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MENTAL HEALTH EXAM 1 2024 WITH COMPLETE QUESTIONS AND CORRRECT DETAILED ANSWERS A+
RATED
Mental Health
10/30/2024
Exam 1 ALT March
2024
,ATI Mental Health Exam 1 2024 QUESTIONS AND
CORRECT DETAILED ANSWERS A+ RATED
Mental Health Exam 1 ALT
List some aggressive behaviors that a nurse would identify in clients who are at high risk of injuring
others.
There are many types of behaviors that a nurse would identify in clients who are expressing anger
or aggression and risking injury to other individuals. They can include: o Anger:
Frowning facial expressions; Clenched 昀椀 sts; Intense eye contact or avoidance
of eye contact; Hypersensitivity (easily o 昀昀 ended); Defensive responses to
criticism; Flushed red face; Anxious, tense, angry facial expressions.
o Aggression:
Pacing, restlessness; Threatening body language;
Verbal/physical threats; Loud voice, shouting, use of obscenities,
argumentative; Threats of homicide/suicide; Increase in agitation, with overreaction to
environmental stimuli; Panic anxiety, leading to misinterpretation of the environment; Destruction
of property; Acts of harm against others. These preceding factors can all exacerbate a client's risk
of injuring other people. De-escalation and safety of the nurse and other patients are the number
one priority when this occurs.
A new graduate nurse is about to head to the day room on a mental health unit. Her preceptor asks her
to identify factors that would contribute to clients becoming violent.
Factors that can induce violence would include:
o Social factors and history; Psychological history; Medications; Family history; Alcohol use;
Smoking; History of depression and schizophrenia; Comorbidities (Cirrhosis); Drug abuse
/ withdrawals.
A client in the day room suddenly begins to act out and threaten other clients, what is the nurse’s
priority in this situation?
The nurse’s main priorities are the safety of self and other clients and the use of de-escalation
techniques.
A preceptor for a group of new graduate nurses on a mental health unit asks them to list and describe
de-escalation techniques. What are the appropriate techniques?
, • Appear calm and maintain a calm voice.
• Assess personal and client safety.
• Acknowledge the client's concerns and their needs.
• Do not challenge an angered or aggressive client.
• Distract the client with a more positive activity (soft music, quiet room).
• Verbal redirection and limit setting.
• Open hands and standing or sitting with a nonthreatening posture.
• If these techniques do not calm or deescalate the situation, then the use of restraints, seclusion,
and PRN medications may have to be employed.
A client who voluntarily admitted themselves into a psychiatric unit is refusing to take their medications;
how would the nurse deal with this situation?
• Clients have the right to receive treatment and the right to refuse it, including medication in
most instances. The nurse should stop the procedure and discuss the client's feelings before
taking any other action to discuss the importance to the medication.
• Also the nurse should always document the instance when it occurs.
A client in a mental health unit is refusing to communicate with the sta 昀昀 due to a manic episode,
how should the sta 昀昀 respond in this instance?
• The sta 昀昀 should support the client’s decision not to communicate and respect their
boundaries. Additionally, the sta 昀昀 or nurse should tell the client that when they are ready to
talk, to come and talk.
Which types of people are able to run group therapy in a mental health facility?
• The following individuals are approved to run group therapy sessions:
o Advanced Practice Nurses (APNs); Psychiatrists; Clinical psychologists;
Psychiatric Clinical Nurse Specialists; Psychiatric Social Workers; Occupational
therapists; Recreational therapists; Art and Music therapists; Chaplains.
A nurse who is about to experience their 昀椀 rst clinical rotation on a mental health unit is researching
the various roles and responsibilities that psychiatric nurses perform in mental health. What types of
responsibilities are these nurses required to have?
• Safe medication administration; Development of one-on-one relationships with clients; Setting
limits on unacceptable behaviors; Client education (medications, disease processes);
Communication with the interprofessional team; Implementing treatment and environmental
rounding.
MENTAL HEALTH EXAM 1 2024 WITH COMPLETE QUESTIONS AND CORRRECT DETAILED ANSWERS A+
RATED
Mental Health
10/30/2024
Exam 1 ALT March
2024
,ATI Mental Health Exam 1 2024 QUESTIONS AND
CORRECT DETAILED ANSWERS A+ RATED
Mental Health Exam 1 ALT
List some aggressive behaviors that a nurse would identify in clients who are at high risk of injuring
others.
There are many types of behaviors that a nurse would identify in clients who are expressing anger
or aggression and risking injury to other individuals. They can include: o Anger:
Frowning facial expressions; Clenched 昀椀 sts; Intense eye contact or avoidance
of eye contact; Hypersensitivity (easily o 昀昀 ended); Defensive responses to
criticism; Flushed red face; Anxious, tense, angry facial expressions.
o Aggression:
Pacing, restlessness; Threatening body language;
Verbal/physical threats; Loud voice, shouting, use of obscenities,
argumentative; Threats of homicide/suicide; Increase in agitation, with overreaction to
environmental stimuli; Panic anxiety, leading to misinterpretation of the environment; Destruction
of property; Acts of harm against others. These preceding factors can all exacerbate a client's risk
of injuring other people. De-escalation and safety of the nurse and other patients are the number
one priority when this occurs.
A new graduate nurse is about to head to the day room on a mental health unit. Her preceptor asks her
to identify factors that would contribute to clients becoming violent.
Factors that can induce violence would include:
o Social factors and history; Psychological history; Medications; Family history; Alcohol use;
Smoking; History of depression and schizophrenia; Comorbidities (Cirrhosis); Drug abuse
/ withdrawals.
A client in the day room suddenly begins to act out and threaten other clients, what is the nurse’s
priority in this situation?
The nurse’s main priorities are the safety of self and other clients and the use of de-escalation
techniques.
A preceptor for a group of new graduate nurses on a mental health unit asks them to list and describe
de-escalation techniques. What are the appropriate techniques?
, • Appear calm and maintain a calm voice.
• Assess personal and client safety.
• Acknowledge the client's concerns and their needs.
• Do not challenge an angered or aggressive client.
• Distract the client with a more positive activity (soft music, quiet room).
• Verbal redirection and limit setting.
• Open hands and standing or sitting with a nonthreatening posture.
• If these techniques do not calm or deescalate the situation, then the use of restraints, seclusion,
and PRN medications may have to be employed.
A client who voluntarily admitted themselves into a psychiatric unit is refusing to take their medications;
how would the nurse deal with this situation?
• Clients have the right to receive treatment and the right to refuse it, including medication in
most instances. The nurse should stop the procedure and discuss the client's feelings before
taking any other action to discuss the importance to the medication.
• Also the nurse should always document the instance when it occurs.
A client in a mental health unit is refusing to communicate with the sta 昀昀 due to a manic episode,
how should the sta 昀昀 respond in this instance?
• The sta 昀昀 should support the client’s decision not to communicate and respect their
boundaries. Additionally, the sta 昀昀 or nurse should tell the client that when they are ready to
talk, to come and talk.
Which types of people are able to run group therapy in a mental health facility?
• The following individuals are approved to run group therapy sessions:
o Advanced Practice Nurses (APNs); Psychiatrists; Clinical psychologists;
Psychiatric Clinical Nurse Specialists; Psychiatric Social Workers; Occupational
therapists; Recreational therapists; Art and Music therapists; Chaplains.
A nurse who is about to experience their 昀椀 rst clinical rotation on a mental health unit is researching
the various roles and responsibilities that psychiatric nurses perform in mental health. What types of
responsibilities are these nurses required to have?
• Safe medication administration; Development of one-on-one relationships with clients; Setting
limits on unacceptable behaviors; Client education (medications, disease processes);
Communication with the interprofessional team; Implementing treatment and environmental
rounding.
