2024-2025 ACTUAL EXAM WITH REAL QUESTIONS AND WELL
ELABORATED ANSWERS WITH RATIONALES
(CORRECT VERIFIED SOLUTIONS) A NEW UPDATED
VERSION |GUARANTEED PASS A+
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 -
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.
,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 -
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.
,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 -
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.
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 -
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.