ATI RN Mental Health Nursing exam / 128 Questions and Answers/ Graded A+

ATI RN Mental Health Nursing exam / 128 Questions and Answers/ Graded A+ A nurse is preparing to obtain a nursing history from a client who has a new diagnosis of anorexia nervosa. Which of the following questions are appropriate for the nurse to current eating habits?" E. "Can you discuss your feelings about your appearance?" Rationale: A family history of a client who has anorexia should include an assessment of family and interpersonal relationships. You should also assess for the client's current eating habits, and the client's perception of the issue. A nurse is caring for an adolescent client who has anorexia nervosa with recent rapid weight loss and a current weight of 90 lbs. Which of the following statements indicates the client is experiencing the cognitive distortion of catastrophizing? -CORRECT ANSWER- A. "Life isn't worth living if I gain weight." Rationale: Catastrophizing means that the client's perception of her appearance or situation is much worse than her current condition. A nurse is performing an admission assessment of a client who has bulimia nervosa with purging behavior. Which of the following is an expected finding? -CORRECT ANSWER- B. Hypokalemia D. Slightly elevated body weight Rationale: A client who has a bulimia nervosa disorder will be hypokalemic, will maintain a weight within a normal range or slightly higher; they will not have a period (amenorrhea), and a patchy skin (mottling of skin). A nurse is caring for a client who has bulimia nervosa and who has stopped purging behavior. The client tells the nurse that she is afraid she is going to gain weight. Which of the following is an appropriate response by the nurse? -CORRECT ANSWER- C. "I understand you have concerns about your weight, but first, let's talk about your recent accomplishments." Rationale: A nurse should focus on the patient's accomplishments, which helps promote self-esteem and self-image. A nurse on an acute care unit is planning care for a client who has anorexia nervosa with binge-eating and purging behavior. Which of the following nursing actions is appropriate to include in the client's plan of care? - CORRECT ANSWER- D. Implement one-to-one observation during meal times. Rationale: A nurse should closely monitor the client during and after meals to prevent purging. It may necessitate accompanying the patient to the restroom. A patient should also have a highly structured milieu, including meal times. The client should not eat foods high in fat and gas-producing at the start of a treatment. A positive approach should also be used which includes rewards, such as when completing meals or consuming a set number of calories. A nurse is caring for a client who is on lithium therapy. The client states that he wants to take ibuprofen for osteoarthritis pain relief. Which of the following statements by the nurse is appropriate? A. "That is a good choice. Ibuprofen does not interact with lithium." B. "Regular aspirin would be a better choice than ibuprofen." C. "Lithium decreases the effectiveness of ibuprofen." D. "The ibuprofen will make your lithium level fall too low." -CORRECT ANSWER- B A nurse is discussing routine follow-up needs for a client who has a new prescription for valproic acid (Depakote). The nurse should inform the client of the need for routine monitoring of which of the following? A. AST/ALT and LDH B. Creatinine and BUN C. WBC and granulocyte counts D. Serum sodium and potassium -CORRECT ANSWER- A A nurse is discussing early indications of toxicity with a client who has a new prescription for lithium carbonate for bipolar disorder. The nurse should include which of the following in the teaching? (Select all that apply.) A. Constipation B. Polyuria C. Rash D. Muscle weakness E. Tinnitus -CORRECT ANSWER- B, D A nurse is caring for a client who is experiencing extreme mania due to bipolar disorder. Prior to administration of lithium carbonate, the nurse notes that the lithium blood level is 1.2 mEq/L. Which of the following is an appropriate action by the nurse? A. Administer the next dose of lithium carbonate as scheduled. B. Prepare for administration of aminophylline. C. Notify the provider for a possible increase in the dosage of lithium carbonate. D. Request a stat repeat of the client's lithium blood level. -CORRECT ANSWER- A A nurse is admitting a client who has a new diagnosis of bipolar disorder and is scheduled to begin lithium therapy. When collecting a medical history from the client's adult daughter, which of the following statements is the highest priority to report to the provider? A. "My mother has diabetes that is controlled by her diet." B. "My mother recently completed a course of prednisone for acute bronchitis." C. "My mother received her flu vaccine last month." D. "My mother is currently on furosemide for her congestive heart failure." - CORRECT ANSWER- D A nurse is caring for a client who has schizophrenia and exhibits a lack of grooming and a flat affect. The nurse should anticipate a prescription of which of the following medications? A. Chlorpromazine (Thorazine) B. Thiothixene (Navane) C. Risperidone (Risperdal) D. Haloperidol (Haldol) -CORRECT ANSWER- C A nurse is caring for a client who takes ziprasidone (Geodon). The client reports difficulty swallowing the oral medication and becomes extremely agitated with injectable administration. The nurse should contact the provider to discuss a change to which of the following medications? (Select all that apply.) A. Olanzapine (Zyprexa) B. Quetiapine (Seroquel) C. Aripiprazole (Abilify) D. Clozapine (Clozaril) E. Paliperidone (Invega) -CORRECT ANSWER- C, D A charge nurse is discussing manifestations of schizophrenia with a newly licensed nurse. Which of the following should the charge nurse identify as being effectively treated by conventional antipsychotics? (Select all that apply.) A. Auditory hallucinations B. Withdrawal from social situations C. Delusions of grandeur D. Severe agitation E. Anhedonia -CORRECT ANSWER- A, C, D 4. A nurse is assessing a client who is currently taking perphenazine. Which of the following findings should the nurse identify as an extrapyramidal symptom (EPS)? (Select all that apply.) A. Decreased level of consciousness B. Drooling C. Involuntary arm movements D. Urinary retention E. Continual pacing -CORRECT ANSWER- B, C, E A nurse is providing discharge teaching for a client who has schizophrenia and a new prescription for iloperidone (Fanapt). Which of the following client statements indicates understanding of the teaching? A. "I will be able to stop taking this medication as soon as I feel better." B. "If I feel drowsy during the day, I will stop taking this medication and call my provider." C. "I will be careful not to gain too much weight while taking this medication." D. "This medication is highly addictive and must be withdrawn slowly." - CORRECT ANSWER- C A nurse is planning a staff education program on substance use in older adults. Which of the following is appropriate for the nurse to include in the presentation? A.) Older adults require higher doses of a substance to achieve a desired effect. B.) Older adults commonly use rationalization to cope with a substance use disorder C.) Older adults are at a higher risk for substance use following retirement. D.) Older adults develop substance use to mask signs of dementia - CORRECT ANSWER- C.) Older adults are at a higher risk for substance use following retirement. A nurse is assessing a client who has alcohol use disorder and is experiencing withdrawal. Which of the following is an expected finding. SATA A.) Bradycardia b.) Fine tremors of both hands C.) Hypotension D.) Vomiting E.) restlessness -CORRECT ANSWER- b.) Fine tremors of both hands D.) Vomiting E.) restlessness A nurse is planning care for a client who is experiencing benzodiazepine withdrawal. Which of the following is the priority nursing intervention? A..) Orient the client frequently to time, place and person B.) Offer fluids and nourishing diet as tolerated C.) Implement seizure precautions D.) encourage participation in group therapy sessions -CORRECT ANSWER- C.) Implement seizure precautions A nurse is caring for client who has alcohol use disorder. The client is no longer experiencing withdrawal manifestations. Which of the following medications should the nurse anticipate administering to assist the client with maintaining abstinence from alcohol? A.) Chlordiasepoxide (Librium) B.) Bupropion (Zyban) C.) Disulfiram (Antabuse) D.) Carbamazepine ( Tegretol) -CORRECT ANSWER- C.) Disulfiram (Antabuse) **Remember that this med makes them violently ill and has the potential for death if drinking occurs A nurse is providing teaching to the family of a client who has a substance use disorder. Which of the following statements by a family member indicates a need for further teaching? A.) "We need to understand that she is not responsible for her disorder." B.) "eliminating any codependent behavior will promote her recovery." C.) "She should participate in an Al-Anon group to help her recover" D.) "The primary goal of her treatment is abstinence from substance abuse." -CORRECT ANSWER- C.) She should participate in an Al-Anon group to help her recover (AL-Anon is meant for the family, not client) A nurse is providing teaching to a client who has a new prescription for carbamazepine (tegretol). Which of the following should the nurse include in the teaching? A.) This medication will help prevent seizures during alcohol withdrawal. B.) Taking this medication will decrease your cravings for alcohol C.) This medication maintains your blood pressure at a normal level during alcohol withdrawal D.) Taking this medication will improve your ability to maintain abstinence from alcohol -CORRECT ANSWER- A. This medication will help prevent seizures during alcohol withdrawal. A nurse is assisting in the discharge planning for a client following alcohol detoxification. The nurse should anticipate presecriptions for which of the following medications to promote long-term abstinence from alcohol. SATA A.) Larazepam (Ativan) B.) Diazepam (Valium) C.) Disulfiram (Antabuse) D.) Naltrexone (Vivitrol) E.) Acamprosate (Campral) -CORRECT ANSWER- C. Disulfiram (Antabuse) **Through aversion therapy D. Naltrexone (Vivitrol) ** Through abstinence by suppressing cravings and pleasurable effects of alcohol E. Acamprosate (Campral) ** Decreases unpleasant effects resulting from abstinence A nurse is evaluating a client's understanding of a new prescription for clonidine (Catapres). Which of the following statements by the client indicates an understanding of the teaching? A.) Taking this medication will help reduce my craving for heroin B.) While taking this medication, I should keep a pack of sugarless gum C.) I can expect some diarrhea because of taking this medication D.) Each does of this medication should be placed under my tongue to dissolve -CORRECT ANSWER- B.) While taking this medication, I should keep a pack of sugarless gum A nurse is teaching a client who has tobacco use disorder abut the use of nicotine gum (nicorette). Which of the following is appropriate to include in the teaching? A.) Chew the gum for no more than 10 min B.) RInse the mouth out immediately before chewing the gum C.) Avoid eating 15 min prior to chewing the gum D.) Use of the gum is limited to 90 days -CORRECT ANSWER- C. Avoid eating 15 min prior to chewing the gum A nurse is discussing the use of methadone (dolophine) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates a need for further teaching/ A.) Methadone is a replacement for the clients opioid addiction B.) Methadone reduces the unpleasant effects associated with abstinence syndrome C.) Methadone can be used during opioid withdrawal and to maintain abstinence D.) Methadone increases the clients risk for acetaldehydle syndrome - CORRECT ANSWER- D. Methadone increases the clients risk for acetaldehyde syndrome A nurse is reviewing a newly admitted clients medical record. Which of the following documents is a directive for medical treatment based on the clients wishes? A.) Advance directives B.) Living will C.) Informed consent D.) Durable power of attorney for health care -CORRECT ANSWER- B.) living will A charge nurse is reviewing Kubler-Ross. Five stages of grief with a group of newly licensed nurses. Which of the following should the charge nurse include in the teaching. SATA A.) Endurance b.) Denial C.) Bargaining D.) Anger E.) depression -CORRECT ANSWER- B.) Denial C.) bargaining D.) Anger E.) Depression A nurse is working with a client who has recently lost his mother. The nurse recognizes that which of the following factors influence grief and coping ability? SATA A.) Interpersonal relationships B.) Culture C.) Birth order D.) Size of the family E.) Prior experience with loss -CORRECT ANSWER- A. Interpersonal relationships D.) Size of the family E.) Prior experiences with loss A nurse is discussing normal uncomplicated grief with a client who recently lost a child. Which of the following statements made by the client requires additional intervention? A.) I may experience feelings of resentment B.) I may withdraw from others C.) It is possible to experience changes in sleep D.) It is possible to experience suicidal thoughts -CORRECT ANSWER- D.) It is possible to experience suicidal thoughts A nurse is caring for a client who lost his mother to cancer last month. Which of the following statements made by the nurse is a nontherapeutic response? A.) You sound angry. Anger is a normal feeling associated with loss B.) Tell me more about how you are feeling C.) I understand just how you feel. I felt the same when my mother died D.) Let's discuss how you have been coping -CORRECT ANSWER- C.) I understand just how you feel. I felt the same when my mother died. A nurse is conducting a group therapy with a group of clients. Which of the following statements made by a client is an example of aggressive communication? A.) I wish you would not make me angry B.) I feel angry when you leave me C.) It makes me angry when yo interrupt me D.) You'd better listen to me -CORRECT ANSWER- D.) You'd better listen to me A nurse is caring for a client who is speaking in a loud voice with clenched fists. Which of the following actions should the nurse take? A.) Insist that the client stop yelling B.) Request that other staff members remain close by C.) move as close to the client as possible D.) Walk away from the client -CORRECT ANSWER- B.) Request that other staff members remain close by A nurse is assessing a client in an inpatient mental health unit. Which of the following findings should the nurse expect if the client is in the pre- assaultive stage of violence? SATA A.) lethargy B.) Defensive responses to questions C.) Disorientation D.) Rapid breathing E>) Facial grimacing F.) Agitation -CORRECT ANSWER- B. defensive responses to questions D. Rapid breathing E. Facial grimacing F. Agitation A nurse is caring for a client in an inpatient mental health facility who gets up from a chair and throws it across the day room. Which of the following is the priority nursing action. A.) Encourage the client to express her feelings B.) Maintain eye contact with the client C.) Move the client away from others D. Tell the client that the behavior is not acceptable -CORRECT ANSWER- C.) move the client away from others A nurse is caring for a client who is screaming at staff members and other clients. Which of the following is a therapeutic response by the nurse to this client. A.) Stop screaming and walk with me outside B.) Why are you so angry and screaming at everyone C.) You will not get your way by screaming D.) What was going through your mind when you started screaming - CORRECT ANSWER- A.) stop screaming and walk with me outside. A charge nurse is leading a peer group discussion about family and community violence. Which of the following statements by a member of the group indicates a need for further teaching? A.) A criminal history increases the risk for violence between strangers B.) Substance use disorder increases the risk for violence C.) Entering an intimate relationship increases the risk for violence D.) Pregnancy increases the risk for violence toward the intimate partner - CORRECT ANSWER- C.) Entering an intimate relationship increases the risk for violence A nurse is caring for an older adult client who is the victim of intimate partner abuse. The client does not wish to report the violence to law enforcement authorities. Which of the following nursing actions is the highest priority? A.) Advise the client about the location of the women's shelters B.) Encourage the client to participate in a support group for victims of abuse C.) Implement case management to coordinate community and social services D.) Educate the client about the use of stress management techniques. - CORRECT ANSWER- A.) Advise the client about the location of the women's shelters A nurse is preparing to assess an infant who has shaken baby syndrome. Which of the following is an expected finding? SATA A.) Sunken fontanels B.) Respiratory distress C.) Retinal hemorrhage D.) Altered level of consciousness E.) An increase in head circumference -CORRECT ANSWER- B. Resp. distress C. Retinal hemorrhage D. Altered LOC E. Increase in head circumference A nurse working in an emergency department is assessing a child who reports abdominal pain. When conducting a head-to-toe assessment, which of the following findings should alert the nurse to possible abuse? SATA A.) Abrasions on the knee B.) Round burn marks on the forearms C.) Mismatched clothing D.) Abdominal rebound tenderness E.) Areas of ecchymosis on the torso -CORRECT ANSWER- B.) Round burn marks on the forearms E.) areas of ecchymosis on the torso A nurse is preparing a community education seminar about family violence. When discussing the types of violence, the nurse should include which of the following? A.) Refusing to pay bills for a dependent, even when funds are available, is neglect. B.) Intentionally causing an older adult to fall is an example of physical violence. C.) Stalking an intimate partner is an example of sexual violence D.) Failure to provide stimulating environment for normal development is emotional abuse -CORRECT ANSWER- B. Intentionally causing an older adult to fall is an example of physical violence. A nurse is discussing silent rape reaction with a newly licensed nurse. Which of the following should the nurse identify as a characteristic of this type of reaction? SATA A.) Sudden development of phobias B.) development of substance abuse disorder C.) Increased level of anxiety during interview D.) reactivation of a prior physical disorder E.) Unwillingness to discuss the sexual assault -CORRECT ANSWER- A. SUdden development of phobias C. Increased level of anxiety during interview E. Unwillingness to discuss the sexual abuse A nurse is assessing a client who is the victim of sexual assault. Which of the following findings indicate the client is experiencing an initial impact reaction of rape-trauma syndrome? SATA A.) Genitourinary soreness from the assault B.) Difficulties with low self-esteem C.) Sleep disturbances D.) Emotional outbursts E.) Difficulty making decisions -CORRECT ANSWER- D. Emotional outbursts E. Difficulty making decisions A nurse is discussing the care of a client following a sexual assault with a newly licensed nurse. Which of the following statements indicates a need for further teaching? A.) I will administer prophylactic treatment for sexually transmitted infections like chlamydia B.) I need to obtain informed consent before the sexual assault nurse examiner obtains forensic evidence C.) I can expect manifestations of rape-trauma syndrome to be similar to bipolar disorder D.) I should perform a self-assessment before caring for a client who has been raped -CORRECT ANSWER- C. I can expect manifestations of rape- trauma syndrome to be similar to bipolar disorder A nurse is caring for a client who was recently raped. The client states, "I never should have been out on the street alone at night." Which of the following is an appropriate response by the nurse? A.) Your actions had nothing to do with what happened B.) You should focus on recovery rather than blaming yourself for what happened. C.) You believe this wouldn't have happened if you hadn't been out alone? D.) Why do you feel that you should not have been alone on the street at night? -CORRECT ANSWER- C. You believe this wouldn't have happened f ou hadn't been out alone? A community health nurse is leading a discussion about rape with a neighborhood task force. Which of the following statements by a neighborhood citizen indicates the need for further teaching? A.) Rape is a crime of aggression B.) Acquaintance rape often involves alcohol C.) Both men and women can be victims of rape D.) The majority of rapists are unknown to the victims -CORRECT ANSWER- D. The majority of rapists are unknown to the victims. 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. ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises 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 A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5). Which of the following is appropriate to include in the discussion? (SATA) A. The DSM-5 is used to identify mental health disorders. B. The DSM-5 establishes diagnostic criteria. C. The DSM-5 indicates recommended pharmacological treatment. D. The DSM-5 assists nurses in planning care. E. The DSM-5 indicates expected assessment findings. ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises - CORRECT ANSWER- A, B, D, E. The DSM-5 is used as a diagnostic tool, establishes diagnostic criteria, used by nurses to plan, implement, and evaluate care, and identifies expected findings for mental health disorders. It does not indicate pharmacological treatment. ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises Which of the following is an example of a client who requires emergency admission to a mental health facility? A. A client with schizophrenia who has frequent hallucinations. B. A client with symptoms of depression who attempted suicide a year ago. C. A client with borderline personality disorder who assaulted a homeless man with a metal rod. D. A client with bipolar disorder who paces quickly down the sidewalk while talking to himself. ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises - CORRECT ANSWER- C. A client with borderline personality disorder who assaulted a homeless man with a metal rod. Hallucinations, depression, and/or pacing does not constitute clear reason for emergency commitment. ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises A client tells a student 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 holding the knife. 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 health care staff because it concerns the health and safety of the client and others. D. Report the incident, but do not inform the client of the intention to do so. ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises - CORRECT ANSWER- C. Tell the client that this must be reported to health care staff because it concerns the health and safety of the client and others. The information cannot be kept confidential and the client must be informed that this will be reported to the health care staff. • This is a serious safety issue that must be reported to the staff. Using the principle of veracity, the student tells this client truthfully what must be done regarding the issue. ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises A nurse decides to put a client who has psychosis in seclusion overnight because the unit is very short-staffed, and the client frequently fights with other clients. This is an example of: A. beneficence. B. a tort. C. a facility policy. D. justice. ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises - CORRECT ANSWER- B. a tort. Beneficence: doing good for a client. Tort: a civil wrong that violates a client's civil rights. If a policy, the facility would be in violation of federal and state statute, and the nurse could be held responsible. Justice: action involving the fair and equal treatment of clients. ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises A nurse is caring for a client in restraints. Which of the following statements are appropriate documentation? (SATA) A. " Client ate most of his breakfast." B. "Client was offered 8oz of water every hr." C. "Client shouted at assistive personnel." D. "Client received chlorpromazine (Thorazine) 15mg by mouth at 1000." E. "Client acted out after lunch." -CORRECT ANSWER- B, C, D: Objective data is correct, not subjective. ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises 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. ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises - CORRECT ANSWER- *B. Tell the nurse to stop discussing the behavior.* The nurse should notify the nurse manager, provide in-service, and complete an incident report, but these actions are not the first to take. ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following responses by the newly licensed nurse requires additional teaching regarding nonverbal communication? A. Personal space B. Posture C. Eye contact D. Intonation ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises - CORRECT ANSWER- *D. Intonation* Personal space, posture, and eye contact is a part of nonverbal behavior. • Intonation is the tone of one's voice and can communicate a variety of feelings. ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises A nurse is communicating with a client on the acute mental health facility. The client states, "I can't sleep. I stay up all night." The nurse responds, "You are having difficulty sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating? A. Offering general leads B. Summarizing C. Focusing D. Restating ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises - CORRECT ANSWER- *D. Restating* A. Takes direction. B. Enhances understanding. C. Concentrates attention to one single point. D. Restating allows the nurse to repeat the main idea expressed. ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises A nurse is communicating with a newly admitted client. Which of the following is a barrier to therapeutic communication? A. Offering advice B. Reflecting meaning C. Listening attentively D. Giving information ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises - CORRECT ANSWER- *A. Offering advice* A. Advice tends to interfere with the client's ability to make personal decisions and choices. B. Reflection encourages client to make choices. C. Skill of listening is important. D. Giving information informs client of needed facts. ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises A nurse is conducting therapy with several clients and their families. Effective communication with clients and families is based on: A. discussing in-depth topics with which the client feels comfortable. B. using silence to avoid unpleasant or difficult topics. C. attending to verbal and nonverbal behaviors. D. requiring the client and family to ask for feedback. ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises - CORRECT ANSWER- *C. attending to verbal and nonverbal behaviors.* A. Often, very brief conversations are most effective. B. Silence is to allow the client time for reflection or to convey nonverbal support. C. Attending to verbal and nonverbal behaviors is necessary for effective communication. D. Not an effective technique. ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises When a family asks a nurse for reassurance about a client's condition, which of the following is an appropriate response? 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." ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises - CORRECT ANSWER- *D. "I understand you're concerned. Let's discuss what concerns you specifically."* A, B, C: Interjects nurse's opinion, causing family to withhold their thoughts and feelings. D. A therapeutic response reflects upon, and accepts, the family's feelings, and it allows the members to clarify what they are feeling. ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises 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. "which of the following defense mechanisms is the client using? A. Reaction formation B. Denial C. Displacement D. Sublimation ATI RN Mental Health Nursing Modules Ch. 4 Application Exercises - CORRECT ANSWER- *B. Denial* A. Reaction formation: overcompensating/demonstrating the opposite behavior of what is felt. B. This is an example of denial, which is pretending the truth is not reality to manage anxiety of acknowledging what is real. C. Displacement: shifting feelings related to an object, person, or situation to another less threatening object, person, or situation. D. Sublimation: dealing with unacceptable feelings/impulses by unconsciously substituting acceptable forms of expression. ATI RN Mental Health Nursing Modules Ch. 4 Application Exercises A nurse is obtaining informed consent for a client who has just learned she mus have a breat biopsy. The client is perspiring and pale, has a respiratory rate of 30/min, and says, "I don't quite understand what you're trying to tell me." The nurse should assess the client' s anxiety as which of the following? A. Mild B. Moderate C. Sever D. Panic ATI RN Mental Health Nursing Modules Ch. 4 Application Exercises - CORRECT ANSWER- *B. Moderate* A. Mild: person's ability to understand information may actually increase. B. Moderate anxiety decreases problem-solving and may hamper one's ability to understand information. Vital signs may increase somewhat, and the person is visibly anxious. C. Severe: restlessness, decreased perception, and an inability to take direction. D. Panic: completely distracted, unable to function, and may lose touch with reality. ATI RN Mental Health Nursing Modules Ch. 4 Application Exercises A nurse is caring for a client who is experiencing moderate anxiety. Which of the following is an appropriate nursing intervention when trying to give necessary information to the client? A. Reassure the client that everything will be okay. B. Use a low-pitched voice and speak slowly. C. Ignore the client's anxiety so that she will not be embarrased. D. Demonstrate a calm manner while using simple and clear language. ATI RN Mental Health Nursing Modules Ch. 4 Application Exercises - CORRECT ANSWER- *D. Demonstrate a calm manner while using simple and clear language.* A. Not appropriate. B. For severe - panic. C. Ignoring is not appropriate. D. Giving information simply and calmly will help the client grasp essential facts. ATI RN Mental Health Nursing Modules Ch. 4 Application Exercises A nurse is talking with a client who is at risk for suicide following the death of his spouse. Which of the following statements by the nurse is appropriate? A. "I feel very sorry for the loneliness you must be experiencing." B. "Suicide is not the appropriate way to cope with loss." C. "Losing someone close to you must be very upsetting." D. "I know how difficult it is to lose a loved one." ATI RN Mental Health Nursing Modules Ch. 5 Application Exercises - CORRECT ANSWER- *C. "Losing someone close to you must be very upsetting."* A. Nurse's feelings, is sympathetic and not empathetic. B. Implies judgment, not empathetic/therapeutic. C. This statement is an empathetic response that attempts to understand the client's feelings. D. Nurse's experiences. ATI RN Mental Health Nursing Modules Ch. 5 Application Exercises A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. Which of the following indicates transference behavior? A. The client asks the nurse whether she will go out to dinner with him. B. The client accuses the nurse of telling him what to do just like his ex- girlfriend. C. The client reminds the nurse of a friend who died from substance overdose. D. The client becomes angry and threatens harm to himself. ATI RN Mental Health Nursing Modules Ch. 5 Application Exercises - CORRECT ANSWER- *B. The client accuses the nurse of telling him what to do just like his ex-girlfriend.* A. Need to discuss boundaries. B. When a client view s the nurse as having chracteristics of another person who has been significant to his personal life, such as his ex- girlfriend, this indicates transference. C. Countertransference. D. Need for safety intervention. ATI RN Mental Health Nursing Modules Ch. 5 Application Exercises A charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse. Which of the following are appropriate to include in the discussion? (SATA) A. The needs of both participants are met. B. An emotional commitment exists between the participants. C. It is goal-directed. D. Behavioral change is encouraged. E. A termination date is established. ATI RN Mental Health Nursing Modules Ch. 5 Application Exercises - CORRECT ANSWER- C, D, E: Therapeutic: Goal-directed, behavioral change encouraged, and a termination date. A. Supposed to focus on the needs of the client. B. Emotional commitment = intimate/social relationship instead of therapeutic. ATI RN Mental Health Nursing Modules Ch. 5 Application Exercises A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following actions is appropriate to include in the plan of care? A. Discussing ways to use new behaviors B. Practicing new problem-solving skills C. Developing goals D. Establishing boundaries -CORRECT ANSWER- A A nurse is working in a community mental health facility. Which of the following services are appropriate for clients to receive? (SATA) A. Educational groups B. Medication dispensing programs C. Individual counseling programs D. Detoxification programs E. Crisis intervention ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises - CORRECT ANSWER- A, B, C: Detoxification programs → partial hospitalization program. Crisis intervention → community treatment (ACT) program. ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises A nurse is caring for several clients who are attending community-based mental health programs. Which of the following clients should the nurse plan to visit first? A. A client who recently burned her arm while using a hot iron at home. B. A client who requests that her antipsychotic medication be changed due to some new side effects. C. A client who says he is hearing a voice that tells him he is not worthy of living anymore. D. A client who tells the nurse he experienced symptoms of severe anxiety before and during a job interview. ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises - CORRECT ANSWER- C: Client is at greatest risk for self-harm. Others have needs, but not as high priority. ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises A nurse is working on promotion of healthy coping skills with older adult clients who had all previously been hospitalized for severe depression and are now in a residential care facility. The nurse should recognize that this is an example of which of the following? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Mental status examination ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises - CORRECT ANSWER- C: Primary: preventing initial onset of a mental health problem. Secondary: early detection of disease. Tertiary: Prevention of further problems in clients already diagnosed with mental illness. Mental Status Examination: Not type of prevention. ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises A nurse is caring for a group of clients. Which of the following clients should a nurse consider for referral to an assertive community treatment (ACT) group? A. A client in an acute care mental health facility who has fallen several times while running down the hallway. B. A client who lives at home and keeps "forgetting" to come in for his monthly antipsychotic injection for schizophrenia. C. A client in a day treatment program who says he is becoming more anxious during group therapy. D. A client in a weekly grief support group who says she still misses her deceased husband who has been dead for 3 months. ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises - CORRECT ANSWER- B: For clients who are noncompliant with traditional therapy. ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises A nurse in an acute mental health facility is caring for a client who has a severe mental illness and soon will be ready for discharge but still requires supervision much of the time. The client's wife works all day but is home by late afternoon. Which of the following should the nurse suggest as appropriate follow-up care? A. Receiving daily care from a home health aide. B. Having a weekly visit from a nurse case worker. C. Attending a partial hospitalization program. D. Visiting a community mental health center on a daily basis. ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises - CORRECT ANSWER- C: Partial hospitalization program can provide adequate care and supervision during the day and allow the patient to be tended to at night at home with a responsible family member. ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical psychoanalysis. Which of the following client statements indicates an understanding of this form of therapy? A. "Even if my anxiety improves, I will need to continue this therapy for 6 weeks." B. "The therapists will focus on my past relationships during our sessions." C. "Psychoanalysis will help me reduce my anxiety by changing my behaviors." D. "This therapy will address my conscious feelings about stressful experiences." ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises - CORRECT ANSWER- B: Classical psychoanalysis : - many sessions, months to years. - focuses on past relationships to identify the cause of the anxiety disorder. - assesses unconscious thoughts and feelings. ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises 2. A nurse is discussing free association as a therapeutic tool with a client who has major depressive disorder. Which of the following client statements indicates understanding of this technique? A. "I will write down my dreams as soon as I wake up." B. "I may begin to associate my therapists with important people in my life." C. "I can learn to express myself in a nonaggressive manner." D. "This therapy will address my conscious feelings about stressful experiences." ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises - CORRECT ANSWER- D: Free association is the spontaneous, uncensored verbalization of whatever comes to the client's mind. ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety disorder. Which of the following are appropriate to include in the plan of care? (SATA) A. Priority restructuring B. Monitoring thoughts C. Diaphramatic breathing D. Journal keeping E. Meditation ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises - CORRECT ANSWER- A, B, D: Others are behavioral therapy. Surprise: Journal keeping is a cognitive reframing technique. ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises A nurse is caring for a client who has a new prescription for disulfiram (Antabuse) for the treatment of his alcohol use disorder. The nurse informs the client that this medication can cause nausea and vomiting if he drinks alcohol This form of treatment is an example of which of the following? A. Aversion therapy B. Flooding C. Biofeedback D. Dialectical behavior therapy ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises - CORRECT ANSWER- A: Aversion therapy pairs a maladaptive behavior with unpleasant stimuli to promote a change in behavior. Flooding: planned exposure to an undesirable stimulus in an attempt to turn off the anxiety response. Biofeedback is a behavioral therapy to control pain, tension, and anxiety. Dialectical behavior therapy is a cognitive-behavioral therapy for clients who have a personality disorder and exhibit self-injurious behavior. ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises A nurse is assisting with systematic desensitization for a client who has an extreme fear of elevators. Which of the following is appropriate when implementing this form of therapy? A. Demonstrate riding in an elevator, and then ask the client to imitate the behavior. B. Advise the client to say "stop" out loud every time he begins to feel an anxiety response related to an elevator. C. Gradually expose the client to an elevator while practicing relaxation techniques. D. Stay with the client in an elevator until his anxiety response diminishes. ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises - CORRECT ANSWER- C: A=modeling B=thought stopping D=flooding ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises A nurse wants to use democratic leadership with a group whose purpose is to learn appropriate conflict resolution techniques. The nurse is correct in implementing this form of group leadership when she demonstrates which of the following actions? A. Observes group techniques without interfering with the group process. B. Discusses a technique and then directs members to practice the technique. C. Asks for group suggestions of techniques and then supports discussion. D. Suggests techniques and asks group members to reflect on their use. ATI RN Mental Health Nursing Modules Ch. 8 Notes -CORRECT ANSWER- C: Laissez-faire: allows the group process to progress without any attempt by the leader to control the direction of the group. Autocratic leadership: controls the direction of the group. Democratic leadership: supports group interaction and decision making to solve problems. ATI RN Mental Health Nursing Modules Ch. 8 Notes A nurse is planning group therapy for clients dealing with bereavement. Which of the following should the nurse include in the initial phase? (SATA) A. Encourage the group to work toward goals. B. Define the purpose of the group. C. Discuss termination of the group. D. Identify informal roles of members within the group. E. Establish an expectation of confidentiality within the group. ATI RN Mental Health Nursing Modules Ch. 8 Notes -CORRECT ANSWER- B, C, E: Working phase: work toward goals, identify informal roles ATI RN Mental Health Nursing Modules Ch. 8 Notes A nurse is working on an acute mental health unit forms a group to focus on self-management of medications. At each of the meetings, two of the members use the opportunity to discuss their common interest in gambling on sports. This is an example of which of the following? A. Triangulation B. Group process C. Subgroup D. Hidden agenda ATI RN Mental Health Nursing Modules Ch. 8 Notes -CORRECT ANSWER- D: Triangulation: third party is drawn into a relationship with two members whose relationship is unstable. Group process: the verbal and nonverbal communication that occurs within the group during group sessions. Subgroup: a small number of people within a larger group who function separately from that group. Hidden agenda: when some group members have a different goal than the stated group goals. The hidden agenda is often disruptive to the effective functioning of the group. ATI RN Mental Health Nursing Modules Ch. 8 Notes A nurse is conducting a family therapy session. The adolescent son tells the nurse that he plans ways to make his sister look bad so his parents will think he's the better sibling, which he believes will give him more privileges. The nurse should identify this dysfunctional behavior as which of the following? A. Placation B. Manipulation C. Blaming D. Distraction ATI RN Mental Health Nursing Modules Ch. 8 Notes -CORRECT ANSWER- B: Placation: the dysfunctional behavior of taking responsibility for problems to keep peace among family members. Manipulation: the dysfunctional behavior of using dishonesty to support an individual agenda. Blaming: the dysfunctional behavior of blaming others to shift focus away from the individual's own inadequacies. Distraction: the dysfunctional behavior of inserting irrelevant information during attempts at problem solving. ATI RN Mental Health Nursing Modules Ch. 8 Notes A nurse is working with an established group and identifies various member roles. Which of the following should the nurse identify as an individual role? A. A member who praises input from other members. B. A member who follows the direction of other members. C. A member who brags about accomplishments. D. A mbmer who evaluates the group's performance toward a standard. ATI RN Mental Health Nursing Modules Ch. 8 Notes -CORRECT ANSWER- C: Maintenance role: individual who praises the input of others / is a follower. Task role: individual who evaluates the group's performance. ATI RN Mental Health Nursing Modules Ch. 8 Notes A nurse is preparing to provide an educational seminar on stress to other nursing staff. Which of the following is appropriate to include in the discussion? A. Excessive stressors cause the client to experience distress. B. The body's initial adaptive response to stress is denial. C. The absence of stressors results in homeostasis. D. Negative, rather than positive, stressors produce a biological response. ATI RN Mental Health Nursing Modules Ch. 9 Notes -CORRECT ANSWER- *A:* *Distress*: the result of excessive or damaging stressors, such as anxiety or anger. *Fight-or-flight mechanism*: the body's initial adaptive response to stress. The pressence of some stressors provide interest and purpose to life. Positive and negative stressors produce biological response in the body. 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 -CORRECT 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 have in my life so that I have less anxiety." -CORRECT 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 the support of a close friend. ATI RN Mental Health Nursing Modules Ch. 9 Notes -CORRECT 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 responsibilities." C. "It is not fair to expect me to complete your work. If you continue, then I will report your behavior to our supervisor." D. " when I have to pick up extra work, I feel very overwhelmed. I need to focus on my own responsibilities. ATI RN Mental Health Nursing Modules Ch. 9 Notes -CORRECT 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 from injury during ECT." ATI RN Mental Health Nursing Modules Ch. 10 Notes -CORRECT 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 Health Nursing Modules Ch. 10 Notes -CORRECT 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 -CORRECT 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 -CORRECT 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 -CORRECT ANSWER- *A, D, E*: All that is associated with the neck area is expected. ATI RN Mental Health Nursing Modules Ch. 10 Notes A nurse is caring for a client who has acute stress disorder and is experiencing severe anxiety. Which of the following statements by the nurse is appropriate? A "Tell me about how you are feeling right now." B. "You should focus on the positive things in your life to decrease your anxiety." C. "Why do you believe you are experiencing this anxiety?" D. "Let's discuss the medications your provider is prescribing to decrease your anxiety." ATI RN Mental Health Nursing Modules Ch. 11 Notes -CORRECT ANSWER- *A*: Open-ended. Postpone health teaching until after acute anxiety subsides. Clients experiencing severe anxiety are unable to concentrate or learn. ATI RN Mental Health Nursing Modules Ch. 11 Notes A nurse observes a client who has OCD repeatedly applying, removing, and then reapplying makeup. The nurse identifies that repetitive behavior in a client who has OCD is due to which of the following? A. Narcissitic behavior B. Fear of rejection from staff C. Attempt to reduce anxiety D. Adverse effect of antidepressant medication ATI RN Mental Health Nursing Modules Ch. 11 Notes -CORRECT ANSWER- *C*: Clients who have OCD demonstrate repetitive behavior in an attempt to suppress persistent thoughts or urges. ATI RN Mental Health Nursing Modules Ch. 11 Notes A nurse is caring for a client who is experiencing a panic attack. Which of the following is an appropriate nursing intervention? A. Discuss new relaxation techniques. B. Show the client how to change his behavior. C. Distract the client with a television show. D. Stay with the client, and remain quiet. ATI RN Mental Health Nursing Modules Ch. 11 Notes -CORRECT ANSWER- *D*: This promotes safety and reassurance without additional stimuli. ATI RN Mental Health Nursing Modules Ch. 11 Notes A nurse observes a client who is pacing and wringing his hands. The client states, "I don't know why, but I've worried every day for over a year that my son will die a horrible death." The nurse identifies that this finding is consistent with which of the following disorders? A. Generalized anxiety disorder B. Panic disorder C. Posttraumatic stress disorder D. Acute stress disorder. ATI RN Mental Health Nursing Modules Ch. 11 Notes -CORRECT ANSWER- *A*: Generalized anxiety disorder is characterized by uncontrollable, excessive worry for more than 3 months. ATI RN Mental Health Nursing Modules Ch. 11 Notes A nurse working on an acute mental health unit is caring for a client who has posttraumatic stress disorder (PTSD). Which of the following is an expected finding? (SATA) A. Hallucinations B. Obsessive need to talk about the traumatic event C. Exaggerated displays of emotion D. Recurring nightmares E. Diminished reflexes ATI RN Mental Health Nursing Modules Ch. 11 Notes -CORRECT ANSWER- *A, D*: PTSD: Hallucinations Avoidance of stimuli associated with event Inability to show feelings Recurring nightmares Increased arousal ATI RN Mental Health Nursing Modules Ch. 11 Notes A nurse working in an acute mental health facility is caring for a 35-year-old female client who has clinical findings of depression. The client lives at home with her husband and two young children. She currently smokes and has a history of chronic asthma. The nurse should identify which of the following as risk factors for depression for this client? (SATA) A. Age of 35 years old B. Female gender C. History of chronic asthma D. Currently smokes E. Being married ATI RN Mental Health Nursing Modules Ch. 11 Notes -CORRECT ANSWER- *A, B, C, D*: Depression: 15-40 yo > females Chronic medical illness Substance use disorder Unmarried ATI RN Mental Health Nursing Modules Ch. 12 Notes A nurse working in an outpatient clinic is providing teaching to a client who has a new diagnosis of premenstrual dysphoric disorder (PMDD). Which of the following statements by the client indicates understanding of the teaching? A. "I can expect my problems with PMDD to be worse when I'm menstruating." B. "I will use light therapy 30 min a day to prevent further recurrences of PMDD." C. "I am aware that my PMDD causes me to have rapid mood swings." D. "I should increase my caloric intake with a nutritional supplement when my PMDD is active." ATI RN Mental Health Nursing Modules Ch. 12 Notes -CORRECT ANSWER- *C*: Clinical findings: During luteal phase of menstrual cycle before menses. Emotional lability Weight gain ATI RN Mental Health Nursing Modules Ch. 12 Notes A charge nurse is discussing the care of a client who has major depressive disorder (MDD) with a newly licensed nurse. Which of the following statement