes - ANSWER *C*:
ECT is indicated for the treatment of bipolar disorder with rapid cycling.

ATI RN Mental Health Nursing Modules Ch. 10 Notes

A nurse is planning care for a client following surgical implantation of a vagus
nerve stimlation (VNS) device. The nurse should plan to monitor for which of the
following adverse effects? (SATA)

A. Voice changes
B. Seizure activity
C. Disorientation
D. Dysphagia
E. Neck pain

ATI RN Mental Health Nursing Modules Ch. 10 Notes - ANSWER *A, D, E*:
All that is associated with the neck area is expected.

ATI RN Mental Health Nursing Modules Ch. 10 Notes

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