Mental Health CMS ATI E xam 2023 -2024 Version All Questions and Answers/ ATI CMS Mental CMS Updated 2023 -2024 Latest Version Latest Version A nurse is planning reminiscence therapy for an older adult client. The nurse should identify which of the following goals for the client's therapy? A. The client will gain increased self -esteem. B. The client will maintain orientation to place and time. C. The client will independently perform ADLs. D. The client will achieve optimal sensory stimulation. -------- Correct Answer -------- A A nurse is assessing a client who is experiencing moderate -level anxiety. Which of the following findings should the nurse expect? A. The client has a heightened perceptual field. B. The client has difficulty concentrating. C. The client reports shortness of breath. D. The client reports a sense of impending doom. -------- Correct Answer -------- B A nurse at an acute mental health facility is caring for a client who has acute mania due to bipolar disorder. At 0300, the client runs to the nurse's station and demands to see the provider immediately. Which of the following responses should the nurse make? A. "Your reques t is unreasonable. We cannot call your provider at 3:00 in the morning." B. "If you can calm down for 5 minutes then I will call your provider for you." C. "Calm down, go back to your room, and come back in 15 minutes and we'll talk about how you're feelin g." D. "You must be very upset about something to want to see your provider in the middle of the night." -------- Correct Answer -------- D A nurse receives a call on a crisis intervention hotline from a client. Which of the following statements should th e nurse identify as an overt statement indicating the client's risk for suicide? A. "Everything will be better soon." B. "Soon no one will have to worry about me." C. "There's no point in living any longer." D. "I want to donate my organs to help others." -------- Correct Answer -------- C A community mental health nurse is planning strategies to address substances use by adolescents. Which of the following interventions should the nurse plan as a method of primary prevention? A. Offer substance use treatment options for adolescents from low -income households. B. Encourage the use of random testing for substance use for adolescents participating in extracurricular activities. C. Educate high school teachers about how to detect t he manifestations of substance use. D. Provide a presentation at area high schools on resisting peer pressure for substance use. -------- Correct Answer -------- D A nurse is conducting a counseling session with a client who has a substance use disorder. The client repeatedly asks personal questions about the nurse. Which of the following actions should the nurse take? A. Explain that this time is designated to focus on the client. B. Answer the personal inquiry questions matter -of-factly. C. Tell the cli ent that interest in someone besides himself is an indication of improvement. D. Request that personal questions be asked after the counseling session is over. -------
- Correct Answer -------- A A nurse is caring for a school -age client who begins wetting the bed after finding out that her parents are getting a divorce. The nurse should identify that the client is exhibiting which of the following defense mechanisms? A. Regression B. Projection C. Repression D. Splitting -------- Correct Answer -------- A A nurse is preparing to apply wrist restraints on a client who is threatening to harm others and has not responded to less invasive interventions. Which of the following actions should the nurse plan to take? A. Obtain a PRN prescription for restraints from the client's provider. B. Visually observe the client every 10 min until restraints are removed. C. Ensure that three fingers can fit between the restraint and the client's wrist. D. Document the client's behavior every 15 min while restraints are in place. -------- Correct Answer -------- D A nurse is assessing a client who has anorexia nervosa. The nurse should expect the client to display which of the following characteristics? A. Refuses to participate in physical exercise activities B. Possesses feelings of decreased self -worth C. Preoccupied with concerns about personal health D. Avoids discussion of food -------- Correct Answer -------- B A nurse is caring for a client who h as alcohol use disorder and is receiving treatment for alcohol withdrawal. The client reports hand tremors 12 hr after admission. Which of the following statements should the nurse make? A. "The tremors are permanent due to nerve damage caused by chronic alcohol use." B. "The tremors will persist for a few days as you are withdrawing from alcohol." C. "Try not to worry about the tremors. Everyone has these during alcohol withdrawal." D. "These tremors are an indication of seizures that are associated with alcohol withdrawal." -------- Correct Answer -------- B A nurse is admitting a client in the emergency department for an intentional overdose of opioids. The client state, "I feel so alone. No one can help me." Which of the following responses by the nurse is therapeutic? A. "Let's finish your admission and then talk about your feelings." B. "How come you feel that no one can help you when you are receiving help now?" C. "Why do you feel that no one can help you?" D. "I would like to sit and talk with you." -------- Correct Answer -------- D A nurse is caring for a client whose adolescent child died in a motor -vehicle crash. The client is crying inconsolably. Which of the following actions sho uld the nurse take? A. Suggest that the client call the facility's chaplain. B. Provide a quiet place for the client to be alone. C. Stay with the client and allow the client to cry. D. Express sympathy for the client's loss. -------- Correct Answer -------- C A nurse is caring for a client who has a new diagnosis of colon cancer. Shortly after the client receives the diagnosis, the nurse enters the client's room and the client begins yelling, "I have received terrible care here and no one cares about me. " The nurse should recognize that the client is demonstrating which of the following defense mechanisms? A. Denial B. Displacement C. Reaction formation D. Projection -------- Correct Answer -------- B A nurse is caring for a client who has schizophrenia. The client states, "My internal organs have turned to stone." The nurse should document this finding as which of the following types of delusions? A. Somatic B. Reference C. Persecutory D. Grandiose -------- Correct Answer -------- A
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