Mental health PN ATI Questions and
Answers
1. A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway
with another nurse. What should the nurse do first? - ANS-Tell the nurse to stop
discussing the behavior, sharing private information about the client in a pubic
place is an invasion of privacy
2. A nurse in a outpatient mental health clinic is preparing to assist with an initial client
interview, what action should the nurse take as a priority? - ANS-Identify the client's
perception of her mental health status.
3. A nurse in an acute mental health facility is communicating with a client, The client
states, "I can't sleep. I stay up all night." The nurse responds, You are having difficulty
sleeping?" Which type of therapeutic communication technique is the nurse using? -
ANS-Restating
4. A nurse in an emergency mental health facility is caring for a group of clients. The nurse
should identify that this client needs a temporary emergency admission? - ANS-A client
who has borderline personality disorder and assaulted a homeless man with a
metal rod, this client is a danger to self and others
5. A nurse is assisting in conducting a class on therapeutic communication to a group of
newly licensed nurses. What aspect of communication should the nurse identify as a
component of verbal communication? - ANS-Intonation, the tone of ones voice
6. A nurse is assisting with a peer group discussion about the DSM-5. What information
should the nurse include in the discussion? - ANS-- The DSM-5 establishes diagnostic
criteria for individual mental health disorders.
- The DSM-5 assists nurses in planning care for client's who have mental health
disorders.
- The DSM-5 indicates expected findings of mental health disorders
7. A nurse is assisting with the plan of care for a client who has a mental disorder. What
actions should the nurse recommend as a psychobiological intervention? - ANS-Monitor
for adverse effects of medications
8. A nurse is caring for a client who has anorexia nervosa. What is an example of the nurse
demonstrating interpersonal communication? - ANS-The nurse asks the client about
her body image perception. This is one on one communication with the client
9. A nurse is caring for a client who is experiencing moderate anxiety. What actions should
the nurse take when trying to reinforce necessary information with the client? -
ANS-Discuss prior use of coping mechanisms with the client
demonstrate a calm manner while using simple and clear directions
10.A nurse is caring for a client who is in mechanical restraints, What should the nurse
include in the documentation? - ANS-- client was offered 8 oz of water every hour
- client shouted obscenities at assistive personnel
- Client received chlorpromazine 15 mg PO at 1000
, 11.A nurse is caring for a client who smokes and has lung cancer. The client reports, I'm
coughing because i have a cold. The nurse should identify that the client is using which
defense mechanism? - ANS-Denial
12.A nurse is caring for the parents of a child who has demonstrated recent changes in
mood and behavior. When a mother asks the nurse for reassurance about her son's
condition, what should the nurses response be? - ANS-I understand your concerned.
Let's discuss what concerns you specifically, this response reflects the mothers
feelings and it allows her to clarify what she's feeling
13.A nurse is communicating with a client who was just admitted for treatment of a
substance use disorder. What communication technique should the nurse identify as a
barrier to therapeutic communication? - ANS-Offering advise, advise tends to
interfere with the client's ability to make personal decisions and choices
14.A nurse is discussing mental health status examinations with a newly licensed nurse.
What statements by the new nurse indicate an understanding of the teaching? -
ANS--To check cognitive ability, I should ask the client to count backwards by
sevens.
-To check affect, I should observe the client's facial expression
-To check language ability I should instruct the client to write a sentence
15.A nurse is providing preoperative teaching to a client who was just informed that she
needs emergency surgery. The client has a respiratory rate of 30/min, and states, "this is
difficult to comprehend, I feel shaky and nervous. Which level of anxiety is the client
experiencing? - ANS-Moderate, vital signs can increase somewhat
16.A nurse is told during shift change that a client is stuporous. When evaluating the client,
what should the nurse find? - ANS-The client arouses briefly in response to sternal
rub
17.A nurse places a client in seclusion overnight because the unit is very short staffed and
the client frequently fights with other clients. The nurse's actions are and example of
which tort? - ANS-False imprisonment, for convenience of the staff. This is a big
NO!
18.acute anxiety - ANS-this level of anxiety is precipitated by an imminent loss or
change that threatens one's sense of security
19.Affect - ANS-an objective expression of mood, such as flat affect or lack of facial
expression.
20.Alert - ANS-client is responsive and able to fully respond by opening her eyes and
attending to a normal tone of voice and speech. She answers questions
spontaneously and appropriately
21.altruism - ANS-Dealing with anxiety by reaching out to others
22.Autonomy - ANS-the client's right to make decisions, but the client must accept the
consequences of those decisions. The client must also respect the decisions of
others.
Rather than giving advice to the client who has difficulty making decisions, a
nurse helps the client explore all alternatives and arrive at a choice
23.Beneficence - ANS-doing good , can be described as charity
Answers
1. A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway
with another nurse. What should the nurse do first? - ANS-Tell the nurse to stop
discussing the behavior, sharing private information about the client in a pubic
place is an invasion of privacy
2. A nurse in a outpatient mental health clinic is preparing to assist with an initial client
interview, what action should the nurse take as a priority? - ANS-Identify the client's
perception of her mental health status.
3. A nurse in an acute mental health facility is communicating with a client, The client
states, "I can't sleep. I stay up all night." The nurse responds, You are having difficulty
sleeping?" Which type of therapeutic communication technique is the nurse using? -
ANS-Restating
4. A nurse in an emergency mental health facility is caring for a group of clients. The nurse
should identify that this client needs a temporary emergency admission? - ANS-A client
who has borderline personality disorder and assaulted a homeless man with a
metal rod, this client is a danger to self and others
5. A nurse is assisting in conducting a class on therapeutic communication to a group of
newly licensed nurses. What aspect of communication should the nurse identify as a
component of verbal communication? - ANS-Intonation, the tone of ones voice
6. A nurse is assisting with a peer group discussion about the DSM-5. What information
should the nurse include in the discussion? - ANS-- The DSM-5 establishes diagnostic
criteria for individual mental health disorders.
- The DSM-5 assists nurses in planning care for client's who have mental health
disorders.
- The DSM-5 indicates expected findings of mental health disorders
7. A nurse is assisting with the plan of care for a client who has a mental disorder. What
actions should the nurse recommend as a psychobiological intervention? - ANS-Monitor
for adverse effects of medications
8. A nurse is caring for a client who has anorexia nervosa. What is an example of the nurse
demonstrating interpersonal communication? - ANS-The nurse asks the client about
her body image perception. This is one on one communication with the client
9. A nurse is caring for a client who is experiencing moderate anxiety. What actions should
the nurse take when trying to reinforce necessary information with the client? -
ANS-Discuss prior use of coping mechanisms with the client
demonstrate a calm manner while using simple and clear directions
10.A nurse is caring for a client who is in mechanical restraints, What should the nurse
include in the documentation? - ANS-- client was offered 8 oz of water every hour
- client shouted obscenities at assistive personnel
- Client received chlorpromazine 15 mg PO at 1000
, 11.A nurse is caring for a client who smokes and has lung cancer. The client reports, I'm
coughing because i have a cold. The nurse should identify that the client is using which
defense mechanism? - ANS-Denial
12.A nurse is caring for the parents of a child who has demonstrated recent changes in
mood and behavior. When a mother asks the nurse for reassurance about her son's
condition, what should the nurses response be? - ANS-I understand your concerned.
Let's discuss what concerns you specifically, this response reflects the mothers
feelings and it allows her to clarify what she's feeling
13.A nurse is communicating with a client who was just admitted for treatment of a
substance use disorder. What communication technique should the nurse identify as a
barrier to therapeutic communication? - ANS-Offering advise, advise tends to
interfere with the client's ability to make personal decisions and choices
14.A nurse is discussing mental health status examinations with a newly licensed nurse.
What statements by the new nurse indicate an understanding of the teaching? -
ANS--To check cognitive ability, I should ask the client to count backwards by
sevens.
-To check affect, I should observe the client's facial expression
-To check language ability I should instruct the client to write a sentence
15.A nurse is providing preoperative teaching to a client who was just informed that she
needs emergency surgery. The client has a respiratory rate of 30/min, and states, "this is
difficult to comprehend, I feel shaky and nervous. Which level of anxiety is the client
experiencing? - ANS-Moderate, vital signs can increase somewhat
16.A nurse is told during shift change that a client is stuporous. When evaluating the client,
what should the nurse find? - ANS-The client arouses briefly in response to sternal
rub
17.A nurse places a client in seclusion overnight because the unit is very short staffed and
the client frequently fights with other clients. The nurse's actions are and example of
which tort? - ANS-False imprisonment, for convenience of the staff. This is a big
NO!
18.acute anxiety - ANS-this level of anxiety is precipitated by an imminent loss or
change that threatens one's sense of security
19.Affect - ANS-an objective expression of mood, such as flat affect or lack of facial
expression.
20.Alert - ANS-client is responsive and able to fully respond by opening her eyes and
attending to a normal tone of voice and speech. She answers questions
spontaneously and appropriately
21.altruism - ANS-Dealing with anxiety by reaching out to others
22.Autonomy - ANS-the client's right to make decisions, but the client must accept the
consequences of those decisions. The client must also respect the decisions of
others.
Rather than giving advice to the client who has difficulty making decisions, a
nurse helps the client explore all alternatives and arrive at a choice
23.Beneficence - ANS-doing good , can be described as charity
