PSYCHIATRIC/MENTAL HEALTH
NURSING
2025 PSYCHIATRIC-MENTAL HEALTH
NURSING, MENTAL HEALTH NURSING
CHAPTER 1-10, CONTEMPORARY
PSYCHIATRIC-MENTAL HEALTH
NURSING (Rationales) PSYCHIATRIC
NURSING - PRELIMS, FINAL EXAM
Which of the following is an example of a client who requires emergency admission to a mental
health facility?
A. A client with schizophrenia who has frequent hallucinations.
B. A client with symptoms of depression who attempted suicide a year ago.
C. A client with borderline personality disorder who assaulted a homeless man with a metal rod.
D. A client with bipolar disorder who paces quickly down the sidewalk while talking to himself.
A+ TEST BANK 1
, PSYCHIATRIC/MENTAL HEALTH
NURSING
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises –
Correct Answer :C. A client with borderline personality disorder who assaulted a homeless man
with a metal rod.
Hallucinations, depression, and/or pacing does not constitute clear reason for emergency
commitment.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
A client tells a student nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in
order to protect myself from my roommate, who is always yelling at me and threatening me."
Which of the following actions should the nurse take?
A. Keep the client's communication confidential, but talk to the client daily, using therapeutic
communication to convince him to admit to holding the knife.
B. Keep the client's communication confidential, but watch the client and his roommate closely.
C. Tell the client that this must be reported to health care staff because it concerns the health
and safety of the client and others.
D. Report the incident, but do not inform the client of the intention to do so.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises –
Correct Answer :C. Tell the client that this must be reported to health care staff because it
concerns the health and safety of the client and others.
A+ TEST BANK 2
, PSYCHIATRIC/MENTAL HEALTH
NURSING
The information cannot be kept confidential and the client must be informed that this will be
reported to the health care staff.
• This is a serious safety issue that must be reported to the staff. Using the principle of veracity,
the student tells this client truthfully what must be done regarding the issue.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
A nurse decides to put a client who has psychosis in seclusion overnight because the unit is very
short-staffed, and the client frequently fights with other clients. This is an example of:
A. beneficence.
B. a tort.
C. a facility policy.
D. justice.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises –
Correct Answer :B. a tort.
Beneficence: doing good for a client.
Tort: a civil wrong that violates a client's civil rights.
If a policy, the facility would be in violation of federal and state statute, and the nurse could be
held responsible.
Justice: action involving the fair and equal treatment of clients.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
A+ TEST BANK 3
, PSYCHIATRIC/MENTAL HEALTH
NURSING
A nurse is caring for a client in restraints. Which of the following statements are appropriate
documentation? (SATA)
A. " Client ate most of his breakfast."
B. "Client was offered 8oz of water every hr."
C. "Client shouted at assistive personnel."
D. "Client received chlorpromazine (Thorazine) 15mg by mouth at 1000."
E. "Client acted out after lunch." –
Correct Answer :B, C, D: Objective data is correct, not subjective.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with
another nurse. Which of the following actions should the nurse take first?
A. Notify the nurse manager.
B. Tell the nurse to stop discussing the behavior.
C. Provide an in-service program about confidentiality.
D. Complete an incident report.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises –
Correct Answer :*B. Tell the nurse to stop discussing the behavior.*
A+ TEST BANK 4
NURSING
2025 PSYCHIATRIC-MENTAL HEALTH
NURSING, MENTAL HEALTH NURSING
CHAPTER 1-10, CONTEMPORARY
PSYCHIATRIC-MENTAL HEALTH
NURSING (Rationales) PSYCHIATRIC
NURSING - PRELIMS, FINAL EXAM
Which of the following is an example of a client who requires emergency admission to a mental
health facility?
A. A client with schizophrenia who has frequent hallucinations.
B. A client with symptoms of depression who attempted suicide a year ago.
C. A client with borderline personality disorder who assaulted a homeless man with a metal rod.
D. A client with bipolar disorder who paces quickly down the sidewalk while talking to himself.
A+ TEST BANK 1
, PSYCHIATRIC/MENTAL HEALTH
NURSING
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises –
Correct Answer :C. A client with borderline personality disorder who assaulted a homeless man
with a metal rod.
Hallucinations, depression, and/or pacing does not constitute clear reason for emergency
commitment.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
A client tells a student nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in
order to protect myself from my roommate, who is always yelling at me and threatening me."
Which of the following actions should the nurse take?
A. Keep the client's communication confidential, but talk to the client daily, using therapeutic
communication to convince him to admit to holding the knife.
B. Keep the client's communication confidential, but watch the client and his roommate closely.
C. Tell the client that this must be reported to health care staff because it concerns the health
and safety of the client and others.
D. Report the incident, but do not inform the client of the intention to do so.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises –
Correct Answer :C. Tell the client that this must be reported to health care staff because it
concerns the health and safety of the client and others.
A+ TEST BANK 2
, PSYCHIATRIC/MENTAL HEALTH
NURSING
The information cannot be kept confidential and the client must be informed that this will be
reported to the health care staff.
• This is a serious safety issue that must be reported to the staff. Using the principle of veracity,
the student tells this client truthfully what must be done regarding the issue.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
A nurse decides to put a client who has psychosis in seclusion overnight because the unit is very
short-staffed, and the client frequently fights with other clients. This is an example of:
A. beneficence.
B. a tort.
C. a facility policy.
D. justice.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises –
Correct Answer :B. a tort.
Beneficence: doing good for a client.
Tort: a civil wrong that violates a client's civil rights.
If a policy, the facility would be in violation of federal and state statute, and the nurse could be
held responsible.
Justice: action involving the fair and equal treatment of clients.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
A+ TEST BANK 3
, PSYCHIATRIC/MENTAL HEALTH
NURSING
A nurse is caring for a client in restraints. Which of the following statements are appropriate
documentation? (SATA)
A. " Client ate most of his breakfast."
B. "Client was offered 8oz of water every hr."
C. "Client shouted at assistive personnel."
D. "Client received chlorpromazine (Thorazine) 15mg by mouth at 1000."
E. "Client acted out after lunch." –
Correct Answer :B, C, D: Objective data is correct, not subjective.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with
another nurse. Which of the following actions should the nurse take first?
A. Notify the nurse manager.
B. Tell the nurse to stop discussing the behavior.
C. Provide an in-service program about confidentiality.
D. Complete an incident report.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises –
Correct Answer :*B. Tell the nurse to stop discussing the behavior.*
A+ TEST BANK 4
