250 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONAL
(VERIFIED ANSWERS) |ALREADY GRADED A+ // BRAND NEW!!
Study online at https://quizlet.com/_g5dpgp
1. A nurse is admitting a client in the emergency depart- D
ment for an intentional overdose of opioids. The client
state, "I feel so alone. No one can help me." Which of
the following responses by the nurse is therapeutic?
A. "Let's finish your admission and then talk about
your feelings."
B. "How come you feel that no one can help you when
you are receiving help now?"
C. "Why do you feel that no one can help you?"
D. "I would like to sit and talk with you."
2. A nurse is caring for a client whose adolescent child C
died in a motor-vehicle crash. The client is crying in-
consolably. Which of the following actions should the
nurse take?
A. Suggest that the client call the facility's chaplain.
B. Provide a quiet place for the client to be alone.
C. Stay with the client and allow the client to cry.
D. Express sympathy for the client's loss.
3. A nurse is caring for a client who has a new diagnosis B
of colon cancer. Shortly after the client receives the
diagnosis, the nurse enters the client's room and the
client begins yelling, "I have received terrible care
here and no one cares about me." The nurse should
recognize that the client is demonstrating which of the
following defense mechanisms?
A. Denial
B. Displacement
C. Reaction formation
D. Projection
4. A nurse is caring for a client who has schizophrenia. A
The client states, "My internal organs have turned to
stone." The nurse should document this finding as
, ATI CMS MENTAL HEALTH 2024 NEWEST ACTUAL EXAM TEST BANK
250 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONAL
(VERIFIED ANSWERS) |ALREADY GRADED A+ // BRAND NEW!!
Study online at https://quizlet.com/_g5dpgp
which of the following types of delusions?
A. Somatic
B. Reference
C. Persecutory
D. Grandiose
5. A nurse is caring for a client who is brought to the A
clinic by her adult son who states that his father re-
cently died. The client repeatedly yells at her son stat-
ing, "Quit lying about your father!" The nurse should
recognize that the client is demonstrating which of the
following defense mechanisms?
A. Denial
B. Identification
C. Introjection
D. Sublimation
6. A nurse is caring for a client who has major depres- C
sive disorder and recently started taking an antide-
pressant. The nurse should identify which of the fol-
lowing client statements as the priority?
A. "I hate being so helpless. I can't even manage my
own finances anymore."
B. "At group therapy today I wanted to leave. I didn't
feeling like being with other people."
C. "I have it all figured out. Everything is going to be
okay now."
D. "I don't feel like showering. I'd rather just stay in
bed today."
7. A nurse is administering an oral sedative to a client D
who is receiving care following an involuntary ad-
mission. The client states, "I'm not taking any more
medication." Which of the following actions should
the nurse take?
, ATI CMS MENTAL HEALTH 2024 NEWEST ACTUAL EXAM TEST BANK
250 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONAL
(VERIFIED ANSWERS) |ALREADY GRADED A+ // BRAND NEW!!
Study online at https://quizlet.com/_g5dpgp
A. Administer the medication by another route.
B. Refer the client's refusal to the facility's ethics com-
mittee.
C. Inform the client that, due to her involuntary admis-
sion, she cannot refuse a sedative.
D. Document the client's refusal of the medication in
the medical record.
8. A nurse enters a client's room and observes that the C
client is agitated and pacing rapidly. The client looks at
the nurse and says, "Back off. Leave me alone." Which
of the following statements should the nurse make?
A. "I demand that you calm down now. Your behavior
is unacceptable."
B. "I will close the door to provide privacy, and you can
tell me what is bothering you."
C. "I will give you space if you calm down. Tell me what
is causing you to feel so tense."
D. "I will leave you alone for a few minutes while you
try to control yourself."
9. A nurse is providing support for the parents of a child A
who has a new diagnosis of a terminal brain tumor.
The nurse should expect the parents to experience
which of the following stages of grief first?
A. Denial
B. Bargaining
C. Anger
D. Depression
10. A nurse in a mental health facility is reviewing confi- D
dentiality requirements with a newly licensed nurse.
Which of the following statements by the newly li-
censed nurse indicates an understanding of the infor-
mation?