ATI RN Mental Health with ngn
Study online at https://quizlet.com/_h4vw5n
A charge nurse is discussing mental sta-
tus examinations with a newly licensed
nurse. Which of the following statements
D. "To assess remote memory, I should
by the newly licensed nurse indicates a
have the client repeat a list of objects."
need for further teaching?
Asking the client to repeat a list of ob-
A. "To assess cognitive ability, I should
jects is appropriate to assess immediate,
ask the client to count backward by 7."
rather than remote, memory.
B. "To assess affect, I should observe the
client's facial expression."
ATI RN Mental Health Nursing Modules
C. "To assess language ability, I should
Ch. 1 Application Exercises
instruct the client to write a sentence."
D. "To assess remote memory, I should
have the client repeat a list of objec
D. Monitor the client for adverse effects
A nurse is planning care for a client who
of medications.
has a mental health disorder. Which of
the following is appropriate to include as
Assisting with systematic desensitization
a psychobiological intervention?
therapy is a cognitive and behavioral.
Teaching appropriate coping mecha-
A. Assist the client with systematic de-
nisms is a counseling or health teaching.
sensitization therapy.
Assessing for comorbid health condi-
B. Teach the client appropriate coping
tions is health promotion and mainte-
mechanisms.
nance.
C. Assess the client for comorbid health
conditions.
D. Monitoring for adverse effects of med-
D. Monitor the client for adverse effects of
ications is an example of a psychobiolog-
medications.
ical intervention.
ATI RN Mental Health Nursing Modules
ATI RN Mental Health Nursing Modules
Ch. 1 Application Exercises
Ch. 1 Application Exercises
*B. Identify the client's perception of her A nurse in an outpatient mental health
mental health status.* clinic is preparing to conduct an initial
client interview. When conducting the in-
A. Appropriate, but not highest priority. terview, which of the following is the high-
est priority action?
B. Assessment is the priority action when
taking the nursing process approach. A. Respect the client's need for personal
, ATI RN Mental Health with ngn
Study online at https://quizlet.com/_h4vw5n
Identifying the client's perception of her space.
mental health status provides important B. Identify the client's perception of her
information about the client's psychoso- mental health status.
cial history. C. Include the client's family in the inter-
view.
C. Appropriate, but not highest priority. D. Teach the client about her current
D. Appropriate, but not highest priority. mental health disorder.
ATI RN Mental Health Nursing Modules ATI RN Mental Health Nursing Modules
Ch. 1 Application Exercises Ch. 1 Application Exercises
A nurse is told during change-of-shift re-
*A. The client arouses briefly in response
port that a client is stuporous. When as-
to a sternal rib.*
sessing the client, which of the following
is an expected finding?
A. A client who is stuporous requires
vigorous or painful stimuli to elicit a re-
A. The client arouses briefly in response
sponse.
to a sternal rib.
B. The client has a Glasgow Coma Scale
B. <7 on GCS indicates comatose, not
score less than 7.
stuporous, level of consciousness.
C. The client exhibits decorticate rigidity.
C. Abnormal posturing = comatose.
D. The client is alert but disoriented to
D. Stuporous /= alert.
time and place.
ATI RN Mental Health Nursing Modules
ATI RN Mental Health Nursing Modules
Ch. 1 Application Exercises
Ch. 1 Application Exercises
A nurse is planning a peer group discus-
sion about the Diagnostic and Statistical
A, B, D, E.
Manual of Mental Disorders, 5th Edition
The DSM-5 is used as a diagnostic tool,
(DSM-5). Which of the following is ap-
establishes diagnostic criteria, used by
propriate to include in the discussion?
nurses to plan, implement, and evaluate
(SATA)
care, and identifies expected findings for
mental health disorders.
A. The DSM-5 is used to identify mental
health disorders.
It does not indicate pharmacological
B. The DSM-5 establishes diagnostic cri-
treatment.
teria.
C. The DSM-5 indicates recommended
pharmacological treatment.
, ATI RN Mental Health with ngn
Study online at https://quizlet.com/_h4vw5n
D. The DSM-5 assists nurses in planning
care.
ATI RN Mental Health Nursing Modules E. The DSM-5 indicates expected as-
Ch. 1 Application Exercises sessment findings.
ATI RN Mental Health Nursing
Which of the following is an example of
a client who requires emergency admis-
sion to a mental health facility?
C. A client with borderline personality
A. A client with schizophrenia who has
disorder who assaulted a homeless man
frequent hallucinations.
with a metal rod.
B. A client with symptoms of depression
who attempted suicide a year ago.
Hallucinations, depression, and/or pac-
C. A client with borderline personality dis-
ing does not constitute clear reason for
order who assaulted a homeless man
emergency commitment.
with a metal rod.
D. A client with bipolar disorder who
ATI RN Mental Health Nursing Modules
paces quickly down the sidewalk while
Ch. 2 Application Exercises
talking to himself.
ATI RN Mental Health Nursing Modules
Ch. 2 Application Ex
C. Tell the client that this must be report-
ed to health care staff because it con- A client tells a student nurse, "Don't tell
cerns the health and safety of the client anyone, but I hid a sharp knife under my
and others. mattress in order to protect myself from
my roommate, who is always yelling at
The information cannot be kept confiden- me and threatening me." Which of the
tial and the client must be informed that following actions should the nurse take?
this will be reported to the health care
staff. A. Keep the client's communication con-
fidential, but talk to the client daily, using
• This is a serious safety issue that must therapeutic communication to convince
be reported to the staff. Using the princi- him to admit to holding the knife.
ple of veracity, the student tells this client B. Keep the client's communication confi-
truthfully what must be done regarding dential, but watch the client and his room-
the issue.
, ATI RN Mental Health with ngn
Study online at https://quizlet.com/_h4vw5n
mate closely.
ATI RN Mental Health Nursing Modules
C.
Ch. 2 Application Exercises
B. a tort. A nurse decides to put a client who
has psychosis in seclusion overnight be-
Beneficence: doing good for a client. cause the unit is very short-staffed, and
Tort: a civil wrong that violates a client's the client frequently fights with other
civil rights. clients. This is an example of:
If a policy, the facility would be in viola-
tion of federal and state statute, and the A. beneficence.
nurse could be held responsible. B. a tort.
Justice: action involving the fair and C. a facility policy.
equal treatment of clients. D. justice.
ATI RN Mental Health Nursing Modules ATI RN Mental Health Nursing Modules
Ch. 2 Application Exercises Ch. 2 Application Exercises
A nurse is caring for a client in restraints.
Which of the following statements are
appropriate documentation? (SATA)
B, C, D: Objective data is correct, not
A. " Client ate most of his breakfast."
subjective.
B. "Client was offered 8oz of water every
hr."
ATI RN Mental Health Nursing Modules
C. "Client shouted at assistive person-
Ch. 2 Application Exercises
nel."
D. "Client received chlorpromazine (Tho-
razine) 15mg by mouth at 1000."
E. "Client acted out after lunch."
A nurse hears a newly licensed nurse
*B. Tell the nurse to stop discussing the discussing a client's hallucinations in the
behavior.* hallway with another nurse. Which of the
following actions should the nurse take
The nurse should notify the nurse man- first?
ager, provide in-service, and complete
an incident report, but these actions are A. Notify the nurse manager.
not the first to take. B. Tell the nurse to stop discussing the
behavior.
C. Provide an in-service program about
Study online at https://quizlet.com/_h4vw5n
A charge nurse is discussing mental sta-
tus examinations with a newly licensed
nurse. Which of the following statements
D. "To assess remote memory, I should
by the newly licensed nurse indicates a
have the client repeat a list of objects."
need for further teaching?
Asking the client to repeat a list of ob-
A. "To assess cognitive ability, I should
jects is appropriate to assess immediate,
ask the client to count backward by 7."
rather than remote, memory.
B. "To assess affect, I should observe the
client's facial expression."
ATI RN Mental Health Nursing Modules
C. "To assess language ability, I should
Ch. 1 Application Exercises
instruct the client to write a sentence."
D. "To assess remote memory, I should
have the client repeat a list of objec
D. Monitor the client for adverse effects
A nurse is planning care for a client who
of medications.
has a mental health disorder. Which of
the following is appropriate to include as
Assisting with systematic desensitization
a psychobiological intervention?
therapy is a cognitive and behavioral.
Teaching appropriate coping mecha-
A. Assist the client with systematic de-
nisms is a counseling or health teaching.
sensitization therapy.
Assessing for comorbid health condi-
B. Teach the client appropriate coping
tions is health promotion and mainte-
mechanisms.
nance.
C. Assess the client for comorbid health
conditions.
D. Monitoring for adverse effects of med-
D. Monitor the client for adverse effects of
ications is an example of a psychobiolog-
medications.
ical intervention.
ATI RN Mental Health Nursing Modules
ATI RN Mental Health Nursing Modules
Ch. 1 Application Exercises
Ch. 1 Application Exercises
*B. Identify the client's perception of her A nurse in an outpatient mental health
mental health status.* clinic is preparing to conduct an initial
client interview. When conducting the in-
A. Appropriate, but not highest priority. terview, which of the following is the high-
est priority action?
B. Assessment is the priority action when
taking the nursing process approach. A. Respect the client's need for personal
, ATI RN Mental Health with ngn
Study online at https://quizlet.com/_h4vw5n
Identifying the client's perception of her space.
mental health status provides important B. Identify the client's perception of her
information about the client's psychoso- mental health status.
cial history. C. Include the client's family in the inter-
view.
C. Appropriate, but not highest priority. D. Teach the client about her current
D. Appropriate, but not highest priority. mental health disorder.
ATI RN Mental Health Nursing Modules ATI RN Mental Health Nursing Modules
Ch. 1 Application Exercises Ch. 1 Application Exercises
A nurse is told during change-of-shift re-
*A. The client arouses briefly in response
port that a client is stuporous. When as-
to a sternal rib.*
sessing the client, which of the following
is an expected finding?
A. A client who is stuporous requires
vigorous or painful stimuli to elicit a re-
A. The client arouses briefly in response
sponse.
to a sternal rib.
B. The client has a Glasgow Coma Scale
B. <7 on GCS indicates comatose, not
score less than 7.
stuporous, level of consciousness.
C. The client exhibits decorticate rigidity.
C. Abnormal posturing = comatose.
D. The client is alert but disoriented to
D. Stuporous /= alert.
time and place.
ATI RN Mental Health Nursing Modules
ATI RN Mental Health Nursing Modules
Ch. 1 Application Exercises
Ch. 1 Application Exercises
A nurse is planning a peer group discus-
sion about the Diagnostic and Statistical
A, B, D, E.
Manual of Mental Disorders, 5th Edition
The DSM-5 is used as a diagnostic tool,
(DSM-5). Which of the following is ap-
establishes diagnostic criteria, used by
propriate to include in the discussion?
nurses to plan, implement, and evaluate
(SATA)
care, and identifies expected findings for
mental health disorders.
A. The DSM-5 is used to identify mental
health disorders.
It does not indicate pharmacological
B. The DSM-5 establishes diagnostic cri-
treatment.
teria.
C. The DSM-5 indicates recommended
pharmacological treatment.
, ATI RN Mental Health with ngn
Study online at https://quizlet.com/_h4vw5n
D. The DSM-5 assists nurses in planning
care.
ATI RN Mental Health Nursing Modules E. The DSM-5 indicates expected as-
Ch. 1 Application Exercises sessment findings.
ATI RN Mental Health Nursing
Which of the following is an example of
a client who requires emergency admis-
sion to a mental health facility?
C. A client with borderline personality
A. A client with schizophrenia who has
disorder who assaulted a homeless man
frequent hallucinations.
with a metal rod.
B. A client with symptoms of depression
who attempted suicide a year ago.
Hallucinations, depression, and/or pac-
C. A client with borderline personality dis-
ing does not constitute clear reason for
order who assaulted a homeless man
emergency commitment.
with a metal rod.
D. A client with bipolar disorder who
ATI RN Mental Health Nursing Modules
paces quickly down the sidewalk while
Ch. 2 Application Exercises
talking to himself.
ATI RN Mental Health Nursing Modules
Ch. 2 Application Ex
C. Tell the client that this must be report-
ed to health care staff because it con- A client tells a student nurse, "Don't tell
cerns the health and safety of the client anyone, but I hid a sharp knife under my
and others. mattress in order to protect myself from
my roommate, who is always yelling at
The information cannot be kept confiden- me and threatening me." Which of the
tial and the client must be informed that following actions should the nurse take?
this will be reported to the health care
staff. A. Keep the client's communication con-
fidential, but talk to the client daily, using
• This is a serious safety issue that must therapeutic communication to convince
be reported to the staff. Using the princi- him to admit to holding the knife.
ple of veracity, the student tells this client B. Keep the client's communication confi-
truthfully what must be done regarding dential, but watch the client and his room-
the issue.
, ATI RN Mental Health with ngn
Study online at https://quizlet.com/_h4vw5n
mate closely.
ATI RN Mental Health Nursing Modules
C.
Ch. 2 Application Exercises
B. a tort. A nurse decides to put a client who
has psychosis in seclusion overnight be-
Beneficence: doing good for a client. cause the unit is very short-staffed, and
Tort: a civil wrong that violates a client's the client frequently fights with other
civil rights. clients. This is an example of:
If a policy, the facility would be in viola-
tion of federal and state statute, and the A. beneficence.
nurse could be held responsible. B. a tort.
Justice: action involving the fair and C. a facility policy.
equal treatment of clients. D. justice.
ATI RN Mental Health Nursing Modules ATI RN Mental Health Nursing Modules
Ch. 2 Application Exercises Ch. 2 Application Exercises
A nurse is caring for a client in restraints.
Which of the following statements are
appropriate documentation? (SATA)
B, C, D: Objective data is correct, not
A. " Client ate most of his breakfast."
subjective.
B. "Client was offered 8oz of water every
hr."
ATI RN Mental Health Nursing Modules
C. "Client shouted at assistive person-
Ch. 2 Application Exercises
nel."
D. "Client received chlorpromazine (Tho-
razine) 15mg by mouth at 1000."
E. "Client acted out after lunch."
A nurse hears a newly licensed nurse
*B. Tell the nurse to stop discussing the discussing a client's hallucinations in the
behavior.* hallway with another nurse. Which of the
following actions should the nurse take
The nurse should notify the nurse man- first?
ager, provide in-service, and complete
an incident report, but these actions are A. Notify the nurse manager.
not the first to take. B. Tell the nurse to stop discussing the
behavior.
C. Provide an in-service program about
