ATI RN MENTAL HEALTH NURSING
QUESTIONS AND ANSWERS
Adchargednursedisddiscussingdmentaldstatusdexaminationsdwithdadnewlydlicenseddnurse.d
Whichdofdthedfollowingdstatementsdbydthednewlydlicenseddnursedindicatesdadneeddfordfurth
erdteaching?
A.d"Todassessdcognitivedability,dIdshoulddaskdthedclientdtodcountdbackwarddbyd7."
B.d"Todassessdaffect,dIdshoulddobservedthedclient'sdfacialdexpression."
C.d"Todassessdlanguagedability,dIdshoulddinstructdthedclientdtodwritedadsentence."
D.d"Todassessdremotedmemory,dIdshoulddhavedthedclientdrepeatdadlistdofdobjects."
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercisesd-dans--
D.d"Todassessdremotedmemory,dIdshoulddhavedthedclientdrepeatdadlistdofdobjects."
dAskingdthedclientdtodrepeatdadlistdofdobjectsdisdappropriatedtodassessdimmediate,dratherdth
andremote,dmemory.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercises
Adnursedisdplanningdcaredfordadclientdwhodhasdadmentaldhealthddisorder.dWhichdofdthedfollo
wingdisdappropriatedtodincludedasdadpsychobiologicaldintervention?
A.dAssistdthedclientdwithdsystematicddesensitizationdtherapy.
B.dTeachdthedclientdappropriatedcopingdmechanisms.
C.dAssessdthedclientdfordcomorbiddhealthdconditions.
D.dMonitordthedclientdfordadversedeffectsdofdmedications.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercisesd-dans--
D.dMonitordthedclientdfordadversedeffectsdofdmedications.
Assistingdwithdsystematicddesensitizationdtherapydisdadcognitivedanddbehavioral.
Teachingdappropriatedcopingdmechanismsdisdadcounselingdordhealthdteaching.
Assessingdfordcomorbiddhealthdconditionsdisdhealthdpromotiondanddmaintenance.
D.dMonitoringdfordadversedeffectsdofdmedicationsdisdandexampledofdadpsychobiologicaldint
ervention.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercises
,Adnursedindandoutpatientdmentaldhealthdclinicdisdpreparingdtodconductdandinitialdclientdinter
view.dWhendconductingdthedinterview,dwhichdofdthedfollowingdisdthedhighestdprioritydaction
?
A.dRespectdthedclient'sdneeddfordpersonaldspace.
B.dIdentifydthedclient'sdperceptiondofdherdmentaldhealthdstatus.
C.dIncludedthedclient'sdfamilydindthedinterview.
D.dTeachdthedclientdaboutdherdcurrentdmentaldhealthddisorder.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercisesd-dans--
*B.dIdentifydthedclient'sdperceptiondofdherdmentaldhealthdstatus.*
A.dAppropriate,dbutdnotdhighestdpriority.
B.dAssessmentdisdthedprioritydactiondwhendtakingdthednursingdprocessdapproach.dIdentifyi
ngdthedclient'sdperceptiondofdherdmentaldhealthdstatusdprovidesdimportantdinformationdabo
utdthedclient'sdpsychosocialdhistory.
C.dAppropriate,dbutdnotdhighestdpriority.
D.dAppropriate,dbutdnotdhighestdpriority.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercises
Adnursedisdtolddduringdchange-of-
shiftdreportdthatdadclientdisdstuporous.dWhendassessingdthedclient,dwhichdofdthedfollowingdi
sdandexpecteddfinding?
A.dThedclientdarousesdbrieflydindresponsedtodadsternaldrib.
B.dThedclientdhasdadGlasgowdComadScaledscoredlessdthand7.
C.dThedclientdexhibitsddecorticatedrigidity.
D.dThedclientdisdalertdbutddisorienteddtodtimedanddplace.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercisesd-dans--
*A.dThedclientdarousesdbrieflydindresponsedtodadsternaldrib.*
A.dAdclientdwhodisdstuporousdrequiresdvigorousdordpainfuldstimulidtodelicitdadresponse.
B.d<7dondGCSdindicatesdcomatose,dnotdstuporous,dleveldofdconsciousness.
C.dAbnormaldposturingd=dcomatose.
D.dStuporousd/=dalert.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercises
,AdnursedisdplanningdadpeerdgroupddiscussiondaboutdthedDiagnosticdanddStatisticaldManual
dofdMentaldDisorders,d5thdEditiond(DSM-
5).dWhichdofdthedfollowingdisdappropriatedtodincludedindtheddiscussion?d(SATA)
A.dThedDSM-5disduseddtodidentifydmentaldhealthddisorders.
B.dThedDSM-5destablishesddiagnosticdcriteria.
C.dThedDSM-5dindicatesdrecommendeddpharmacologicaldtreatment.
D.dThedDSM-5dassistsdnursesdindplanningdcare.
E.dThedDSM-5dindicatesdexpecteddassessmentdfindings.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercisesd-dans--A,dB,dD,dE.
ThedDSM-
5disduseddasdaddiagnosticdtool,destablishesddiagnosticdcriteria,duseddbydnursesdtodplan,dim
plement,danddevaluatedcare,danddidentifiesdexpecteddfindingsdfordmentaldhealthddisorders.
Itddoesdnotdindicatedpharmacologicaldtreatment.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercises
Whichdofdthedfollowingdisdandexampledofdadclientdwhodrequiresdemergencydadmissiondtodad
mentaldhealthdfacility?
A.dAdclientdwithdschizophreniadwhodhasdfrequentdhallucinations.
B.dAdclientdwithdsymptomsdofddepressiondwhodattempteddsuicidedadyeardago.
C.dAdclientdwithdborderlinedpersonalityddisorderdwhodassaulteddadhomelessdmandwithdadm
etaldrod.
D.dAdclientdwithdbipolarddisorderdwhodpacesdquicklyddowndthedsidewalkdwhiledtalkingdtodhi
mself.
ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercisesd-dans--
C.dAdclientdwithdborderlinedpersonalityddisorderdwhodassaulteddadhomelessdmandwithdadm
etaldrod.
Hallucinations,ddepression,dand/
ordpacingddoesdnotdconstitutedcleardreasondfordemergencydcommitment.
ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercises
Adclientdtellsdadstudentdnurse,d"Don'tdtelldanyone,dbutdIdhiddadsharpdknifedunderdmydmattre
ssdindorderdtodprotectdmyselfdfromdmydroommate,dwhodisdalwaysdyellingdatdmedanddthreate
ningdme."dWhichdofdthedfollowingdactionsdshoulddthednursedtake?
A.dKeepdthedclient'sdcommunicationdconfidential,dbutdtalkdtodthedclientddaily,dusingdtherap
euticdcommunicationdtodconvincedhimdtodadmitdtodholdingdthedknife.
B.dKeepdthedclient'sdcommunicationdconfidential,dbutdwatchdthedclientdanddhisdroommated
closely.
, C.dTelldthedclientdthatdthisdmustdbedreporteddtodhealthdcaredstaffdbecauseditdconcernsdthedh
ealthdanddsafetydofdthedclientdanddothers.d
D.dReportdthedincident,dbutddodnotdinformdthedclientdofdthedintentiondtoddodso.
ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercisesd-dans--
C.dTelldthedclientdthatdthisdmustdbedreporteddtodhealthdcaredstaffdbecauseditdconcernsdthedh
ealthdanddsafetydofdthedclientdanddothers.d
Thedinformationdcannotdbedkeptdconfidentialdanddthedclientdmustdbedinformeddthatdthisdwill
dbedreporteddtodthedhealthdcaredstaff.
•dThisdisdadseriousdsafetydissuedthatdmustdbedreporteddtodthedstaff.dUsingdthedprincipledofdv
eracity,dthedstudentdtellsdthisdclientdtruthfullydwhatdmustdbeddonedregardingdthedissue.
ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercises
Adnurseddecidesdtodputdadclientdwhodhasdpsychosisdindseclusiondovernightdbecausedthedu
nitdisdverydshort-
staffed,danddthedclientdfrequentlydfightsdwithdotherdclients.dThisdisdandexampledof:
A.dbeneficence.
B.dadtort.d
C.dadfacilitydpolicy.
D.djustice.
ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercisesd-dans--B.dadtort.d
Beneficence:ddoingdgooddfordadclient.
Tort:dadcivildwrongdthatdviolatesdadclient'sdcivildrights.
Ifdadpolicy,dthedfacilitydwoulddbedindviolationdofdfederaldanddstatedstatute,danddthednursedco
ulddbedhelddresponsible.
Justice:dactiondinvolvingdthedfairdanddequaldtreatmentdofdclients.
ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercises
Adnursedisdcaringdfordadclientdindrestraints.dWhichdofdthedfollowingdstatementsdaredappropri
ateddocumentation?d(SATA)
A.d"dClientdatedmostdofdhisdbreakfast."
B.d"Clientdwasdofferedd8ozdofdwaterdeverydhr."
C.d"Clientdshouteddatdassistivedpersonnel."
D.d"Clientdreceiveddchlorpromazined(Thorazine)d15mgdbydmouthdatd1000."
E.d"Clientdacteddoutdafterdlunch."d-dans--B,dC,dD:dObjectiveddatadisdcorrect,dnotdsubjective.
ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercises
QUESTIONS AND ANSWERS
Adchargednursedisddiscussingdmentaldstatusdexaminationsdwithdadnewlydlicenseddnurse.d
Whichdofdthedfollowingdstatementsdbydthednewlydlicenseddnursedindicatesdadneeddfordfurth
erdteaching?
A.d"Todassessdcognitivedability,dIdshoulddaskdthedclientdtodcountdbackwarddbyd7."
B.d"Todassessdaffect,dIdshoulddobservedthedclient'sdfacialdexpression."
C.d"Todassessdlanguagedability,dIdshoulddinstructdthedclientdtodwritedadsentence."
D.d"Todassessdremotedmemory,dIdshoulddhavedthedclientdrepeatdadlistdofdobjects."
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercisesd-dans--
D.d"Todassessdremotedmemory,dIdshoulddhavedthedclientdrepeatdadlistdofdobjects."
dAskingdthedclientdtodrepeatdadlistdofdobjectsdisdappropriatedtodassessdimmediate,dratherdth
andremote,dmemory.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercises
Adnursedisdplanningdcaredfordadclientdwhodhasdadmentaldhealthddisorder.dWhichdofdthedfollo
wingdisdappropriatedtodincludedasdadpsychobiologicaldintervention?
A.dAssistdthedclientdwithdsystematicddesensitizationdtherapy.
B.dTeachdthedclientdappropriatedcopingdmechanisms.
C.dAssessdthedclientdfordcomorbiddhealthdconditions.
D.dMonitordthedclientdfordadversedeffectsdofdmedications.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercisesd-dans--
D.dMonitordthedclientdfordadversedeffectsdofdmedications.
Assistingdwithdsystematicddesensitizationdtherapydisdadcognitivedanddbehavioral.
Teachingdappropriatedcopingdmechanismsdisdadcounselingdordhealthdteaching.
Assessingdfordcomorbiddhealthdconditionsdisdhealthdpromotiondanddmaintenance.
D.dMonitoringdfordadversedeffectsdofdmedicationsdisdandexampledofdadpsychobiologicaldint
ervention.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercises
,Adnursedindandoutpatientdmentaldhealthdclinicdisdpreparingdtodconductdandinitialdclientdinter
view.dWhendconductingdthedinterview,dwhichdofdthedfollowingdisdthedhighestdprioritydaction
?
A.dRespectdthedclient'sdneeddfordpersonaldspace.
B.dIdentifydthedclient'sdperceptiondofdherdmentaldhealthdstatus.
C.dIncludedthedclient'sdfamilydindthedinterview.
D.dTeachdthedclientdaboutdherdcurrentdmentaldhealthddisorder.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercisesd-dans--
*B.dIdentifydthedclient'sdperceptiondofdherdmentaldhealthdstatus.*
A.dAppropriate,dbutdnotdhighestdpriority.
B.dAssessmentdisdthedprioritydactiondwhendtakingdthednursingdprocessdapproach.dIdentifyi
ngdthedclient'sdperceptiondofdherdmentaldhealthdstatusdprovidesdimportantdinformationdabo
utdthedclient'sdpsychosocialdhistory.
C.dAppropriate,dbutdnotdhighestdpriority.
D.dAppropriate,dbutdnotdhighestdpriority.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercises
Adnursedisdtolddduringdchange-of-
shiftdreportdthatdadclientdisdstuporous.dWhendassessingdthedclient,dwhichdofdthedfollowingdi
sdandexpecteddfinding?
A.dThedclientdarousesdbrieflydindresponsedtodadsternaldrib.
B.dThedclientdhasdadGlasgowdComadScaledscoredlessdthand7.
C.dThedclientdexhibitsddecorticatedrigidity.
D.dThedclientdisdalertdbutddisorienteddtodtimedanddplace.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercisesd-dans--
*A.dThedclientdarousesdbrieflydindresponsedtodadsternaldrib.*
A.dAdclientdwhodisdstuporousdrequiresdvigorousdordpainfuldstimulidtodelicitdadresponse.
B.d<7dondGCSdindicatesdcomatose,dnotdstuporous,dleveldofdconsciousness.
C.dAbnormaldposturingd=dcomatose.
D.dStuporousd/=dalert.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercises
,AdnursedisdplanningdadpeerdgroupddiscussiondaboutdthedDiagnosticdanddStatisticaldManual
dofdMentaldDisorders,d5thdEditiond(DSM-
5).dWhichdofdthedfollowingdisdappropriatedtodincludedindtheddiscussion?d(SATA)
A.dThedDSM-5disduseddtodidentifydmentaldhealthddisorders.
B.dThedDSM-5destablishesddiagnosticdcriteria.
C.dThedDSM-5dindicatesdrecommendeddpharmacologicaldtreatment.
D.dThedDSM-5dassistsdnursesdindplanningdcare.
E.dThedDSM-5dindicatesdexpecteddassessmentdfindings.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercisesd-dans--A,dB,dD,dE.
ThedDSM-
5disduseddasdaddiagnosticdtool,destablishesddiagnosticdcriteria,duseddbydnursesdtodplan,dim
plement,danddevaluatedcare,danddidentifiesdexpecteddfindingsdfordmentaldhealthddisorders.
Itddoesdnotdindicatedpharmacologicaldtreatment.
ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercises
Whichdofdthedfollowingdisdandexampledofdadclientdwhodrequiresdemergencydadmissiondtodad
mentaldhealthdfacility?
A.dAdclientdwithdschizophreniadwhodhasdfrequentdhallucinations.
B.dAdclientdwithdsymptomsdofddepressiondwhodattempteddsuicidedadyeardago.
C.dAdclientdwithdborderlinedpersonalityddisorderdwhodassaulteddadhomelessdmandwithdadm
etaldrod.
D.dAdclientdwithdbipolarddisorderdwhodpacesdquicklyddowndthedsidewalkdwhiledtalkingdtodhi
mself.
ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercisesd-dans--
C.dAdclientdwithdborderlinedpersonalityddisorderdwhodassaulteddadhomelessdmandwithdadm
etaldrod.
Hallucinations,ddepression,dand/
ordpacingddoesdnotdconstitutedcleardreasondfordemergencydcommitment.
ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercises
Adclientdtellsdadstudentdnurse,d"Don'tdtelldanyone,dbutdIdhiddadsharpdknifedunderdmydmattre
ssdindorderdtodprotectdmyselfdfromdmydroommate,dwhodisdalwaysdyellingdatdmedanddthreate
ningdme."dWhichdofdthedfollowingdactionsdshoulddthednursedtake?
A.dKeepdthedclient'sdcommunicationdconfidential,dbutdtalkdtodthedclientddaily,dusingdtherap
euticdcommunicationdtodconvincedhimdtodadmitdtodholdingdthedknife.
B.dKeepdthedclient'sdcommunicationdconfidential,dbutdwatchdthedclientdanddhisdroommated
closely.
, C.dTelldthedclientdthatdthisdmustdbedreporteddtodhealthdcaredstaffdbecauseditdconcernsdthedh
ealthdanddsafetydofdthedclientdanddothers.d
D.dReportdthedincident,dbutddodnotdinformdthedclientdofdthedintentiondtoddodso.
ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercisesd-dans--
C.dTelldthedclientdthatdthisdmustdbedreporteddtodhealthdcaredstaffdbecauseditdconcernsdthedh
ealthdanddsafetydofdthedclientdanddothers.d
Thedinformationdcannotdbedkeptdconfidentialdanddthedclientdmustdbedinformeddthatdthisdwill
dbedreporteddtodthedhealthdcaredstaff.
•dThisdisdadseriousdsafetydissuedthatdmustdbedreporteddtodthedstaff.dUsingdthedprincipledofdv
eracity,dthedstudentdtellsdthisdclientdtruthfullydwhatdmustdbeddonedregardingdthedissue.
ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercises
Adnurseddecidesdtodputdadclientdwhodhasdpsychosisdindseclusiondovernightdbecausedthedu
nitdisdverydshort-
staffed,danddthedclientdfrequentlydfightsdwithdotherdclients.dThisdisdandexampledof:
A.dbeneficence.
B.dadtort.d
C.dadfacilitydpolicy.
D.djustice.
ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercisesd-dans--B.dadtort.d
Beneficence:ddoingdgooddfordadclient.
Tort:dadcivildwrongdthatdviolatesdadclient'sdcivildrights.
Ifdadpolicy,dthedfacilitydwoulddbedindviolationdofdfederaldanddstatedstatute,danddthednursedco
ulddbedhelddresponsible.
Justice:dactiondinvolvingdthedfairdanddequaldtreatmentdofdclients.
ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercises
Adnursedisdcaringdfordadclientdindrestraints.dWhichdofdthedfollowingdstatementsdaredappropri
ateddocumentation?d(SATA)
A.d"dClientdatedmostdofdhisdbreakfast."
B.d"Clientdwasdofferedd8ozdofdwaterdeverydhr."
C.d"Clientdshouteddatdassistivedpersonnel."
D.d"Clientdreceiveddchlorpromazined(Thorazine)d15mgdbydmouthdatd1000."
E.d"Clientdacteddoutdafterdlunch."d-dans--B,dC,dD:dObjectiveddatadisdcorrect,dnotdsubjective.
ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercises
