ATI RN 3.0 Mental Health 1

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? Denial A nurse is caring for a client called mental health counseling center. The client received a failing grade in the course and spends entire counseling session blaming the teacher. The nurse should recognize this behavior as example of which of the following defense mechanisms? Projection A nurse at a college campus health clinic is caring for a client who reports manifestations of bulimia nervosa. The " You are feeling helpless about changing this behavior?" 10/31/25, 4:35 PM ATI RN 3.0 Mental Health 1 / 2/1 3 client tells the nurse, " I know my eating binges and vomiting are not normal, but I cannot control it." Which of the following responses should the nurse make? A nurse is preparing to administer fluphenazine decanoate 12.5 mg subcutaneous. available is fluphenazine decanoate 25 mg/mL. How many mL should the nurse administer per dose? 0.5 A nurse is providing support for the parents of a child has a new diagnosis of a terminal brain tumor. The nurse should expect the parents to experience which of the following stages of grief? Denial A nurse is caring for a client who has depression. The nurse observes that the client has not come to breakfast and is still in bed. The client states, " I'm not worth your time. Leave me alone and go help someone else." which of the following responses should the nurse make? " In other words, you seem to be saying that you feel unworthy of help." 10/31/25, 4:35 PM ATI RN 3.0 Mental Health 1 / 3/1 3 A nurse is caring for a client 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? Somatic A nurse is establishing a therapeutic relationship with a client who has hallucinations. Which of the following actions should the nurse take during the orientation phase? Identify the clients perception of the reason for therapy. A nurse is assessing a client who has anorexia nervosa. The nurse should expect the client to display which of the following characteristics? Possesses feelings of decreased self-worth A nurse is planning reminiscence therapy for an older adult client. The nurse should identify which of the following goals for the client's therapy? The client will gain increased self-esteem. A nurse is caring for a client who reminds her of a negative person in her past. These memories cause the nurse to unconsciously displace negative feelings towards Countertransference 10/31/25, 4:35 PM ATI RN 3.0 Mental Health 1 / 4/1 3 the client. The nurse should recognize that she is demonstrating which of the following behaviors? A nurse is caring for a client has a new diagnosis of colon cancer. Shortly after the client received the diagnosis, the nurse enters the clients 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? Displacement 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? " I have it all figured out. Everything is going to be okay now." A nurse in an emergency department is caring for a female client who has ecchymosis of the trunk and face. The client reports that her partner hit her, causing the injuries. When offered " The next time this occurs, what make you do that ensure your safety?" 10/31/25, 4:35 PM ATI RN 3.0 Mental Health 1 / 5/1 3 information about shelters for intimate partner violence, the client declines, stating, " I could never leave my husband because of my kids." Which of the following responses should the nurse make? A nurse is performing a mental health status assessment on an older adult client who has dementia. Which of the following questions should the nurse is ask to assess the client's remote memory? " What year did you graduate from high school?" A nurse in the pediatric emergency department is caring for four clients. The nurse should suspect possible abuse with which of the following clients? A 9 month old infant who reportedly nearly drowned after climbing into the tub and turning on the water A nurse is conducting a counseling session with a client who has a substance use disorder. The client repeatedly ask personal questions about the nurse. Which of the following actions should the nurse take? Explain that this time is designated to focus on the client. 10/31/25, 4:35 PM ATI RN 3.0 Mental Health 1 / 6/1 3 A nurse is preparing to apply restaurants on a client who is threatening to harm others and has not responded to lessen case of interventions. Which of the following actions should the nurse plan to take? Document the clients behavior every 15 minutes while restraints are in place. Community mental health nurse is planning strategies to address substance use my adolescence. Which of the following intervention should the nurse plan as a method of primary prevention?Community mental health nurse is planning strategies to address substance use my adolescence. Which of the following intervention should the nurse plan as a method of primary prevention? Provide a presentation at area high school's and resisting peer pressure for substance use. A nurse in an emergency department is caring for an 18 month old toddler who has a fractured left femur. What is the long statement by the toddler's parent should cause the nurse to suspect child abuse? "My child was riding a bicycle and fell off." 10/31/25, 4:35 PM ATI RN 3.0 Mental Health 1 / 7/1 3 A nurse is administering an oral sedative to a client who is receiving careful and involuntary admission. The client states, " I'm not taking any more medication." Which of the following actions should the nurse take? Document the client refusal of the medication in the medical record. A nurse is caring for a school age client who begins wetting the bed after finding out her parents are getting a divorce. The nurse should identify the client is exhibiting which is a fine defense mechanisms? Regression A nurse is assessing a client who is experiencing moderate level anxiety. Which of the following findings should the nurse expect? The client has difficulty concentrating A nurse is caring for a client who has borderline personality disorder. The nurse enters the clients room and find the client cutting into his flash with a paper clip. After providing first aid, which of the following actions should the nurse take first? Identify the clients feelings that lead to the south injurious behavior. 10/31/25, 4:35 PM ATI RN 3.0 Mental Health 1 / 8/1 3 A nurse is caring for a client who attempted suicide and refuses to sign a no-suicide contract.Which of the following actions should the nurse take when implementing suicide precautions? Place the client on one-to-one observation. A nurse is caring for a client who is adolescent child died in a motor vehicle crash. The client is crying inconsolably. Which is the following actions should the nurse take? Stay with the client and allow the client to cry.