ATI: Mental Health
Study online at https://quizlet.com/_czpuf6
1. A nurse is admitting a client diag- B.
nosed with posttraumatic stress dis-
order (PTD) to the mental health unit. Stabilizing the client's psychiatric
The client is confused and disoriented. needs with therapy and medica-
When developing a plan of care, which tions will take some time, and
of the following would be the priority therefore this is not the priority.
intervention for this client?
Select one:
a.
Stabilize the client's psychiatric needs.
b.
Accept and make the client feel safe.
c.
Explain unit rules to the client.
d.
Orient the client to the unit.
2. A client diagnosed with schizophre- Ask the client to describe the com-
nia and experiencing frequent audito- ponents of the hallucination.
ry hallucinations is admitted to an in-
patient psychiatric unit. Which of the Do not attempt to convince the
following would be the most effective, client that the hallucination is not
initial strategy for the nurse to imple- real because it is real to the client.
ment? Do not argue with the client or re-
Select one: spond directly to the voices.
a.
Agree with the client that the voices are
audible.
b.
Ask the client to rest in a quiet area
until the voices are gone.
c.
Ask the client to describe the compo-
nents of the hallucination.
d.
Explain to the client that the hallucina-
tion is not real.
3.
, ATI: Mental Health
Study online at https://quizlet.com/_czpuf6
A nurse is caring for an adolescent A.
client who is recovering from a trau-
matic below the knee amputation. The This client is exhibiting avoid-
day after surgery, the client refuses to ance behaviors which are expect-
look at or touch the affected leg. Which ed with a sudden body image
of the following nursing interventions change and should resolve over
would be most beneficial to this client? a period of a few days. It is inap-
Select one: propriate to insist that the client
a. participates in seeing and touch-
Gently examine and redress the stump ing the leg affected leg, especially
without frowning or grimacing. the first day after surgery.
b.
Insist that the client participate in
bathing and examining his affected
leg.
c.
Avoid discussing the amputation until
the client initiates conversation.
d.
Remind the client that full mobility is
possible once fitted for a prosthesis.
4. A nurse is caring for an adolescent d.
client admitted to the nursing unit
three days ago. The client is withdrawn, A popular DVD may be entertain-
unwilling to eat, and does not inter- ing and distracting for the adoles-
act with the staff. The nurse correct- cent, but will not provide support.
ly understands which of the following A better choice would be to en-
would provide the best support for this courage the adolescent to phone
client? a friend.
a.
An opportunity to view a popular DVD.
b.
A call from the client's sibling.
c.
A visit with a parent.
d.
A visit with friends from school.
, ATI: Mental Health
Study online at https://quizlet.com/_czpuf6
5. During a group therapy session on a Ask the client to speak privately
psychiatric unit, the nurse leader ob- with a nurse after the meeting.
serves that one of the clients frequent-
ly interrupts the session. Which of the A therapeutic milieu group aims
following nursing actions is the most to help increase self-esteem, de-
appropriate for this situation? crease social isolation, encour-
Select one: age appropriate social behaviors,
a. and educate clients in basic living
Ask the client to speak privately with a skills. Confronting the client during
nurse after the meeting. the meeting could negatively af-
b. fect self-esteem and increase so-
Discuss this observation during the cial isolation. The behavior needs
post-meeting evaluation. to be addressed, but not in an
c. openly confrontational way.
Encourage another group member to
reprimand the client.
d.
Tell the client that the interrupting be-
havior must be discontinued.
6. A nurse is admitting a client diagnosed Establish trust
with schizophrenia. In order to estab-
lish a therapeutic nurse-client relation- Once the relationship has been
ship with the client, the nurse's initial established the client has a right
actions should include which of the fol- to know that shared information
lowing? will be kept confidential unless
Select one: something is shared that is harm-
a. ful to the client, client threatens
Maintain consistency self-harm, or the client does not
b. intend to follow through with the
Develop a contract treatment plan.
c.
Establish trust
d.
Provide confidentiality
7. A nurse is preparing to discharge an The family is insisting on maintain-
older adult client to the home of a fam- ing financial control for the client.
ily member while recovering from hip
Study online at https://quizlet.com/_czpuf6
1. A nurse is admitting a client diag- B.
nosed with posttraumatic stress dis-
order (PTD) to the mental health unit. Stabilizing the client's psychiatric
The client is confused and disoriented. needs with therapy and medica-
When developing a plan of care, which tions will take some time, and
of the following would be the priority therefore this is not the priority.
intervention for this client?
Select one:
a.
Stabilize the client's psychiatric needs.
b.
Accept and make the client feel safe.
c.
Explain unit rules to the client.
d.
Orient the client to the unit.
2. A client diagnosed with schizophre- Ask the client to describe the com-
nia and experiencing frequent audito- ponents of the hallucination.
ry hallucinations is admitted to an in-
patient psychiatric unit. Which of the Do not attempt to convince the
following would be the most effective, client that the hallucination is not
initial strategy for the nurse to imple- real because it is real to the client.
ment? Do not argue with the client or re-
Select one: spond directly to the voices.
a.
Agree with the client that the voices are
audible.
b.
Ask the client to rest in a quiet area
until the voices are gone.
c.
Ask the client to describe the compo-
nents of the hallucination.
d.
Explain to the client that the hallucina-
tion is not real.
3.
, ATI: Mental Health
Study online at https://quizlet.com/_czpuf6
A nurse is caring for an adolescent A.
client who is recovering from a trau-
matic below the knee amputation. The This client is exhibiting avoid-
day after surgery, the client refuses to ance behaviors which are expect-
look at or touch the affected leg. Which ed with a sudden body image
of the following nursing interventions change and should resolve over
would be most beneficial to this client? a period of a few days. It is inap-
Select one: propriate to insist that the client
a. participates in seeing and touch-
Gently examine and redress the stump ing the leg affected leg, especially
without frowning or grimacing. the first day after surgery.
b.
Insist that the client participate in
bathing and examining his affected
leg.
c.
Avoid discussing the amputation until
the client initiates conversation.
d.
Remind the client that full mobility is
possible once fitted for a prosthesis.
4. A nurse is caring for an adolescent d.
client admitted to the nursing unit
three days ago. The client is withdrawn, A popular DVD may be entertain-
unwilling to eat, and does not inter- ing and distracting for the adoles-
act with the staff. The nurse correct- cent, but will not provide support.
ly understands which of the following A better choice would be to en-
would provide the best support for this courage the adolescent to phone
client? a friend.
a.
An opportunity to view a popular DVD.
b.
A call from the client's sibling.
c.
A visit with a parent.
d.
A visit with friends from school.
, ATI: Mental Health
Study online at https://quizlet.com/_czpuf6
5. During a group therapy session on a Ask the client to speak privately
psychiatric unit, the nurse leader ob- with a nurse after the meeting.
serves that one of the clients frequent-
ly interrupts the session. Which of the A therapeutic milieu group aims
following nursing actions is the most to help increase self-esteem, de-
appropriate for this situation? crease social isolation, encour-
Select one: age appropriate social behaviors,
a. and educate clients in basic living
Ask the client to speak privately with a skills. Confronting the client during
nurse after the meeting. the meeting could negatively af-
b. fect self-esteem and increase so-
Discuss this observation during the cial isolation. The behavior needs
post-meeting evaluation. to be addressed, but not in an
c. openly confrontational way.
Encourage another group member to
reprimand the client.
d.
Tell the client that the interrupting be-
havior must be discontinued.
6. A nurse is admitting a client diagnosed Establish trust
with schizophrenia. In order to estab-
lish a therapeutic nurse-client relation- Once the relationship has been
ship with the client, the nurse's initial established the client has a right
actions should include which of the fol- to know that shared information
lowing? will be kept confidential unless
Select one: something is shared that is harm-
a. ful to the client, client threatens
Maintain consistency self-harm, or the client does not
b. intend to follow through with the
Develop a contract treatment plan.
c.
Establish trust
d.
Provide confidentiality
7. A nurse is preparing to discharge an The family is insisting on maintain-
older adult client to the home of a fam- ing financial control for the client.
ily member while recovering from hip
