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ATI NCLEX Review Mental Health
1. a nurse is assessing the health status of an older adult client. although
the client denies a problem, the caregiver explains that the client is alert
and oriented by consistently has an unkept appearance, body odor, and
soiled clothing. the nurse understands that the client's behavior is likely
related to which of the following?
a. restricting activities in response to disease symptoms
b. manifesting typical early symptoms of delirium
c. exhibiting evidence of asymptomatic pathology
d. experiencing side effects from a med - -CORRECT ANSWER--✔️a.
2. during an assessment, an adolescent whispers to the nurse "I have to
tell you something, but you have to promise you won't tell anyone else."
which of the following is the most appropriate response for the nurse to
make?
a. I fell that you should share this with your parents first
b. what is said in this room stays in this room
c. i am bound by the nurse-client relationship to keep your comments
private
d. i cannot make that promise if it affects you or someone else's safety -
-CORRECT ANSWER--✔️d.
3. a nurse is caring for a terminally ill client of the muslim faith and
observes the client to be unconscious and having Cheyne-stokes
respirations. the family has repositioned the bed so that the client is on
the right side facing toward the wall. the nurse does not question this
action because of which of the following?
1
, 2
a. the religious practice of concealing the face of the dying client should
be supported
b. this positioning has religious significance for the client and family
c. the nurse should support the family in their efforts to make the client
comfortable
d. this positioning is preferred for a client with respiratory distress - -
CORRECT ANSWER--✔️b.
4. a nurse is admitting a client diagnosed with PTSD to the mental health
unit. the client is confused and disoriented. when developing a plan of
care, which of the following would be the priority intervention for this
client?
a. explain unit rules to client
b. stabilize the client's psychiatric needs
c. orient the client to the unit
d. accept and make the client feel safe - -CORRECT ANSWER--✔️d.
5. the nurse is assessing the family dynamics of a widow with end stage
terminal cancer. which statement made between the adult children
would best indicate the need for further teaching?
a. the doctors have told us that it is time for us to make some tough
decisions
b. if daddy were alive, he would be making these hard decisions, not us
c. since you are the oldest child, you have the responsibility to decide
d. it does not matter what we think, the living will says DNR - -CORRECT
ANSWER--✔️d.
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ATI NCLEX Review Mental Health
1. a nurse is assessing the health status of an older adult client. although
the client denies a problem, the caregiver explains that the client is alert
and oriented by consistently has an unkept appearance, body odor, and
soiled clothing. the nurse understands that the client's behavior is likely
related to which of the following?
a. restricting activities in response to disease symptoms
b. manifesting typical early symptoms of delirium
c. exhibiting evidence of asymptomatic pathology
d. experiencing side effects from a med - -CORRECT ANSWER--✔️a.
2. during an assessment, an adolescent whispers to the nurse "I have to
tell you something, but you have to promise you won't tell anyone else."
which of the following is the most appropriate response for the nurse to
make?
a. I fell that you should share this with your parents first
b. what is said in this room stays in this room
c. i am bound by the nurse-client relationship to keep your comments
private
d. i cannot make that promise if it affects you or someone else's safety -
-CORRECT ANSWER--✔️d.
3. a nurse is caring for a terminally ill client of the muslim faith and
observes the client to be unconscious and having Cheyne-stokes
respirations. the family has repositioned the bed so that the client is on
the right side facing toward the wall. the nurse does not question this
action because of which of the following?
1
, 2
a. the religious practice of concealing the face of the dying client should
be supported
b. this positioning has religious significance for the client and family
c. the nurse should support the family in their efforts to make the client
comfortable
d. this positioning is preferred for a client with respiratory distress - -
CORRECT ANSWER--✔️b.
4. a nurse is admitting a client diagnosed with PTSD to the mental health
unit. the client is confused and disoriented. when developing a plan of
care, which of the following would be the priority intervention for this
client?
a. explain unit rules to client
b. stabilize the client's psychiatric needs
c. orient the client to the unit
d. accept and make the client feel safe - -CORRECT ANSWER--✔️d.
5. the nurse is assessing the family dynamics of a widow with end stage
terminal cancer. which statement made between the adult children
would best indicate the need for further teaching?
a. the doctors have told us that it is time for us to make some tough
decisions
b. if daddy were alive, he would be making these hard decisions, not us
c. since you are the oldest child, you have the responsibility to decide
d. it does not matter what we think, the living will says DNR - -CORRECT
ANSWER--✔️d.
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