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 objects."
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises -
CORRECT ANSWER-D. "To assess remote memory, I should have the
client repeat a list of objects."
Asking the client to repeat a list of objects is appropriate to assess
immediate, rather than remote, memory.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
A nurse is planning care for a client who has a mental health disorder.
Which of the following is appropriate to 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 medications.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises -
CORRECT ANSWER-D. Monitor the client for adverse effects of
medications.
Assisting with systematic desensitization therapy is a cognitive and
behavioral. Teaching appropriate coping mechanisms is a counseling or
health teaching. Assessing for comorbid health conditions is health
promotion and maintenance.
D. Monitoring for adverse effects of medications is an example of a
psychobiological intervention.
,NUR 672 ATI RN MENTAL HEALTH NURSING STUDY QUESTIONS AND ANSWERS
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
,NUR 672 ATI RN MENTAL HEALTH NURSING STUDY QUESTIONS AND ANSWERS
A nurse in an outpatient mental health clinic is preparing to conduct an
initial client interview. When conducting the interview, which of the
following is the highest priority action?
A. Respect the client's need for personal space.
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.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises -
CORRECT ANSWER-*B. Identify the client's perception of her mental
health status.*
A. Appropriate, but not highest priority.
B. Assessment is the priority action when taking the nursing process
approach. Identifying the client's perception of her mental health
status provides important information about the client's psychosocial
history.
C. Appropriate, but not highest
priority. D. Appropriate, but not
highest priority.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
A nurse is told during change-of-shift report that a client is stuporous.
When assessing the client, which of the following is an expected finding?
A. The client arouses briefly in response to a sternal rib.
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.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises -
CORRECT ANSWER-*A. The client arouses briefly in response to a
sternal rib.*
A. A client who is stuporous requires vigorous or painful stimuli to elicit a
response.
B. <7 on GCS indicates comatose, not stuporous, level of
consciousness. C. Abnormal posturing = comatose.
D. Stuporous /= alert.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
, NUR 672 ATI RN MENTAL HEALTH NURSING STUDY QUESTIONS AND ANSWERS
A nurse is planning a peer group discussion about the Diagnostic and
Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Which of the