ATI Mental Health CMS exam with correct
answers
A nurse is admitting a client in the emergency department 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." - ...,.🔹VERIFIED
ANSWER **✔✔D
A nurse is caring for a client whose adolescent child died in a
motor-vehicle crash. The client is crying inconsolably. Which of the
following actions should the nurse take?
A. Suggest that the client call the facility's chaplain.
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,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. - ...,.🔹VERIFIED
ANSWER **✔✔C
A nurse is caring for a client who has a new diagnosis 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 - ...,.🔹VERIFIED ANSWER **✔✔B
A nurse is caring for a client who has schizophrenia. The client
states, "My internal organs have turned to stone." The nurse should
document this finding as which of the following types of delusions?
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,A. Somatic
B. Reference
C. Persecutory
D. Grandiose - ...,.🔹VERIFIED ANSWER **✔✔A
A nurse is caring for a client who is brought to the clinic by her
adult son who states that his father recently died. The client
repeatedly yells at her son stating, "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 - ...,.🔹VERIFIED ANSWER **✔✔A
A nurse is caring for a client who has major depressive disorder and
recently started taking an antidepressant. The nurse should identify
which of the following client statements as the priority?
A. "I hate being so helpless. I can't even manage my own finances
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, 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."
- ...,.🔹VERIFIED ANSWER **✔✔C
A nurse is administering an oral sedative to a client who is
receiving care following an involuntary admission. The client
states, "I'm not taking any more medication." Which of the
following actions should the nurse take?
A. Administer the medication by another route.
B. Refer the client's refusal to the facility's ethics committee.
C. Inform the client that, due to her involuntary admission, she
cannot refuse a sedative.
D. Document the client's refusal of the medication in the medical
record. - ...,.🔹VERIFIED ANSWER **✔✔D
A nurse enters a client's room and observes that the client is
agitated and pacing rapidly. The client looks at the nurse and says,
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answers
A nurse is admitting a client in the emergency department 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." - ...,.🔹VERIFIED
ANSWER **✔✔D
A nurse is caring for a client whose adolescent child died in a
motor-vehicle crash. The client is crying inconsolably. Which of the
following actions should the nurse take?
A. Suggest that the client call the facility's chaplain.
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43
,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. - ...,.🔹VERIFIED
ANSWER **✔✔C
A nurse is caring for a client who has a new diagnosis 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 - ...,.🔹VERIFIED ANSWER **✔✔B
A nurse is caring for a client who has schizophrenia. The client
states, "My internal organs have turned to stone." The nurse should
document this finding as which of the following types of delusions?
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43
,A. Somatic
B. Reference
C. Persecutory
D. Grandiose - ...,.🔹VERIFIED ANSWER **✔✔A
A nurse is caring for a client who is brought to the clinic by her
adult son who states that his father recently died. The client
repeatedly yells at her son stating, "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 - ...,.🔹VERIFIED ANSWER **✔✔A
A nurse is caring for a client who has major depressive disorder and
recently started taking an antidepressant. The nurse should identify
which of the following client statements as the priority?
A. "I hate being so helpless. I can't even manage my own finances
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43
, 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."
- ...,.🔹VERIFIED ANSWER **✔✔C
A nurse is administering an oral sedative to a client who is
receiving care following an involuntary admission. The client
states, "I'm not taking any more medication." Which of the
following actions should the nurse take?
A. Administer the medication by another route.
B. Refer the client's refusal to the facility's ethics committee.
C. Inform the client that, due to her involuntary admission, she
cannot refuse a sedative.
D. Document the client's refusal of the medication in the medical
record. - ...,.🔹VERIFIED ANSWER **✔✔D
A nurse enters a client's room and observes that the client is
agitated and pacing rapidly. The client looks at the nurse and says,
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