Ati Mental Health Cms Exam With 80 Questions & Corret
Answers
A nurse is admitting a client in the emergency department for an intentional
overdose of opioids. The client state, "I feel so alone. No one can help me." Which
of the following responses by the nurse is therapeutic?
A. "Let's finish your admission and then talk about your feelings."
B. "How come you feel that no one can help you when you are receiving help
now?"
C. "Why do you feel that no one can help you?"
D. "I would like to sit and talk with you." - ANSWER-D
A nurse is caring for a client whose adolescent child died in a motor-vehicle crash.
The client is crying inconsolably. Which of the following actions should the nurse
take?
A. Suggest that the client call the facility's chaplain.
B. Provide a quiet place for the client to be alone.
C. Stay with the client and allow the client to cry.
D. Express sympathy for the client's loss. - ANSWER-C
A nurse is caring for a client who has a new diagnosis of colon cancer. Shortly
after the client receives the diagnosis, the nurse enters the client's 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?
,A. Denial
B. Displacement
C. Reaction formation
D. Projection - ANSWER-B
A nurse is caring for a client who 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?
A. Somatic
B. Reference
C. Persecutory
D. Grandiose - ANSWER-A
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?
A. Denial
B. Identification
C. Introjection
D. Sublimation - ANSWER-A
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?
, A. "I hate being so helpless. I can't even manage my own finances anymore."
B. "At group therapy today I wanted to leave. I didn't feeling like being with other
people."
C. "I have it all figured out. Everything is going to be okay now."
D. "I don't feel like showering. I'd rather just stay in bed today." - ANSWER-C
A nurse is administering an oral sedative to a client who is receiving care
following an involuntary admission. The client states, "I'm not taking any more
medication." Which of the following actions should the nurse take?
A. Administer the medication by another route.
B. Refer the client's refusal to the facility's ethics committee.
C. Inform the client that, due to her involuntary admission, she cannot refuse a
sedative.
D. Document the client's refusal of the medication in the medical record. -
ANSWER-D
A nurse enters a client's room and observes that the client is agitated and pacing
rapidly. The client looks at the nurse and says, "Back off. Leave me alone." Which
of the following statements should the nurse make?
A. "I demand that you calm down now. Your behavior is unacceptable."
B. "I will close the door to provide privacy, and you can tell me what is bothering
you."
C. "I will give you space if you calm down. Tell me what is causing you to feel so
tense."
D. "I will leave you alone for a few minutes while you try to control yourself." -
ANSWER-C
Answers
A nurse is admitting a client in the emergency department for an intentional
overdose of opioids. The client state, "I feel so alone. No one can help me." Which
of the following responses by the nurse is therapeutic?
A. "Let's finish your admission and then talk about your feelings."
B. "How come you feel that no one can help you when you are receiving help
now?"
C. "Why do you feel that no one can help you?"
D. "I would like to sit and talk with you." - ANSWER-D
A nurse is caring for a client whose adolescent child died in a motor-vehicle crash.
The client is crying inconsolably. Which of the following actions should the nurse
take?
A. Suggest that the client call the facility's chaplain.
B. Provide a quiet place for the client to be alone.
C. Stay with the client and allow the client to cry.
D. Express sympathy for the client's loss. - ANSWER-C
A nurse is caring for a client who has a new diagnosis of colon cancer. Shortly
after the client receives the diagnosis, the nurse enters the client's 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?
,A. Denial
B. Displacement
C. Reaction formation
D. Projection - ANSWER-B
A nurse is caring for a client who 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?
A. Somatic
B. Reference
C. Persecutory
D. Grandiose - ANSWER-A
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?
A. Denial
B. Identification
C. Introjection
D. Sublimation - ANSWER-A
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?
, A. "I hate being so helpless. I can't even manage my own finances anymore."
B. "At group therapy today I wanted to leave. I didn't feeling like being with other
people."
C. "I have it all figured out. Everything is going to be okay now."
D. "I don't feel like showering. I'd rather just stay in bed today." - ANSWER-C
A nurse is administering an oral sedative to a client who is receiving care
following an involuntary admission. The client states, "I'm not taking any more
medication." Which of the following actions should the nurse take?
A. Administer the medication by another route.
B. Refer the client's refusal to the facility's ethics committee.
C. Inform the client that, due to her involuntary admission, she cannot refuse a
sedative.
D. Document the client's refusal of the medication in the medical record. -
ANSWER-D
A nurse enters a client's room and observes that the client is agitated and pacing
rapidly. The client looks at the nurse and says, "Back off. Leave me alone." Which
of the following statements should the nurse make?
A. "I demand that you calm down now. Your behavior is unacceptable."
B. "I will close the door to provide privacy, and you can tell me what is bothering
you."
C. "I will give you space if you calm down. Tell me what is causing you to feel so
tense."
D. "I will leave you alone for a few minutes while you try to control yourself." -
ANSWER-C
