ATI RN Mental Health with NGN
Study online at https://quizlet.com/_gn6yr2
1. A charge nurse is discussing men- D. "To assess remote memory, I should have the client
tal status examinations with a repeat a list of objects."
newly licensed nurse. Which of
the following statements by the Asking the client to repeat a list of objects is appropriate
newly licensed nurse indicates a to assess immediate, rather than remote, memory.
need for further teaching?
ATI RN Mental Health Nursing Modules Ch. 1 Application
A. "To assess cognitive ability, I Exercises
should ask the client to count
backward by 7."
B. "To assess affect, I should ob-
serve the client's facial expres-
sion."
C. "To assess language ability, I
should instruct the client to write
a sentence."
D. "To assess remote memory, I
should have the client repeat a list
of objects."
2. A nurse is planning care for a D. Monitor the client for adverse effects of medications.
client who has a mental health
disorder. Which of the following is Assisting with systematic desensitization therapy is a cog-
appropriate to include as a psy- nitive and behavioral.
chobiological intervention? Teaching appropriate coping mechanisms is a counseling
or health teaching.
A. Assist the client with systematic Assessing for comorbid health conditions is health pro-
desensitization therapy. motion and maintenance.
B. Teach the client appropriate
coping mechanisms. D. Monitoring for adverse effects of medications is an
C. Assess the client for comorbid example of a psychobiological intervention.
health conditions.
, ATI RN Mental Health with NGN
Study online at https://quizlet.com/_gn6yr2
D. Monitor the client for adverse ATI RN Mental Health Nursing Modules Ch. 1 Application
effects of medications. Exercises
ATI RN Mental Health Nursing
Modules Ch. 1 Application Exercis-
es
3. A nurse in an outpatient men- *B. Identify the client's perception of her mental health
tal health clinic is preparing to status.*
conduct an initial client interview.
When conducting the interview, A. Appropriate, but not highest priority.
which of the following is the high-
B. Assessment is the priority action when taking the nurs-
est priority action?
ing process approach. Identifying the client's perception
A. Respect the client's need for of her mental health status provides important informa-
personal space. tion about the client's psychosocial history.
B. Identify the client's perception
C. Appropriate, but not highest priority.
of her mental health status.
D. Appropriate, but not highest priority.
C. Include the client's family in the
interview.
ATI RN Mental Health Nursing Modules Ch. 1 Application
D. Teach the client about her cur-
Exercises
rent mental health disorder.
ATI RN Mental Health Nursing
Modules Ch. 1 Application Exercis-
es
4. A nurse is told during *A. The client arouses briefly in response to a sternal rib.*
change-of-shift report that a
client is stuporous. When assess- A. A client who is stuporous requires vigorous or painful
ing the client, which of the follow- stimuli to elicit a response.
ing is an expected finding?
B. <7 on GCS indicates comatose, not stuporous, level of
, ATI RN Mental Health with NGN
Study online at https://quizlet.com/_gn6yr2
A. The client arouses briefly in re- consciousness.
sponse to a sternal rib. C. Abnormal posturing = comatose.
B. The client has a Glasgow Coma D. Stuporous /= alert.
Scale score less than 7.
C. The client exhibits decorticate ATI RN Mental Health Nursing Modules Ch. 1 Application
rigidity. Exercises
D. The client is alert but disorient-
ed to time and place.
ATI RN Mental Health Nursing
Modules Ch. 1 Application Exercis-
es
5. A nurse is planning a peer group A, B, D, E.
discussion about the Diagnostic The DSM-5 is used as a diagnostic tool, establishes di-
and Statistical Manual of Men- agnostic criteria, used by nurses to plan, implement, and
tal Disorders, 5th Edition (DSM-5). evaluate care, and identifies expected findings for mental
Which of the following is appro- health disorders.
priate to include in the discus-
sion? (SATA) It does not indicate pharmacological treatment.
A. The DSM-5 is used to identify ATI RN Mental Health Nursing Modules Ch. 1 Application
mental health disorders. Exercises
B. The DSM-5 establishes diag-
nostic criteria.
C. The DSM-5 indicates recom-
mended pharmacological treat-
ment.
D. The DSM-5 assists nurses in
planning care.
E. The DSM-5 indicates expected
assessment findings.
, ATI RN Mental Health with NGN
Study online at https://quizlet.com/_gn6yr2
ATI RN Mental Health Nursing
6. Which of the following is an ex- C. A client with borderline personality disorder who as-
ample of a client who requires saulted a homeless man with a metal rod.
emergency admission to a mental
health facility? Hallucinations, depression, and/or pacing does not con-
stitute clear reason for emergency commitment.
A. A client with schizophrenia who
has frequent hallucinations. ATI RN Mental Health Nursing Modules Ch. 2 Application
B. A client with symptoms of de- Exercises
pression who attempted suicide a
year ago.
C. A client with borderline per-
sonality disorder who assaulted a
homeless man with a metal rod.
D. A client with bipolar disorder
who paces quickly down the side-
walk while talking to himself.
ATI RN Mental Health Nursing
Modules Ch. 2 Application Ex
7. A client tells a student nurse, C. Tell the client that this must be reported to health care
"Don't tell anyone, but I hid a staff because it concerns the health and safety of the client
sharp knife under my mattress and others.
in order to protect myself from
my roommate, who is always The information cannot be kept confidential and the client
yelling at me and threatening must be informed that this will be reported to the health
me." Which of the following ac- care staff.
tions should the nurse take?
• This is a serious safety issue that must be reported to the
A. Keep the client's communi- staff. Using the principle of veracity, the student tells this
Study online at https://quizlet.com/_gn6yr2
1. A charge nurse is discussing men- D. "To assess remote memory, I should have the client
tal status examinations with a repeat a list of objects."
newly licensed nurse. Which of
the following statements by the Asking the client to repeat a list of objects is appropriate
newly licensed nurse indicates a to assess immediate, rather than remote, memory.
need for further teaching?
ATI RN Mental Health Nursing Modules Ch. 1 Application
A. "To assess cognitive ability, I Exercises
should ask the client to count
backward by 7."
B. "To assess affect, I should ob-
serve the client's facial expres-
sion."
C. "To assess language ability, I
should instruct the client to write
a sentence."
D. "To assess remote memory, I
should have the client repeat a list
of objects."
2. A nurse is planning care for a D. Monitor the client for adverse effects of medications.
client who has a mental health
disorder. Which of the following is Assisting with systematic desensitization therapy is a cog-
appropriate to include as a psy- nitive and behavioral.
chobiological intervention? Teaching appropriate coping mechanisms is a counseling
or health teaching.
A. Assist the client with systematic Assessing for comorbid health conditions is health pro-
desensitization therapy. motion and maintenance.
B. Teach the client appropriate
coping mechanisms. D. Monitoring for adverse effects of medications is an
C. Assess the client for comorbid example of a psychobiological intervention.
health conditions.
, ATI RN Mental Health with NGN
Study online at https://quizlet.com/_gn6yr2
D. Monitor the client for adverse ATI RN Mental Health Nursing Modules Ch. 1 Application
effects of medications. Exercises
ATI RN Mental Health Nursing
Modules Ch. 1 Application Exercis-
es
3. A nurse in an outpatient men- *B. Identify the client's perception of her mental health
tal health clinic is preparing to status.*
conduct an initial client interview.
When conducting the interview, A. Appropriate, but not highest priority.
which of the following is the high-
B. Assessment is the priority action when taking the nurs-
est priority action?
ing process approach. Identifying the client's perception
A. Respect the client's need for of her mental health status provides important informa-
personal space. tion about the client's psychosocial history.
B. Identify the client's perception
C. Appropriate, but not highest priority.
of her mental health status.
D. Appropriate, but not highest priority.
C. Include the client's family in the
interview.
ATI RN Mental Health Nursing Modules Ch. 1 Application
D. Teach the client about her cur-
Exercises
rent mental health disorder.
ATI RN Mental Health Nursing
Modules Ch. 1 Application Exercis-
es
4. A nurse is told during *A. The client arouses briefly in response to a sternal rib.*
change-of-shift report that a
client is stuporous. When assess- A. A client who is stuporous requires vigorous or painful
ing the client, which of the follow- stimuli to elicit a response.
ing is an expected finding?
B. <7 on GCS indicates comatose, not stuporous, level of
, ATI RN Mental Health with NGN
Study online at https://quizlet.com/_gn6yr2
A. The client arouses briefly in re- consciousness.
sponse to a sternal rib. C. Abnormal posturing = comatose.
B. The client has a Glasgow Coma D. Stuporous /= alert.
Scale score less than 7.
C. The client exhibits decorticate ATI RN Mental Health Nursing Modules Ch. 1 Application
rigidity. Exercises
D. The client is alert but disorient-
ed to time and place.
ATI RN Mental Health Nursing
Modules Ch. 1 Application Exercis-
es
5. A nurse is planning a peer group A, B, D, E.
discussion about the Diagnostic The DSM-5 is used as a diagnostic tool, establishes di-
and Statistical Manual of Men- agnostic criteria, used by nurses to plan, implement, and
tal Disorders, 5th Edition (DSM-5). evaluate care, and identifies expected findings for mental
Which of the following is appro- health disorders.
priate to include in the discus-
sion? (SATA) It does not indicate pharmacological treatment.
A. The DSM-5 is used to identify ATI RN Mental Health Nursing Modules Ch. 1 Application
mental health disorders. Exercises
B. The DSM-5 establishes diag-
nostic criteria.
C. The DSM-5 indicates recom-
mended pharmacological treat-
ment.
D. The DSM-5 assists nurses in
planning care.
E. The DSM-5 indicates expected
assessment findings.
, ATI RN Mental Health with NGN
Study online at https://quizlet.com/_gn6yr2
ATI RN Mental Health Nursing
6. Which of the following is an ex- C. A client with borderline personality disorder who as-
ample of a client who requires saulted a homeless man with a metal rod.
emergency admission to a mental
health facility? Hallucinations, depression, and/or pacing does not con-
stitute clear reason for emergency commitment.
A. A client with schizophrenia who
has frequent hallucinations. ATI RN Mental Health Nursing Modules Ch. 2 Application
B. A client with symptoms of de- Exercises
pression who attempted suicide a
year ago.
C. A client with borderline per-
sonality disorder who assaulted a
homeless man with a metal rod.
D. A client with bipolar disorder
who paces quickly down the side-
walk while talking to himself.
ATI RN Mental Health Nursing
Modules Ch. 2 Application Ex
7. A client tells a student nurse, C. Tell the client that this must be reported to health care
"Don't tell anyone, but I hid a staff because it concerns the health and safety of the client
sharp knife under my mattress and others.
in order to protect myself from
my roommate, who is always The information cannot be kept confidential and the client
yelling at me and threatening must be informed that this will be reported to the health
me." Which of the following ac- care staff.
tions should the nurse take?
• This is a serious safety issue that must be reported to the
A. Keep the client's communi- staff. Using the principle of veracity, the student tells this
