340 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises - D. Monitor the
client for adverse effects of medications.
Assisting with systematic desensitization therapy is a cognitive
and behavioral. Teaching appropriate coping mechanisms is a
counseling or health teaching.
Assessing for comorbid health conditions is health promotion and maintenance.
D. Monitoring for adverse effects of medications is an example of a psychobiological
intervention.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
A nurse in an outpatient mental health clinic is preparing to conduct an initial client
interview. When conducting the interview, which of the following is the highest priority
action?
A. Respect the client's need for personal space.
B. Identify the client's perception of her mental health status.
C. Include the client's family in the interview.
D. Teach the client about her current mental health disorder.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises - *B. Identify the
client's perception of her mental health status.*
,A. Appropriate, but not highest priority.
B. Assessment is the priority action when taking the nursing process approach.
Identifying the client's perception of her mental health status provides important
information about the client's psychosocial history.
C. Appropriate, but not highest priority.
D. Appropriate, but not highest priority.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
A nurse is told during change-of-shift report that a client is stuporous. When
assessing the client, which of the following is an expected finding?
A. The client arouses briefly in response to a sternal rib.
B. The client has a Glasgow Coma Scale score less than 7.
C. The client exhibits decorticate rigidity.
D. The client is alert but disoriented to time and place.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises - *A. The client
arouses briefly in response to a sternal rib.*
A. A client who is stuporous requires vigorous or painful stimuli to elicit a response.
B. <7 on GCS indicates comatose, not stuporous, level of consciousness.
C. Abnormal posturing = comatose.
D. Stuporous /= alert.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
,A nurse is planning a peer group discussion about the Diagnostic and Statistical
Manual of Mental Disorders, 5th Edition (DSM-5). Which of the following is
appropriate to include in the discussion? (SATA)
A. The DSM-5 is used to identify mental health disorders.
B. The DSM-5 establishes diagnostic criteria.
C. The DSM-5 indicates recommended pharmacological treatment.
D. The DSM-5 assists nurses in planning care.
E. The DSM-5 indicates expected assessment findings.
ATI RN Mental Health Nursing - A, B, D, E.
The DSM-5 is used as a diagnostic tool, establishes diagnostic criteria, used by nurses
to plan, implement, and evaluate care, and identifies expected findings for mental
health disorders.
It does not indicate pharmacological treatment.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
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.
ATI RN Mental Health Nursing Modules Ch. 2 Application Ex - 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.