ATI Mental Health - Chapters 1-10, 13-15, 17,
22-27, 29-31
A charge nurse is discussing mental status examina ons with a newly licensed nurse. Which of
the following statements by the newly licensed nurse indica ons an understanding of the
teaching? (Select all that apply)
A. "To assess cogni ve 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 iden fy our most recent
presidents." - ANSWER A. CORRECT: Coun ng backward by 7s is an appropriate
technique to assess a client's cogni ve ability.
B. CORRECT: Observing a client's facial expression
is appropriate when assessing affect.
C. CORRECT: Wri ng a sentence is an
indica on of language ability.
,Incorrect:
D. Asking the client to repeat a list of objects is appropriate
to assess immediate, rather than remote, memory.
E. Asking the client to iden fy recent presidents is appropriate
to assess cogni ve knowledge rather than abstract thinking.
A nurse is planning care for a client who has a mental health disorder. Which of the following
ac ons should the nurse include as a psychobiological interven on?
A. Assist the client with systema c desensi za on therapy
B. Teach the client appropriate coping mechanisms
C. Assess the client for co-morbid health condi ons
D. Monitor the client for adverse effects of medica ons - ANSWER D. CORRECT:
Monitoring for adverse effects of medica ons is an example of a psychobiological interven on.
Incorrect:
A. Assis ng with systema c desensi za on therapy is a cogni ve and behavioral, rather than a
psychobiological interven on.
B. Teaching appropriate coping mechanisms is a counseling or health teaching, rather than a
psychobiological interven on.
,C. Assessing for comorbid health condi ons is health promo on and maintenance, rather than a
psychobiological, interven on.
A nurse in an outpa ent mental health clinic is preparing to conduct an ini al client interview.
When conduc ng the interview, which of the following ac ons should the nurse iden fy as the
priority?
A. Coordinate holis c care with social services
B. Iden fy the client's percep on of her mental health status
C. Include the client's family in the interview
D. Teach the client about her current mental health disorder - ANSWER B. CORRECT:
Assessment is the priority ac on when using the nursing process approach to client care.
Iden fying the client's percep on of their mental health status provides important informa on
about the client's psychosocial history.
Incorrect:
A. It is appropriate to coordinate holis c care for the client with social services as part of case
management. However, another ac on is the priority.
C. If the client wishes, it is appropriate to include the client's family in the interview. However,
another ac on is the priority.
D. It is appropriate to teach the client about their disorder. However, another ac on is the
priority.
, A nurse is told during change-of-shi 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 decor cate rigidity
D. The client is alert, but disoriented to me and place - ANSWER A. The client arouses
briefly in response to a sternal rub
A nurse is planning a peer group discussion about the Diagnos c and Sta s cal Manual of
Mental Disorders, 5th edi on (DSM-5). Which of the following informa on is appropriate to
include in the discussion? (Select all that apply)
A. The DSM-5 includes client educa on handouts for mental health disorders
B. The DSM-5 establishes diagnos c criteria for individual mental health disorders
C. The DSM-5 indicated 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 disorders -
ANSWER B. CORRECT: The DSM-5 establishes diagnos c criteria for mental health
disorders.
22-27, 29-31
A charge nurse is discussing mental status examina ons with a newly licensed nurse. Which of
the following statements by the newly licensed nurse indica ons an understanding of the
teaching? (Select all that apply)
A. "To assess cogni ve 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 iden fy our most recent
presidents." - ANSWER A. CORRECT: Coun ng backward by 7s is an appropriate
technique to assess a client's cogni ve ability.
B. CORRECT: Observing a client's facial expression
is appropriate when assessing affect.
C. CORRECT: Wri ng a sentence is an
indica on of language ability.
,Incorrect:
D. Asking the client to repeat a list of objects is appropriate
to assess immediate, rather than remote, memory.
E. Asking the client to iden fy recent presidents is appropriate
to assess cogni ve knowledge rather than abstract thinking.
A nurse is planning care for a client who has a mental health disorder. Which of the following
ac ons should the nurse include as a psychobiological interven on?
A. Assist the client with systema c desensi za on therapy
B. Teach the client appropriate coping mechanisms
C. Assess the client for co-morbid health condi ons
D. Monitor the client for adverse effects of medica ons - ANSWER D. CORRECT:
Monitoring for adverse effects of medica ons is an example of a psychobiological interven on.
Incorrect:
A. Assis ng with systema c desensi za on therapy is a cogni ve and behavioral, rather than a
psychobiological interven on.
B. Teaching appropriate coping mechanisms is a counseling or health teaching, rather than a
psychobiological interven on.
,C. Assessing for comorbid health condi ons is health promo on and maintenance, rather than a
psychobiological, interven on.
A nurse in an outpa ent mental health clinic is preparing to conduct an ini al client interview.
When conduc ng the interview, which of the following ac ons should the nurse iden fy as the
priority?
A. Coordinate holis c care with social services
B. Iden fy the client's percep on of her mental health status
C. Include the client's family in the interview
D. Teach the client about her current mental health disorder - ANSWER B. CORRECT:
Assessment is the priority ac on when using the nursing process approach to client care.
Iden fying the client's percep on of their mental health status provides important informa on
about the client's psychosocial history.
Incorrect:
A. It is appropriate to coordinate holis c care for the client with social services as part of case
management. However, another ac on is the priority.
C. If the client wishes, it is appropriate to include the client's family in the interview. However,
another ac on is the priority.
D. It is appropriate to teach the client about their disorder. However, another ac on is the
priority.
, A nurse is told during change-of-shi 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 decor cate rigidity
D. The client is alert, but disoriented to me and place - ANSWER A. The client arouses
briefly in response to a sternal rub
A nurse is planning a peer group discussion about the Diagnos c and Sta s cal Manual of
Mental Disorders, 5th edi on (DSM-5). Which of the following informa on is appropriate to
include in the discussion? (Select all that apply)
A. The DSM-5 includes client educa on handouts for mental health disorders
B. The DSM-5 establishes diagnos c criteria for individual mental health disorders
C. The DSM-5 indicated 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 disorders -
ANSWER B. CORRECT: The DSM-5 establishes diagnos c criteria for mental health
disorders.
