ATI Mental Health Exam #1 Questions

A charge nurse in discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all) a. "To assess cognitive ability, I should ask the client to count backward from sevens" b. "To asses affect, I should observe the client's facial expressions" c. "To assess language ability, I should instruct the client to write a sentence" d. "To assess remote memory, I should have the c - a, b, c A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention? a. assist the client with systematic desensitization therapy b. teach the client appropriate coping mechanisms c. assess the client for comorbid health conditions d. monitor the client for adverse effects of medications - d A nurse in an outpatient mental health clinical is preparing to conduct an initial client interview. when conducting the interview, which of the following actions should the nurse identify as the priority? a. coordinate holistic care with social services b. identify the client's perception of their mental health status c. include the clients family in the interview d. teach the client about their current mental health disorder - b A nurse is planning a peer group discussion about the DSM-5. Which of the following information is appropriate to include in the discussion? (Select all) a. the DSM-5 includes client education handouts for mental health disorders b. the DSM-5 establishes diagnostic criteria for individual mental health disorders c. the DSM-5 indicates recommended pharmacological treatment for mental health disorders d. the DSM-5 assists nurses in planning care for client's who have mental health disorder - b, c, e A nurse in an emergency mental health facility is caring for a group of clients. The nurse should identify that which of the following clients requires a temporary emergency admission? a. a client who has schizophrenia with delusions of grandeur b. a client who has manifestations of depression and attempted suicide a year ago c. a client who has borderline personality disorder and assaulted a homeless man with a metal rod d. a client who has bipolar disorder and paces quickly around the - c A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very-short staffed, and the client frequently fights with other clients. The nurse's actions are an example of which of the following torts? a. invasion of privacy b. false imprisonment c. assault d. battery - b A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in order to protect myself from my roommate, who is always threatening me." Which of the following actions should the nurse take? a. keep the client's communication confidential, but talk to the client daily, using therapeutic communication to convince them to admit to hiding the knife b. keep the client's communication confidential, but watch the client and their roommate closely c. tell the client that - c A nurse is caring for a client who is in mechanical restraints. Which of the following statements should the nurse include in the documentation? (Select all) a. client ate most of their breakfast b. client was offered 8 oz of water every hr c. client shouted obscenities at assistive personnel d. client received chlorpromazine 15 mg by mouth at 1000 e. client acted out after lunch - b, c, d A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with another nurse. Which of the following actions should the nurse take first? a. notify the nurse manager b. tell the nurse to stop discussing the behavior c. provide an in-service program about confidentiality d. complete an incident report - b A charge nurse is conducting a class on therapeutic communication with a group of newly licensed nurses. Which of the following aspects of communication should the nurse identify as a component of verbal communication? a. personal space b. posture c. eye contact. d. intonation - d A nurse in an acute mental health facility is communicating with a client. The client states, "I can't sleep. I stay up all night." The nurse responds, "You are having difficulty sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating? a. offering general leads b. summarizing c. focusing d. restating - d A nurse is communicating with a client who was admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? a. offering advice b. reflecting c. listening attentively d. giving information - a A nurse is caring for a client who has anorexia nervosa. Which of the following examples demonstrates the nurse's use of interpersonal communication? a. the nurse discusses the client's weight loss during a health care team meeting b. the nurse examines their own personal feelings about clients who have AN c. the nurse asks the client about personal body image perception d. the nurse presents an educational session about AN to a large group of adolescents - c A nurse is talking with the caregiver of a child who has demonstrated recent changes in behavior and mood. When the caregiver of the child asks the nurse for reassurance about their child's condition, which of the following responses should the nurse make? a. "I think your child is getting better. What have you noticed?" b. "I'm sure everything will be okay. It just takes time to heal" c. "I'm not sure what's wrong. Have you asked the doctor about your concerns?" d. "I understand you're c - d A nurse is caring for a client who smokes and has lung cancer. The client reports "I'm coughing because I have that cold everyone has been getting." The nurse should identify that the client is using which of the following defense mechanisms? a. reaction formation b. denial c. displacement d. sublimation - b A nurse is providing preoperative care for a client who was informed of the need for emergency surgery. The client has a respiratory rate of 30/min, and says, "This is difficult to comprehend. I feel shaky and nervous." The nurse should identify that the client is experiencing which of the following levels of anxiety? a. mild b. moderate c. severe d. panic - b a nurse is caring for a client who is experiencing moderate anxiety. Which of the following actions should the nurse take when trying to give necessary information to the client? (Select all) a. reassure the client that everything will be okay b. discuss prior use of coping mechanisms with the client c. ignore the client's anxiety so that she will not be embarrassed d. demonstrate a calm manner while using simple and clear directions e. gather information from the client using closed-e - b, d A nurse is talking with a client who is at risk for suicide following their partner's death. Which of the following statements should the nurse make? a. "I feel very sorry for the loneliness you must be experiencing" b. "Suicide is not the appropriate way to cope with loss" c. "Losing someone close to you must be very upsetting" d. "I know how difficult it is to lose a loved one" - c A charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse. Which of the following characteristics should the nurse include in the discussion? (Select all) a. the needs of both participants are met b. an emotional commitment exists between the participants c. it is goal-directed d. behavioral change is encouraged e. a termination date is established - c, d, e A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. Which of the following actions indicates transference behavior? a. the client asks the nurse if they will go out to dinner together b. the client accuses the nurse of being controlling just like an ex-partner c. the client reminds the nurse of a friend who died from substance toxicity d. the client becomes angry and threatens to engage in self harm - b A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following actions should the nurse include in the plan of care? a. discussing ways to use new behaviors b. practicing new problem-solving skills c. developing goals d. establishing boundaries - a A nurse is orienting a new client to a mental health unit. When explaining the unit's community meetings, which of the following statements should the nurse make? a. "You and a group of other clients will meet to discuss your treatment plans" b. "Community meetings have a specific agenda that is established by staff" c. "You and other clients will meet with staff to discuss common problems" d. "Community meetings are an excellent opportunity to explore your personal mental health issues" - c