ATI RN Mental Health Nursing
1. A nurse assesses a client at a network mental clinic using the SAD PERSONS tool. The
nurse is aware of that this tool affords which of the subsequent information related to a
purchaser?
A.Current anxiety degree
B.Problem-fixing ability
C.Suicide capacity
D.Mood disturbance - ANS-C
A.INCORRECT: SAD PERSONS is not a device to provide facts related to the patron's
modern tension degree.
B.INCORRECT: SAD PERSONS is not a device to offer information associated with a
consumer's capability to problem solve.
C.CORRECT: SAD PERSONS is a tool that provides information associated with a
purchaser's suicide ability.
D.INCORRECT: SAD PERSONS does now not offer statistics associated with a client's
mood disturbance.
NCLEX® Connection: Psychosocial Integrity, Crisis Intervention
1. A nurse is helping the parents of a faculty-age toddler who has oppositional defiant
disease in figuring out techniques to sell advantageous conduct. Which of the following is the
correct approach for the nurse to recommend? (Select all that observe.)
A.Allow the kid to choose outcomes for terrible behavior.
B.Use role gambling to act out unacceptable conduct.
C.Develop a reward device for desirable conduct.
D.Encourage the kid to take part in faculty sports.
E.Be regular when addressing unacceptable conduct. - ANS-C, D, E
A.IncOrrEct: The parents must set clean limits on unacceptable behavior.
B.IncOrrEct: The parents should recognition on appropriate behavior and need to display
this via modeling.
C.CORRECT: The mother and father must have a method to praise the child for suited
behavior.
D.CORRECT: The parents have to inspire bodily hobby through which the child can use
electricity and acquire fulfillment.
E.CORRECT: The parents should set clear limits on unacceptable behavior and have to be
regular.
NCLEX® Connection: Psychosocial Integrity, Behavioral Interventions
1. A nurse supervisor is discussing the care of a client who has a persona disorder with a
newly licensed nurse. Which of the subsequent statements with the aid of the newly licensed
nurse suggests a want for in addition coaching?
A."I can sell my patron's sense of manage with the aid of organising a schedule."
,B."Self-evaluation will help me deal with emotional reactions to consumer care."
C."I should exercise restrict-setting to help prevent client manipulation."
D."Maintaining professional obstacles is a concern of customer care." - ANS-A
1. A. CoRRECT: Rather than establishing a agenda, the nurse need to ask for the client's
enter and offer realistic picks to promote the client's feel of manipulate.
B. InCorrECt: Caring for a consumer who has a character sickness can evoke an extreme
emotional response via the nurse. Self-evaluation assists the nurse to deal with these
reactions.
C. InCorrECt: When being concerned for a client who has a character disorder, limit-placing
is suitable to assist save you consumer manipulation.
D. InCorrECt: When being concerned for a customer who has a character sickness, the
nurse ought to usually hold expert limitations.
NCLEX® Connection: Psychosocial Integrity, Behavioral Interventions
2. A consumer says, "I plan to commit suicide." Which of the following have to be the nurse's
precedence evaluation?
A.Client's academic and financial background
B.Lethality of the technique and availability of means
C.Quality of the consumer's social assist
D.Client's perception into the motives for the decision - ANS-B
A.INCORRECT: This is the correct motion by the nurse. However, it isn't always the concern.
B.CORRECT: The greatest danger to the consumer is self-damage due to wearing out a
suicide plan. Therefore, the priority assessment is to decide how deadly the technique is,
how available the approach is, and the way specified the plan is.
C.INCORRECT: This is the suitable movement by using the nurse. However, it is not the
priority.
D.INCORRECT: This is the perfect movement by using the nurse. However, it is not the
priority.
NCLEX® Connection: Psychosocial Integrity, Crisis Intervention
2. A nurse is worrying for a customer who has avoidant personality disease. Which of the
following statements is predicted from a customer who has this kind of character sickness?
A."I'm scared that you are going to go away me."
B. "I'll go to organization therapy if you will let me smoke."
C."I want to sense that everyone admires me."
D."I on occasion sense higher if I reduce myself." - ANS-A
A. CoRRECT: Clients who have avoidant persona sickness regularly have a fear of
abandonment. Therefore, this form of declaration is predicted.
B. InCorrECt: This statement shows manipulation, which is not anticipated from a consumer
who has borderline instead of avoidant character ailment.
C. InCorrECt: This declaration suggests a want for admiration, which is predicted from a
purchaser who has narcissistic rather than avoidant character disease.
D. InCorrECt: This declaration suggests a chance for self-injury, which is anticipated from a
client who has borderline in preference to avoidant personality disease.
NCLEX® Connection: Psychosocial Integrity, Mental Health Concepts
,2. A nurse is discussing free association as a therapeutic device with a purchaser who has
predominant depressive disease. Which of the subsequent customer statements indicates
information of this approach?
A. "I will write down my dreams as quickly as I awaken."
B. "I may also begin to companion my therapists with crucial human beings in my life."
C. "I can discover ways to specific myself in a nonaggressive way."
D. "This therapy will cope with my conscious emotions approximately disturbing
experiences."
ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises - ANS-D:
Free affiliation is the spontaneous, uncensored verbalization of whatever comes to the
consumer's thoughts.
ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises
2. A nurse is appearing an admission evaluation on a teen consumer who has despair.
Which of the following is an anticipated locating? (Select all that apply.)
A.Fear of being on my own
B.Substance use
C.Weight gain
D.Irritability
E.Aggressiveness - ANS-B, D, E
A.IncOrrEct: Solitary play or work, in place of the concern of being by myself, is an expected
finding related to despair.
B.CORRECT: Substance use is an expected locating associated with depression.
C.IncOrrEct: Loss of appetite and weight loss, no longer weight gain, are anticipated findings
related to depression.
D.CORRECT: Irritability is an predicted locating associated with melancholy.
E.CORRECT: Aggressiveness is an predicted finding associated with melancholy.
NCLEX® Connection: Psychosocial Integrity, Mental Health Concepts
three. A charge nurse is making ready a team of workers education session on character
disorders. Which of the subsequent should be protected as persona traits associated with all
the character disorders? (Select all that observe.)
A.Difficulty in getting in conjunction with other members of a collection
B.Belief inside the capability to turn out to be invisible at some stage in times of stress
C.Display of defense mechanisms whilst workouts are modified
D. Claiming to be more vital than other individuals
E.Difficulty knowledge why it's far irrelevant to have a private relationship with group of
workers - ANS-A, C, E
A. CoRRECT: Difficulty with social and professional relationships is a personality function
that can be seen with all character disease kinds.
B. InCorrECt: Clients who have schizotypal personality ailment may display magical
wondering or delusions; but, this is not associated with all persona ailment kinds.
, C. CoRRECT: Maladaptive response to stress is a character characteristic that can be visible
with all character disorder kinds.
D.InCorrECt: Clients who've narcissistic persona sickness may additionally display
grandiose wondering; but, this isn't always related to all persona ailment kinds.
E. CoRRECT: Difficulty expertise non-public boundaries is a personality characteristic that
may be visible with all personality disease sorts.
NCLEX® Connection: Psychosocial Integrity, Mental Health Concepts
3. A nurse is assessing a purchaser who's suicidal. Which of the subsequent is appropriate
for the nurse to ask the client? (Select all that practice.)
A.Do you have got a plan?
B.Have you notion about hurting your self?
C.Do you sense that lifestyles isn't always well worth dwelling?
D.Why do you want to devote suicide?
E.Have you experienced a current alternate for your temper? - ANS-A, B, C
A.CORRECT: It is vital to invite the purchaser if they have a plan.
B.CORRECT: The nurse need to ask the purchaser about thoughts of hurting herself.
C.CORRECT: This is the ideal query for nurse to invite a purchaser who's suicidal.
D.INCORRECT: This is a nontherapeutic response. "Why" questions should be prevented
due to the fact they will reason the purchaser to be protecting.
E.CORRECT: This is the perfect query for the nurse to ask a patron who is suicidal.
NCLEX® Connection: Psychosocial Integrity, Crisis Intervention
3. A nurse running in a pediatric hospital is worrying for a preschool-age infant who has a
brand new diagnosis of ADHD. When teaching the figure approximately this ailment, which
of the following statements must the nurse include in the teaching?
A."Behaviors related to ADHD should be gift prior to age 3."
B."This ailment is characterized by using argumentativeness."
C."Below-average highbrow functioning is related to ADHD."
D."Because of this ailment, your toddler is at an multiplied chance for injury." - ANS-D
A.IncOrrEct: Behaviors associated with ADHD ought to be present before the age of 12.
B.IncOrrEct: Argumentativeness is related to oppositional defiant disorder as opposed to
ADHD.
C.IncOrrEct: Below-common highbrow functioning is associated with intellectual
developmental sickness as opposed to ADHD.
D.CORRECT: Inattentive or impulsive behavior increases the threat for injury in a toddler
who has ADHD.
NCLEX® Connection: Safety and Infection Control, Accident/Error/Injury Prevention
four. A nurse is worrying for a customer who has borderline character disease. The customer
says, "The nurse at the night shift is continually fine! You are the meanest nurse ever!" The
nurse need to recognize the client's assertion as an example of which of the following
protection mechanisms?
A.Regression
B.Splitting
C.Undoing
1. A nurse assesses a client at a network mental clinic using the SAD PERSONS tool. The
nurse is aware of that this tool affords which of the subsequent information related to a
purchaser?
A.Current anxiety degree
B.Problem-fixing ability
C.Suicide capacity
D.Mood disturbance - ANS-C
A.INCORRECT: SAD PERSONS is not a device to provide facts related to the patron's
modern tension degree.
B.INCORRECT: SAD PERSONS is not a device to offer information associated with a
consumer's capability to problem solve.
C.CORRECT: SAD PERSONS is a tool that provides information associated with a
purchaser's suicide ability.
D.INCORRECT: SAD PERSONS does now not offer statistics associated with a client's
mood disturbance.
NCLEX® Connection: Psychosocial Integrity, Crisis Intervention
1. A nurse is helping the parents of a faculty-age toddler who has oppositional defiant
disease in figuring out techniques to sell advantageous conduct. Which of the following is the
correct approach for the nurse to recommend? (Select all that observe.)
A.Allow the kid to choose outcomes for terrible behavior.
B.Use role gambling to act out unacceptable conduct.
C.Develop a reward device for desirable conduct.
D.Encourage the kid to take part in faculty sports.
E.Be regular when addressing unacceptable conduct. - ANS-C, D, E
A.IncOrrEct: The parents must set clean limits on unacceptable behavior.
B.IncOrrEct: The parents should recognition on appropriate behavior and need to display
this via modeling.
C.CORRECT: The mother and father must have a method to praise the child for suited
behavior.
D.CORRECT: The parents have to inspire bodily hobby through which the child can use
electricity and acquire fulfillment.
E.CORRECT: The parents should set clear limits on unacceptable behavior and have to be
regular.
NCLEX® Connection: Psychosocial Integrity, Behavioral Interventions
1. A nurse supervisor is discussing the care of a client who has a persona disorder with a
newly licensed nurse. Which of the subsequent statements with the aid of the newly licensed
nurse suggests a want for in addition coaching?
A."I can sell my patron's sense of manage with the aid of organising a schedule."
,B."Self-evaluation will help me deal with emotional reactions to consumer care."
C."I should exercise restrict-setting to help prevent client manipulation."
D."Maintaining professional obstacles is a concern of customer care." - ANS-A
1. A. CoRRECT: Rather than establishing a agenda, the nurse need to ask for the client's
enter and offer realistic picks to promote the client's feel of manipulate.
B. InCorrECt: Caring for a consumer who has a character sickness can evoke an extreme
emotional response via the nurse. Self-evaluation assists the nurse to deal with these
reactions.
C. InCorrECt: When being concerned for a client who has a character disorder, limit-placing
is suitable to assist save you consumer manipulation.
D. InCorrECt: When being concerned for a customer who has a character sickness, the
nurse ought to usually hold expert limitations.
NCLEX® Connection: Psychosocial Integrity, Behavioral Interventions
2. A consumer says, "I plan to commit suicide." Which of the following have to be the nurse's
precedence evaluation?
A.Client's academic and financial background
B.Lethality of the technique and availability of means
C.Quality of the consumer's social assist
D.Client's perception into the motives for the decision - ANS-B
A.INCORRECT: This is the correct motion by the nurse. However, it isn't always the concern.
B.CORRECT: The greatest danger to the consumer is self-damage due to wearing out a
suicide plan. Therefore, the priority assessment is to decide how deadly the technique is,
how available the approach is, and the way specified the plan is.
C.INCORRECT: This is the suitable movement by using the nurse. However, it is not the
priority.
D.INCORRECT: This is the perfect movement by using the nurse. However, it is not the
priority.
NCLEX® Connection: Psychosocial Integrity, Crisis Intervention
2. A nurse is worrying for a customer who has avoidant personality disease. Which of the
following statements is predicted from a customer who has this kind of character sickness?
A."I'm scared that you are going to go away me."
B. "I'll go to organization therapy if you will let me smoke."
C."I want to sense that everyone admires me."
D."I on occasion sense higher if I reduce myself." - ANS-A
A. CoRRECT: Clients who have avoidant persona sickness regularly have a fear of
abandonment. Therefore, this form of declaration is predicted.
B. InCorrECt: This statement shows manipulation, which is not anticipated from a consumer
who has borderline instead of avoidant character ailment.
C. InCorrECt: This declaration suggests a want for admiration, which is predicted from a
purchaser who has narcissistic rather than avoidant character disease.
D. InCorrECt: This declaration suggests a chance for self-injury, which is anticipated from a
client who has borderline in preference to avoidant personality disease.
NCLEX® Connection: Psychosocial Integrity, Mental Health Concepts
,2. A nurse is discussing free association as a therapeutic device with a purchaser who has
predominant depressive disease. Which of the subsequent customer statements indicates
information of this approach?
A. "I will write down my dreams as quickly as I awaken."
B. "I may also begin to companion my therapists with crucial human beings in my life."
C. "I can discover ways to specific myself in a nonaggressive way."
D. "This therapy will cope with my conscious emotions approximately disturbing
experiences."
ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises - ANS-D:
Free affiliation is the spontaneous, uncensored verbalization of whatever comes to the
consumer's thoughts.
ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises
2. A nurse is appearing an admission evaluation on a teen consumer who has despair.
Which of the following is an anticipated locating? (Select all that apply.)
A.Fear of being on my own
B.Substance use
C.Weight gain
D.Irritability
E.Aggressiveness - ANS-B, D, E
A.IncOrrEct: Solitary play or work, in place of the concern of being by myself, is an expected
finding related to despair.
B.CORRECT: Substance use is an expected locating associated with depression.
C.IncOrrEct: Loss of appetite and weight loss, no longer weight gain, are anticipated findings
related to depression.
D.CORRECT: Irritability is an predicted locating associated with melancholy.
E.CORRECT: Aggressiveness is an predicted finding associated with melancholy.
NCLEX® Connection: Psychosocial Integrity, Mental Health Concepts
three. A charge nurse is making ready a team of workers education session on character
disorders. Which of the subsequent should be protected as persona traits associated with all
the character disorders? (Select all that observe.)
A.Difficulty in getting in conjunction with other members of a collection
B.Belief inside the capability to turn out to be invisible at some stage in times of stress
C.Display of defense mechanisms whilst workouts are modified
D. Claiming to be more vital than other individuals
E.Difficulty knowledge why it's far irrelevant to have a private relationship with group of
workers - ANS-A, C, E
A. CoRRECT: Difficulty with social and professional relationships is a personality function
that can be seen with all character disease kinds.
B. InCorrECt: Clients who have schizotypal personality ailment may display magical
wondering or delusions; but, this is not associated with all persona ailment kinds.
, C. CoRRECT: Maladaptive response to stress is a character characteristic that can be visible
with all character disorder kinds.
D.InCorrECt: Clients who've narcissistic persona sickness may additionally display
grandiose wondering; but, this isn't always related to all persona ailment kinds.
E. CoRRECT: Difficulty expertise non-public boundaries is a personality characteristic that
may be visible with all personality disease sorts.
NCLEX® Connection: Psychosocial Integrity, Mental Health Concepts
3. A nurse is assessing a purchaser who's suicidal. Which of the subsequent is appropriate
for the nurse to ask the client? (Select all that practice.)
A.Do you have got a plan?
B.Have you notion about hurting your self?
C.Do you sense that lifestyles isn't always well worth dwelling?
D.Why do you want to devote suicide?
E.Have you experienced a current alternate for your temper? - ANS-A, B, C
A.CORRECT: It is vital to invite the purchaser if they have a plan.
B.CORRECT: The nurse need to ask the purchaser about thoughts of hurting herself.
C.CORRECT: This is the ideal query for nurse to invite a purchaser who's suicidal.
D.INCORRECT: This is a nontherapeutic response. "Why" questions should be prevented
due to the fact they will reason the purchaser to be protecting.
E.CORRECT: This is the perfect query for the nurse to ask a patron who is suicidal.
NCLEX® Connection: Psychosocial Integrity, Crisis Intervention
3. A nurse running in a pediatric hospital is worrying for a preschool-age infant who has a
brand new diagnosis of ADHD. When teaching the figure approximately this ailment, which
of the following statements must the nurse include in the teaching?
A."Behaviors related to ADHD should be gift prior to age 3."
B."This ailment is characterized by using argumentativeness."
C."Below-average highbrow functioning is related to ADHD."
D."Because of this ailment, your toddler is at an multiplied chance for injury." - ANS-D
A.IncOrrEct: Behaviors associated with ADHD ought to be present before the age of 12.
B.IncOrrEct: Argumentativeness is related to oppositional defiant disorder as opposed to
ADHD.
C.IncOrrEct: Below-common highbrow functioning is associated with intellectual
developmental sickness as opposed to ADHD.
D.CORRECT: Inattentive or impulsive behavior increases the threat for injury in a toddler
who has ADHD.
NCLEX® Connection: Safety and Infection Control, Accident/Error/Injury Prevention
four. A nurse is worrying for a customer who has borderline character disease. The customer
says, "The nurse at the night shift is continually fine! You are the meanest nurse ever!" The
nurse need to recognize the client's assertion as an example of which of the following
protection mechanisms?
A.Regression
B.Splitting
C.Undoing
