ATI RN MENTAL HEALTH NURSING QUESTIONS AND ANSWERS

ATI RN MENTAL HEALTH NURSING
QUESTIONS AND ANSWERS

Adchargednursedisddiscussingdmentaldstatusdexaminationsdwithdadnewlydlicenseddnurse.d
Whichdofdthedfollowingdstatementsdbydthednewlydlicenseddnursedindicatesdadneeddfordfurth
erdteaching?

A.d"Todassessdcognitivedability,dIdshoulddaskdthedclientdtodcountdbackwarddbyd7."
B.d"Todassessdaffect,dIdshoulddobservedthedclient'sdfacialdexpression."
C.d"Todassessdlanguagedability,dIdshoulddinstructdthedclientdtodwritedadsentence."
D.d"Todassessdremotedmemory,dIdshoulddhavedthedclientdrepeatdadlistdofdobjects."

ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercisesd-dans--
D.d"Todassessdremotedmemory,dIdshoulddhavedthedclientdrepeatdadlistdofdobjects."

dAskingdthedclientdtodrepeatdadlistdofdobjectsdisdappropriatedtodassessdimmediate,dratherdth
andremote,dmemory.

ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercises

Adnursedisdplanningdcaredfordadclientdwhodhasdadmentaldhealthddisorder.dWhichdofdthedfollo
wingdisdappropriatedtodincludedasdadpsychobiologicaldintervention?

A.dAssistdthedclientdwithdsystematicddesensitizationdtherapy.
B.dTeachdthedclientdappropriatedcopingdmechanisms.
C.dAssessdthedclientdfordcomorbiddhealthdconditions.
D.dMonitordthedclientdfordadversedeffectsdofdmedications.

ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercisesd-dans--
D.dMonitordthedclientdfordadversedeffectsdofdmedications.

Assistingdwithdsystematicddesensitizationdtherapydisdadcognitivedanddbehavioral.
Teachingdappropriatedcopingdmechanismsdisdadcounselingdordhealthdteaching.
Assessingdfordcomorbiddhealthdconditionsdisdhealthdpromotiondanddmaintenance.

D.dMonitoringdfordadversedeffectsdofdmedicationsdisdandexampledofdadpsychobiologicaldint
ervention.

ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercises

,Adnursedindandoutpatientdmentaldhealthdclinicdisdpreparingdtodconductdandinitialdclientdinter
view.dWhendconductingdthedinterview,dwhichdofdthedfollowingdisdthedhighestdprioritydaction
?

A.dRespectdthedclient'sdneeddfordpersonaldspace.
B.dIdentifydthedclient'sdperceptiondofdherdmentaldhealthdstatus.
C.dIncludedthedclient'sdfamilydindthedinterview.
D.dTeachdthedclientdaboutdherdcurrentdmentaldhealthddisorder.

ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercisesd-dans--
*B.dIdentifydthedclient'sdperceptiondofdherdmentaldhealthdstatus.*

A.dAppropriate,dbutdnotdhighestdpriority.

B.dAssessmentdisdthedprioritydactiondwhendtakingdthednursingdprocessdapproach.dIdentifyi
ngdthedclient'sdperceptiondofdherdmentaldhealthdstatusdprovidesdimportantdinformationdabo
utdthedclient'sdpsychosocialdhistory.

C.dAppropriate,dbutdnotdhighestdpriority.
D.dAppropriate,dbutdnotdhighestdpriority.

ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercises

Adnursedisdtolddduringdchange-of-
shiftdreportdthatdadclientdisdstuporous.dWhendassessingdthedclient,dwhichdofdthedfollowingdi
sdandexpecteddfinding?

A.dThedclientdarousesdbrieflydindresponsedtodadsternaldrib.
B.dThedclientdhasdadGlasgowdComadScaledscoredlessdthand7.
C.dThedclientdexhibitsddecorticatedrigidity.
D.dThedclientdisdalertdbutddisorienteddtodtimedanddplace.

ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercisesd-dans--
*A.dThedclientdarousesdbrieflydindresponsedtodadsternaldrib.*

A.dAdclientdwhodisdstuporousdrequiresdvigorousdordpainfuldstimulidtodelicitdadresponse.

B.d<7dondGCSdindicatesdcomatose,dnotdstuporous,dleveldofdconsciousness.
C.dAbnormaldposturingd=dcomatose.
D.dStuporousd/=dalert.

ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercises

,AdnursedisdplanningdadpeerdgroupddiscussiondaboutdthedDiagnosticdanddStatisticaldManual
dofdMentaldDisorders,d5thdEditiond(DSM-

5).dWhichdofdthedfollowingdisdappropriatedtodincludedindtheddiscussion?d(SATA)

A.dThedDSM-5disduseddtodidentifydmentaldhealthddisorders.
B.dThedDSM-5destablishesddiagnosticdcriteria.
C.dThedDSM-5dindicatesdrecommendeddpharmacologicaldtreatment.
D.dThedDSM-5dassistsdnursesdindplanningdcare.
E.dThedDSM-5dindicatesdexpecteddassessmentdfindings.

ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercisesd-dans--A,dB,dD,dE.
ThedDSM-
5disduseddasdaddiagnosticdtool,destablishesddiagnosticdcriteria,duseddbydnursesdtodplan,dim
plement,danddevaluatedcare,danddidentifiesdexpecteddfindingsdfordmentaldhealthddisorders.

Itddoesdnotdindicatedpharmacologicaldtreatment.

ATIdRNdMentaldHealthdNursingdModulesdCh.d1dApplicationdExercises

Whichdofdthedfollowingdisdandexampledofdadclientdwhodrequiresdemergencydadmissiondtodad
mentaldhealthdfacility?

A.dAdclientdwithdschizophreniadwhodhasdfrequentdhallucinations.
B.dAdclientdwithdsymptomsdofddepressiondwhodattempteddsuicidedadyeardago.
C.dAdclientdwithdborderlinedpersonalityddisorderdwhodassaulteddadhomelessdmandwithdadm
etaldrod.
D.dAdclientdwithdbipolarddisorderdwhodpacesdquicklyddowndthedsidewalkdwhiledtalkingdtodhi
mself.

ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercisesd-dans--
C.dAdclientdwithdborderlinedpersonalityddisorderdwhodassaulteddadhomelessdmandwithdadm
etaldrod.

Hallucinations,ddepression,dand/
ordpacingddoesdnotdconstitutedcleardreasondfordemergencydcommitment.

ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercises

Adclientdtellsdadstudentdnurse,d"Don'tdtelldanyone,dbutdIdhiddadsharpdknifedunderdmydmattre
ssdindorderdtodprotectdmyselfdfromdmydroommate,dwhodisdalwaysdyellingdatdmedanddthreate
ningdme."dWhichdofdthedfollowingdactionsdshoulddthednursedtake?

A.dKeepdthedclient'sdcommunicationdconfidential,dbutdtalkdtodthedclientddaily,dusingdtherap
euticdcommunicationdtodconvincedhimdtodadmitdtodholdingdthedknife.
B.dKeepdthedclient'sdcommunicationdconfidential,dbutdwatchdthedclientdanddhisdroommated
closely.

, C.dTelldthedclientdthatdthisdmustdbedreporteddtodhealthdcaredstaffdbecauseditdconcernsdthedh
ealthdanddsafetydofdthedclientdanddothers.d
D.dReportdthedincident,dbutddodnotdinformdthedclientdofdthedintentiondtoddodso.

ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercisesd-dans--
C.dTelldthedclientdthatdthisdmustdbedreporteddtodhealthdcaredstaffdbecauseditdconcernsdthedh
ealthdanddsafetydofdthedclientdanddothers.d

Thedinformationdcannotdbedkeptdconfidentialdanddthedclientdmustdbedinformeddthatdthisdwill
dbedreporteddtodthedhealthdcaredstaff.



•dThisdisdadseriousdsafetydissuedthatdmustdbedreporteddtodthedstaff.dUsingdthedprincipledofdv
eracity,dthedstudentdtellsdthisdclientdtruthfullydwhatdmustdbeddonedregardingdthedissue.

ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercises

Adnurseddecidesdtodputdadclientdwhodhasdpsychosisdindseclusiondovernightdbecausedthedu
nitdisdverydshort-
staffed,danddthedclientdfrequentlydfightsdwithdotherdclients.dThisdisdandexampledof:

A.dbeneficence.
B.dadtort.d
C.dadfacilitydpolicy.
D.djustice.

ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercisesd-dans--B.dadtort.d

Beneficence:ddoingdgooddfordadclient.
Tort:dadcivildwrongdthatdviolatesdadclient'sdcivildrights.
Ifdadpolicy,dthedfacilitydwoulddbedindviolationdofdfederaldanddstatedstatute,danddthednursedco
ulddbedhelddresponsible.
Justice:dactiondinvolvingdthedfairdanddequaldtreatmentdofdclients.

ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercises

Adnursedisdcaringdfordadclientdindrestraints.dWhichdofdthedfollowingdstatementsdaredappropri
ateddocumentation?d(SATA)

A.d"dClientdatedmostdofdhisdbreakfast."
B.d"Clientdwasdofferedd8ozdofdwaterdeverydhr."
C.d"Clientdshouteddatdassistivedpersonnel."
D.d"Clientdreceiveddchlorpromazined(Thorazine)d15mgdbydmouthdatd1000."
E.d"Clientdacteddoutdafterdlunch."d-dans--B,dC,dD:dObjectiveddatadisdcorrect,dnotdsubjective.

ATIdRNdMentaldHealthdNursingdModulesdCh.d2dApplicationdExercises