ATI: Mental Health Proctored quiz bank
QUESTIONS AND ANSWERS
1. A consumer lately recognized with terminal cancer states to the nurse, "I desire I had
been dead. I have no cause to stay." Which of the subsequent responses need to the
nurse provide?
A. "You nevertheless have lots to stay for."
B. "Please do not communicate approximately that."
C. "Your prescribed medicine will make you feel higher."
D. "Have you been taking into consideration hurting your self." - ANSWER-"Have you
been thinking of hurting yourself."
*The nurse's reaction focuses on the purchaser's underlying feelings and starts
offevolved to have a look at the obvious verbal clues of suicidal thoughts. Asking
the client approximately suicidal thoughts is an crucial intervention via the nurse
because if the client is considering suicide, the purchaser ought to be able to
speak about these emotions with the nurse
2. A patron states, "I have not seen my baby for 2 weeks." The nurse responds, "Your
toddler has not visited you for two weeks?" Which of the following communique
techniques is the nurse using?
A. Accepting
B. Making an commentary
C. Restating
D. Voicing doubt - ANSWER-Restating
*This is an instance of the communique technique of restatement, which permits
the nurse to verify what the consumer is pronouncing and to offer an opportunity
for the consumer to make clear any false impression
3. A client who has cognitive impairment tells the nurse, "I'm leaving now. I ought to be
home by way of five:00 PM due to the fact dinner will be equipped." Which of the
subsequent responses through the nurse demonstrates the usage of validation remedy?
A. "It it five:30 PM now. You are inside the health center and we will deliver you dinner
quickly."
B. "Don't worry approximately dinner. Your father is bringing dinner right here for you this
night."
C. "At domestic, you had dinner at 5:00 PM. Was your father a good cook?"
, D. "Your father changed into born around the year 1920. Can you inform me what yr it's
far now?" - ANSWER-"At domestic, you had dinner at five:00 PM. Was your father
an amazing cook dinner?"
*This reaction validates the patron's feelings and redirects the verbal exchange to
any other topic so that the patron can speak about non-public memories.
Validation therapy does now not attempt to orient the consumer to fact however
as an alternative acknowledges the underlying emotions expressed by the
customer after which redirects the communication
4. A consumer who has high blood pressure provides to a issuer's workplace. When
speakme with the nurse, she reports a large amount of pressure at paintings and states
it is affecting her blood-stress control. The nurse have to train the customer to do which
of the subsequent when the strain is unavoidable?
A. Consider changing jobs to something much less demanding
B. Identify the stressors at work and try to reduce them
C. Plan durations far from work at some stage in the day
D. Improve her capability to deal with diagnosed stressors - ANSWER-Improve her
potential to address recognized stressors
*The nurse need to help the client research control strategies to address pressure
without internalizing it
5. A home health nurse is gathering facts from a purchaser who has advanced dementia
and whose caretake currently handed away. The customer isn't always violent or
suicidal. For which of the following remedy settings have to the nurse advise a referral
for this patron?
A. Partial hospitalization
B. Adult daycare facility
C. Inpatient geropsychiatric unit
D. Long-time period nursing care center - ANSWER-Long-term nursing care middle
*A long time care nursing middle gives intermediate or custodial take care of
customers who've acute or continual illnesses. A client who has superior
dementia is a candidate for a professional nursing facility due to the fact the
consumer needs 24 hour nursing care and support
6. A home health nurse is reinforcing coaching for the family who has slight Alzheimer's
disease. The circle of relatives plans to care for the customer of their home. Which of the
subsequent guidelines need to the nurse encompass in the coaching?
A. Place nonskid throw rugs over easy floor flooring
B. Install locks on the pinnacle of outside doors
C. Provide apparel that has zippers as opposed to buttons
, D. Encourage common naps in the course of the day - ANSWER-Install locks on the
top of outdoors doors
*This consumer is at an multiplied danger of wandering and getting lost. A safety
intervention to lower the threat of wandering is to put in locks on the tops of
exterior doorways considering a client who has mild Alzheimer's disorder loses
the potential to attain and look upward
7. A domestic fitness nurse is reinforcing teaching with the caregiver of a purchaser who
has Alzheimer's disorder. Which of the following commands must the nurse provide?
A. Have the consumer wear a scientific alert necklace
B. Place written signs on the rest room and different doors in the house
C. Prevent the consumer from taking naps in the course of the day
D. Provide a low stimulation environment - ANSWER-Provide a low stimulation
environment
*The nurse must support with the caregiver that clients who be afflicted by
impaired cognition require a low-stimulation surroundings. An environment of
excessive-stimulation can result in sensory overload, that can cause expanded
confusion and anxiety
8. A domestic health nurse is speakme with the caregiver of a purchaser who has
Alzheimer's ailment. The caregiver asks the nurse why the consumer becomes
disoriented, confused, and frequently combative later in the day. For which of the
following situations must the nurse plan to accumulate more statistics?
A. Electrolyte imbalance
B. Hypothyroidism
C. Sundowning
D. Adverse impact of drugs - ANSWER-Sundowning
*Sundowning-an growth in confusion starting inside the afternoon and lasting into
the night time-is a commonplace manifestation of Alzheimer's disorder. The
purchaser can end up confused, aggressive, agitated, and obsessive, leading to
excessive disorientation
9. A home health nurse is talking with the associate of a customer who has dementia.
Which of the following statements by way of the associate indicates that the purchaser is
displaying symptoms of apraxia?
A. "Yesterday, my companion put on a jacket upside down."
B. "My associate has problem reading the newspaper."
C. "My associate often repeats phrases."
D. "Last week, my accomplice did now not apprehend the sound of the alarm clock." -
ANSWER-"Yesterday, my partner placed on a jacket the wrong way up."
, *The nurse have to recognize that this declaration is a sign that the client is
experiencing apraxia (the shortage of potential to accomplish once recognized
duties). This manifestation is taken into consideration a cognitive deficit due to
the fact there is no loss of motor or sensory capability.
10.A intellectual fitness nurse is reviewing a process recording of a therapy consultation
with a purchaser. Which of the following statements must the nurse pick out for instance
of the conversation method of mirrored image?
11.
12.A. "I notice you're pulling on your hair while we talk your dismissal."
13.B. "That declaration made by using the alternative consumer seems to have
disenchanted you."
14.C. "Since writing in your magazine is frustrating, we ought to study this activity more
intently."
15.D. "Give me an instance of a time while you felt no one understood you." -
ANSWER-"That announcement made by means of the opposite customer appears to
have disappointed you."
16.
17.*Reflective statements are beneficial in assisting a purchaser with identifying emotions
and ideas. This healing communication method validates the patron's emotions and
encourages the purchaser to reflect more deeply at the emotion
18.A newly admitted client who has predominant depressive ailment states to the nurse,
"I'm a failure. I can't even deal with little things anymore." Which of the subsequent
responses have to the nurse make?
19.
20.A. "What took place in your lifestyles to make you sense like this kind of failure?"
21.B. "You sound like you are feeling quite overwhelmed proper now."
22.C. "Do you experience like you don't should be excellent to your self?"
23.D. "I recognize you sense like that now, however you'll experience in a different way
while you get higher." - ANSWER-"You sound like you are feeling pretty crushed proper
now."
24.
25.*This response by way of the nurse recognizes the customer's feeling and attempts to
bring the capability to understand them, which promotes a trusting relationship between
the patron and the nurse
26.A nurse at a long time care facility hears an assistive employees (AP) speaking with an
older adult patron who has dementia with periods of misunderstanding. Which of the
subsequent statements suggests that the AP calls for similarly instructions?
27.
28.A. "We may be serving breakfast in 10 min. I will live here whilst you get geared up."
29.B. "It's Monday morning. I realize that your favourite tv suggests are on this night."
30.C. "I see that you have a new photo on the wall. Can you tell me who that lady is?"
31.D. "It's almost time for your appointment. Let me do your hair for you and brush your
teeth." - ANSWER-"It's nearly time on your appointment. Let me do your hair for you and
brush your tooth."
QUESTIONS AND ANSWERS
1. A consumer lately recognized with terminal cancer states to the nurse, "I desire I had
been dead. I have no cause to stay." Which of the subsequent responses need to the
nurse provide?
A. "You nevertheless have lots to stay for."
B. "Please do not communicate approximately that."
C. "Your prescribed medicine will make you feel higher."
D. "Have you been taking into consideration hurting your self." - ANSWER-"Have you
been thinking of hurting yourself."
*The nurse's reaction focuses on the purchaser's underlying feelings and starts
offevolved to have a look at the obvious verbal clues of suicidal thoughts. Asking
the client approximately suicidal thoughts is an crucial intervention via the nurse
because if the client is considering suicide, the purchaser ought to be able to
speak about these emotions with the nurse
2. A patron states, "I have not seen my baby for 2 weeks." The nurse responds, "Your
toddler has not visited you for two weeks?" Which of the following communique
techniques is the nurse using?
A. Accepting
B. Making an commentary
C. Restating
D. Voicing doubt - ANSWER-Restating
*This is an instance of the communique technique of restatement, which permits
the nurse to verify what the consumer is pronouncing and to offer an opportunity
for the consumer to make clear any false impression
3. A client who has cognitive impairment tells the nurse, "I'm leaving now. I ought to be
home by way of five:00 PM due to the fact dinner will be equipped." Which of the
subsequent responses through the nurse demonstrates the usage of validation remedy?
A. "It it five:30 PM now. You are inside the health center and we will deliver you dinner
quickly."
B. "Don't worry approximately dinner. Your father is bringing dinner right here for you this
night."
C. "At domestic, you had dinner at 5:00 PM. Was your father a good cook?"
, D. "Your father changed into born around the year 1920. Can you inform me what yr it's
far now?" - ANSWER-"At domestic, you had dinner at five:00 PM. Was your father
an amazing cook dinner?"
*This reaction validates the patron's feelings and redirects the verbal exchange to
any other topic so that the patron can speak about non-public memories.
Validation therapy does now not attempt to orient the consumer to fact however
as an alternative acknowledges the underlying emotions expressed by the
customer after which redirects the communication
4. A consumer who has high blood pressure provides to a issuer's workplace. When
speakme with the nurse, she reports a large amount of pressure at paintings and states
it is affecting her blood-stress control. The nurse have to train the customer to do which
of the subsequent when the strain is unavoidable?
A. Consider changing jobs to something much less demanding
B. Identify the stressors at work and try to reduce them
C. Plan durations far from work at some stage in the day
D. Improve her capability to deal with diagnosed stressors - ANSWER-Improve her
potential to address recognized stressors
*The nurse need to help the client research control strategies to address pressure
without internalizing it
5. A home health nurse is gathering facts from a purchaser who has advanced dementia
and whose caretake currently handed away. The customer isn't always violent or
suicidal. For which of the following remedy settings have to the nurse advise a referral
for this patron?
A. Partial hospitalization
B. Adult daycare facility
C. Inpatient geropsychiatric unit
D. Long-time period nursing care center - ANSWER-Long-term nursing care middle
*A long time care nursing middle gives intermediate or custodial take care of
customers who've acute or continual illnesses. A client who has superior
dementia is a candidate for a professional nursing facility due to the fact the
consumer needs 24 hour nursing care and support
6. A home health nurse is reinforcing coaching for the family who has slight Alzheimer's
disease. The circle of relatives plans to care for the customer of their home. Which of the
subsequent guidelines need to the nurse encompass in the coaching?
A. Place nonskid throw rugs over easy floor flooring
B. Install locks on the pinnacle of outside doors
C. Provide apparel that has zippers as opposed to buttons
, D. Encourage common naps in the course of the day - ANSWER-Install locks on the
top of outdoors doors
*This consumer is at an multiplied danger of wandering and getting lost. A safety
intervention to lower the threat of wandering is to put in locks on the tops of
exterior doorways considering a client who has mild Alzheimer's disorder loses
the potential to attain and look upward
7. A domestic fitness nurse is reinforcing teaching with the caregiver of a purchaser who
has Alzheimer's disorder. Which of the following commands must the nurse provide?
A. Have the consumer wear a scientific alert necklace
B. Place written signs on the rest room and different doors in the house
C. Prevent the consumer from taking naps in the course of the day
D. Provide a low stimulation environment - ANSWER-Provide a low stimulation
environment
*The nurse must support with the caregiver that clients who be afflicted by
impaired cognition require a low-stimulation surroundings. An environment of
excessive-stimulation can result in sensory overload, that can cause expanded
confusion and anxiety
8. A domestic health nurse is speakme with the caregiver of a purchaser who has
Alzheimer's ailment. The caregiver asks the nurse why the consumer becomes
disoriented, confused, and frequently combative later in the day. For which of the
following situations must the nurse plan to accumulate more statistics?
A. Electrolyte imbalance
B. Hypothyroidism
C. Sundowning
D. Adverse impact of drugs - ANSWER-Sundowning
*Sundowning-an growth in confusion starting inside the afternoon and lasting into
the night time-is a commonplace manifestation of Alzheimer's disorder. The
purchaser can end up confused, aggressive, agitated, and obsessive, leading to
excessive disorientation
9. A home health nurse is talking with the associate of a customer who has dementia.
Which of the following statements by way of the associate indicates that the purchaser is
displaying symptoms of apraxia?
A. "Yesterday, my companion put on a jacket upside down."
B. "My associate has problem reading the newspaper."
C. "My associate often repeats phrases."
D. "Last week, my accomplice did now not apprehend the sound of the alarm clock." -
ANSWER-"Yesterday, my partner placed on a jacket the wrong way up."
, *The nurse have to recognize that this declaration is a sign that the client is
experiencing apraxia (the shortage of potential to accomplish once recognized
duties). This manifestation is taken into consideration a cognitive deficit due to
the fact there is no loss of motor or sensory capability.
10.A intellectual fitness nurse is reviewing a process recording of a therapy consultation
with a purchaser. Which of the following statements must the nurse pick out for instance
of the conversation method of mirrored image?
11.
12.A. "I notice you're pulling on your hair while we talk your dismissal."
13.B. "That declaration made by using the alternative consumer seems to have
disenchanted you."
14.C. "Since writing in your magazine is frustrating, we ought to study this activity more
intently."
15.D. "Give me an instance of a time while you felt no one understood you." -
ANSWER-"That announcement made by means of the opposite customer appears to
have disappointed you."
16.
17.*Reflective statements are beneficial in assisting a purchaser with identifying emotions
and ideas. This healing communication method validates the patron's emotions and
encourages the purchaser to reflect more deeply at the emotion
18.A newly admitted client who has predominant depressive ailment states to the nurse,
"I'm a failure. I can't even deal with little things anymore." Which of the subsequent
responses have to the nurse make?
19.
20.A. "What took place in your lifestyles to make you sense like this kind of failure?"
21.B. "You sound like you are feeling quite overwhelmed proper now."
22.C. "Do you experience like you don't should be excellent to your self?"
23.D. "I recognize you sense like that now, however you'll experience in a different way
while you get higher." - ANSWER-"You sound like you are feeling pretty crushed proper
now."
24.
25.*This response by way of the nurse recognizes the customer's feeling and attempts to
bring the capability to understand them, which promotes a trusting relationship between
the patron and the nurse
26.A nurse at a long time care facility hears an assistive employees (AP) speaking with an
older adult patron who has dementia with periods of misunderstanding. Which of the
subsequent statements suggests that the AP calls for similarly instructions?
27.
28.A. "We may be serving breakfast in 10 min. I will live here whilst you get geared up."
29.B. "It's Monday morning. I realize that your favourite tv suggests are on this night."
30.C. "I see that you have a new photo on the wall. Can you tell me who that lady is?"
31.D. "It's almost time for your appointment. Let me do your hair for you and brush your
teeth." - ANSWER-"It's nearly time on your appointment. Let me do your hair for you and
brush your tooth."
