ATI MENTAL HEALTH 2023
A charge nurse is discussing mental status exams with a newly licensed nurse. Which
of the following statements by the newly licensed nurse indicates an understanding of
the teaching? (Select all that apply)
A) To assess cognitive ability, I should ask the client to count backward by sevens.
B) To assess affect, I should observe the client's facial expression
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.
E) To assess the client's abstract thinking, I should ask the client to identify our most
recent presidents. - -correct ans--A, B, C
ArychargerynurseryisrydiscussingrytherycareryofryaryclientrywhoryhasryMDDrywithryarynewlyrylicensedry
nurse.ryWhichryofrytheryfollowingrystatementsrybyrytherynewlyrylicensedrynurseryindicatesryanryund
erstandingryofrytheryteaching?
A)ryCareryduringrytherycontinuationryphaseryfocusesryonrytreatingrycontinuedrymanifestationsryofr
yMDD
B)ryTherytreatmentryofryMDDryduringrytherymaintenanceryphaserylastsryforry6-12ryweeks
C)ryTheryclientryisryatrygreatestryriskryforrysuicideryduringrytheryfirstryweeksryofryanryMDDryepisode
D)ryMedicationryandrypsychotherapyryarerymostryeffectiveryduringrytheryacuteryphaseryofryMDDry-
ry-correctryans--C
Arychargerynurseryisrydiscussingrytherycharacteristicsryofryarynurse-
clientryrelationshiprywithryarynewlyrylicensedrynurse.ryWhichryofrytheryfollowingrycharacteristicsrys
houldrytherynurseryincluderyinrytherydiscussion?ry(Selectryallrythatryapply)
A)ryTheryneedsryofrybothryparticipantsryarerymet
B)ryAnryemotionalrycommitmentryexistsrybetweenrytheryparticipants
C)ryItryisrygoal-directed
D)ryBehavioralrychangeryisryencouraged
E)ryAryterminationrydateryisryestablishedry-ry-correctryans--C,ryD,ryE
ArychargerynurseryisrydiscussingryTMSrywithryarynewlyrylicensedrynurse.ryWhichryofrytheryfollowingr
ystatementsrybyrytherynewlyrylicensedrynurseryindicatesryanryunderstandingryofrytheryteaching?
A)ryTMSryisryindicatedryforryclientsrywhoryhaveryschizophreniaryspectrumrydisorders
B)ryIrywillryproviderypostanesthiarycareryfollowingryTMS
C)ryTMSrytreatmentsryusuallyrylastry5-10ryminutes
D)ryIrywillryschedulerytheryclientryforrydailyryTMSrytreatmentsryforrytheryfirstryseveralryweeksry-ry-
correctryans--D
Aryclientrysaysrysheryisryexperiencingryincreasedrystressrybecauseryherrysignificantryotherryisry"pr
essuringrymeryandrymyrykidsrytorygoryliverywithryhim.ryIryloveryhim,rybutryI'mrynotryreadyrytorydorythat."ry
Whichryofrytheryfollowingryrecommendationsryshouldrytherynurserymakerytorypromoteryarychangery
inrytheryclient'srysituation?
,A)ryLearnrytorypracticerymindfulness
B)ryUseryassertivenessrytechniques
C)ryExerciseryregularly
D)ryRelyryonrytherysupportryofryarycloseryfriendry-ry-correctryans--B
Aryclientrytellsryarynurse,ry"Don'trytellryanyonerybutryIryhidryarysharprykniferyunderrymyrymattressryinryo
rderrytoryprotectrymyselfryfromrymyryroommate,rywhoryisryalwaysryyellingryatrymeryandrythreatening
ryme."ryWhichryofrytheryfollowingryactionsryshouldrytherynurserytake?
A)ryKeeprytheryclient'srycommunicationryconfidential,rybutrytalkrytorytheryclientrydaily,ryusingrythera
peuticrycommunicationrytoryconvinceryhimrytoryadmitrytoryhidingrytheryknife.
B)ryKeeprytheryclient'srycommunicationryconfidential,rybutrywatchrytheryclientryandryhisryroommat
eryclosely.
C)ryTellrytheryclientrythatrythisrymustryberyreportedrytorytheryhealthcareryteamrybecauseryitryconcern
srytheryhealthryandrysafetyryofrytheryclientryandryothers.
D)ryReportrytheryincidentrytorytheryhealthrycareryteam,rybutrydorynotryinformrytheryclientryofrytheryinten
tionrytorydoryso.ry-ry-correctryans--D
Arycommunityrymentalryhealthrynurseryisryplanningrycarerytoryaddressrytheryissueryofrydepressionry
amongryolderryadultryclientsryinrytherycommunity.ryWhichryofrytheryfollowingryinterventionsryshoul
drytherynurseryplanryasryarymethodryofrytertiaryryprevention?
A)ryEducatingryclientsryonryhealthrypromotionrytechniquesrytoryreducerytheryriskryofrydepression
B)ryPerformingryscreeningsryforrydepressionryatrycommunityryhealthryprograms
C)ryEstablishingryrehabilitationryprogramsrytorydecreaserytheryeffectsryofrydepression
D)ryProvidingrysupportrygroupsryforryclientsryatryriskryforrydepressionry-ry-correctryans--C
AryhomeryhealthrynurseryisrymakingryaryvisitrytoryaryclientrywhoryhasryAlzheimer'srydiseaserytoryasse
ssrytheryhomeryforrysafety.ryWhichryofrytheryfollowingrysuggestionsryshouldrytherynurserymakerytory
decreaserytheryclient'sryriskryforryinjury?ry(Selectryallrythatryapply)
A)ryInstallrychildproofrydoorrylocks
B)ryPlaceryrugsryoverryelectricalrycords
C)ryMarkrycleaningrysuppliesrywithrycoloredrytape
D)ryPlacerytheryclient'srymattressryonrytheryfloor
E)ryInstallrylightryfixturesryaboverystairsry-ry-correctryans--A,ryD,ryE
Arynurserydecidesrytoryputryaryclientrywhoryhasryarypsychoticrydisorderryinryseclusionryovernightrybe
causerytheryunitryisryveryryshort-
staffed,ryandrytheryclientryfrequentlyryfightsrywithryotherryclients.ryTherynurse'sryactionsryareryanrye
xampleryofrywhichryofrytheryfollowingrytorts?
A)ryInvasionryofryprivacy
B)ryFalseryimprisonment
C)ryAssault
D)ryBatteryry-ry-correctryans--B
Arynurseryhearsryarynewlyrylicensedrynurserydiscussingryaryclient'sryhallucinationsryinrytheryhallwa
yrywithryanotherrynurse.ryWhichryofrytheryfollowingryactionsryshouldrytherynurserytakeryfirst?
A)ryNotifyrytherynurserymanager
, B)ryTellrytherynurserytorystoprydiscussingrytherybehavior
C)ryProvideryanryin-serviceryprogramryaboutryconfidentiality
D)ryCompleteryanryincidentryreportry-ry-correctryans--B
Arynurseryinryarylong-
termrycareryfacilityryisrycaringryforryaryclientrywhoryhasrymajorryneurocognitiverydisorderryandryatte
mptsrytorywanderryoutryofrytherybuilding.ryTheryclientrystates,ry"Iryhaverytorygetryhome."ryWhichryofryt
heryfollowingrystatementsryshouldrytherynurserymake?
A)ryYouryhaveryforgottenrythatrythisryisryyourryhome
B)ryYourycannotrygoryoutsiderywithoutryarystaffrymember
C)ryWhyrywouldryyourywantrytoryleave?ryAren'tryyouryhappyrywithryyourrycare?
D)ryIryamryyourrynurse.ryLet'srywalkrytogetherrytoryyourryroomry-ry-correctryans--D
Arynurseryinryanryacuterymentalryhealthryfacilityryisryassistingrywithrydischargeryplanningryforryaryclie
ntrywhoryhasryarysevererymentalryillnessryandryrequiresrysupervisionrymuchryofrytherytime.ryTherycli
ent'srywiferyworksryallrydayrybutryisryhomerylateryafternoon.ryWhichryofrytheryfollowingrystrategiesrys
houldrytherynurserysuggestryasryappropriateryfollow-uprycare?
A)ryReceivingrydailyrycareryfromryaryhomeryhealthryaide
B)ryHavingryaryweeklyryvisitryfromryarynurserycaseryworker
C)ryAttendingryarypartialryhospitalizationryprogram
D)ryVisitingryarycommunityrymentalryhealthrycenterryonryarydailyrybasisry-ry-correctryans--C
Arynurseryinryanryacuterymentalryhealthryfacilityryisrycaringryforryaryclientrywhoryhasrybipolarrydisorde
r.ryWhichryofrytheryfollowingryisrytherypriorityrynursingryaction?
A)rySetryconsistentrylimitsryforryexpectedryclientrybehavior
B)ryAdministerryprescribedrymedicationsryasryscheduled
C)ryProviderytheryclientrywithrysteprybyrystepryinstructionsryduringryhygieneryactivities
D)ryMonitorrytheryclientryforryescalatingrybehaviorry-ry-correctryans--D
Arynurseryinryanryacuterymentalryhealthryfacilityryisryplanningrycareryforryaryclientrywhoryhasrydissoci
ativeryfugue.ryWhichryofrytheryfollowingryinterventionsryshouldrytherynurseryaddrytorytheryplanryofryc
are?
A)ryTeachrytheryclientrytoryrecognizeryhowrystressrybringsryonryarypersonalityrychangeryinrytheryclie
nt
B)ryRepeatedlyrypresentrytheryclientrywithryinformationryaboutrypastryevents
C)ryMakerydecisionsryforrytheryclientryregardingryroutinerydailyryactivities
D)ryWorkrywithrytheryclientryonrygroundingrytechniquesry-ry-correctryans--D
Arynurseryinryanryemergencyrymentalryhealthryfacilityryisrycaringryforryarygroupryofryclients.ryTherynur
seryshouldryidentifyrythatrywhichryofrytheryfollowingryclientsryrequiresryarytemporaryryemergencyry
admission?
A)ryAryclientrywhoryhasryschizophreniarywithrydelusionsryofrygrandeur
B)ryAryclientrywhoryhasrymanifestationsryofrydepressionryandryattemptedrysuicideryaryyearryago.
C)ryAryclientrywhoryhasryborderlinerypersonalityrydisorderryandryassaultedryaryhomelessrymanrywit
hryarymetalryrod.
A charge nurse is discussing mental status exams with a newly licensed nurse. Which
of the following statements by the newly licensed nurse indicates an understanding of
the teaching? (Select all that apply)
A) To assess cognitive ability, I should ask the client to count backward by sevens.
B) To assess affect, I should observe the client's facial expression
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.
E) To assess the client's abstract thinking, I should ask the client to identify our most
recent presidents. - -correct ans--A, B, C
ArychargerynurseryisrydiscussingrytherycareryofryaryclientrywhoryhasryMDDrywithryarynewlyrylicensedry
nurse.ryWhichryofrytheryfollowingrystatementsrybyrytherynewlyrylicensedrynurseryindicatesryanryund
erstandingryofrytheryteaching?
A)ryCareryduringrytherycontinuationryphaseryfocusesryonrytreatingrycontinuedrymanifestationsryofr
yMDD
B)ryTherytreatmentryofryMDDryduringrytherymaintenanceryphaserylastsryforry6-12ryweeks
C)ryTheryclientryisryatrygreatestryriskryforrysuicideryduringrytheryfirstryweeksryofryanryMDDryepisode
D)ryMedicationryandrypsychotherapyryarerymostryeffectiveryduringrytheryacuteryphaseryofryMDDry-
ry-correctryans--C
Arychargerynurseryisrydiscussingrytherycharacteristicsryofryarynurse-
clientryrelationshiprywithryarynewlyrylicensedrynurse.ryWhichryofrytheryfollowingrycharacteristicsrys
houldrytherynurseryincluderyinrytherydiscussion?ry(Selectryallrythatryapply)
A)ryTheryneedsryofrybothryparticipantsryarerymet
B)ryAnryemotionalrycommitmentryexistsrybetweenrytheryparticipants
C)ryItryisrygoal-directed
D)ryBehavioralrychangeryisryencouraged
E)ryAryterminationrydateryisryestablishedry-ry-correctryans--C,ryD,ryE
ArychargerynurseryisrydiscussingryTMSrywithryarynewlyrylicensedrynurse.ryWhichryofrytheryfollowingr
ystatementsrybyrytherynewlyrylicensedrynurseryindicatesryanryunderstandingryofrytheryteaching?
A)ryTMSryisryindicatedryforryclientsrywhoryhaveryschizophreniaryspectrumrydisorders
B)ryIrywillryproviderypostanesthiarycareryfollowingryTMS
C)ryTMSrytreatmentsryusuallyrylastry5-10ryminutes
D)ryIrywillryschedulerytheryclientryforrydailyryTMSrytreatmentsryforrytheryfirstryseveralryweeksry-ry-
correctryans--D
Aryclientrysaysrysheryisryexperiencingryincreasedrystressrybecauseryherrysignificantryotherryisry"pr
essuringrymeryandrymyrykidsrytorygoryliverywithryhim.ryIryloveryhim,rybutryI'mrynotryreadyrytorydorythat."ry
Whichryofrytheryfollowingryrecommendationsryshouldrytherynurserymakerytorypromoteryarychangery
inrytheryclient'srysituation?
,A)ryLearnrytorypracticerymindfulness
B)ryUseryassertivenessrytechniques
C)ryExerciseryregularly
D)ryRelyryonrytherysupportryofryarycloseryfriendry-ry-correctryans--B
Aryclientrytellsryarynurse,ry"Don'trytellryanyonerybutryIryhidryarysharprykniferyunderrymyrymattressryinryo
rderrytoryprotectrymyselfryfromrymyryroommate,rywhoryisryalwaysryyellingryatrymeryandrythreatening
ryme."ryWhichryofrytheryfollowingryactionsryshouldrytherynurserytake?
A)ryKeeprytheryclient'srycommunicationryconfidential,rybutrytalkrytorytheryclientrydaily,ryusingrythera
peuticrycommunicationrytoryconvinceryhimrytoryadmitrytoryhidingrytheryknife.
B)ryKeeprytheryclient'srycommunicationryconfidential,rybutrywatchrytheryclientryandryhisryroommat
eryclosely.
C)ryTellrytheryclientrythatrythisrymustryberyreportedrytorytheryhealthcareryteamrybecauseryitryconcern
srytheryhealthryandrysafetyryofrytheryclientryandryothers.
D)ryReportrytheryincidentrytorytheryhealthrycareryteam,rybutrydorynotryinformrytheryclientryofrytheryinten
tionrytorydoryso.ry-ry-correctryans--D
Arycommunityrymentalryhealthrynurseryisryplanningrycarerytoryaddressrytheryissueryofrydepressionry
amongryolderryadultryclientsryinrytherycommunity.ryWhichryofrytheryfollowingryinterventionsryshoul
drytherynurseryplanryasryarymethodryofrytertiaryryprevention?
A)ryEducatingryclientsryonryhealthrypromotionrytechniquesrytoryreducerytheryriskryofrydepression
B)ryPerformingryscreeningsryforrydepressionryatrycommunityryhealthryprograms
C)ryEstablishingryrehabilitationryprogramsrytorydecreaserytheryeffectsryofrydepression
D)ryProvidingrysupportrygroupsryforryclientsryatryriskryforrydepressionry-ry-correctryans--C
AryhomeryhealthrynurseryisrymakingryaryvisitrytoryaryclientrywhoryhasryAlzheimer'srydiseaserytoryasse
ssrytheryhomeryforrysafety.ryWhichryofrytheryfollowingrysuggestionsryshouldrytherynurserymakerytory
decreaserytheryclient'sryriskryforryinjury?ry(Selectryallrythatryapply)
A)ryInstallrychildproofrydoorrylocks
B)ryPlaceryrugsryoverryelectricalrycords
C)ryMarkrycleaningrysuppliesrywithrycoloredrytape
D)ryPlacerytheryclient'srymattressryonrytheryfloor
E)ryInstallrylightryfixturesryaboverystairsry-ry-correctryans--A,ryD,ryE
Arynurserydecidesrytoryputryaryclientrywhoryhasryarypsychoticrydisorderryinryseclusionryovernightrybe
causerytheryunitryisryveryryshort-
staffed,ryandrytheryclientryfrequentlyryfightsrywithryotherryclients.ryTherynurse'sryactionsryareryanrye
xampleryofrywhichryofrytheryfollowingrytorts?
A)ryInvasionryofryprivacy
B)ryFalseryimprisonment
C)ryAssault
D)ryBatteryry-ry-correctryans--B
Arynurseryhearsryarynewlyrylicensedrynurserydiscussingryaryclient'sryhallucinationsryinrytheryhallwa
yrywithryanotherrynurse.ryWhichryofrytheryfollowingryactionsryshouldrytherynurserytakeryfirst?
A)ryNotifyrytherynurserymanager
, B)ryTellrytherynurserytorystoprydiscussingrytherybehavior
C)ryProvideryanryin-serviceryprogramryaboutryconfidentiality
D)ryCompleteryanryincidentryreportry-ry-correctryans--B
Arynurseryinryarylong-
termrycareryfacilityryisrycaringryforryaryclientrywhoryhasrymajorryneurocognitiverydisorderryandryatte
mptsrytorywanderryoutryofrytherybuilding.ryTheryclientrystates,ry"Iryhaverytorygetryhome."ryWhichryofryt
heryfollowingrystatementsryshouldrytherynurserymake?
A)ryYouryhaveryforgottenrythatrythisryisryyourryhome
B)ryYourycannotrygoryoutsiderywithoutryarystaffrymember
C)ryWhyrywouldryyourywantrytoryleave?ryAren'tryyouryhappyrywithryyourrycare?
D)ryIryamryyourrynurse.ryLet'srywalkrytogetherrytoryyourryroomry-ry-correctryans--D
Arynurseryinryanryacuterymentalryhealthryfacilityryisryassistingrywithrydischargeryplanningryforryaryclie
ntrywhoryhasryarysevererymentalryillnessryandryrequiresrysupervisionrymuchryofrytherytime.ryTherycli
ent'srywiferyworksryallrydayrybutryisryhomerylateryafternoon.ryWhichryofrytheryfollowingrystrategiesrys
houldrytherynurserysuggestryasryappropriateryfollow-uprycare?
A)ryReceivingrydailyrycareryfromryaryhomeryhealthryaide
B)ryHavingryaryweeklyryvisitryfromryarynurserycaseryworker
C)ryAttendingryarypartialryhospitalizationryprogram
D)ryVisitingryarycommunityrymentalryhealthrycenterryonryarydailyrybasisry-ry-correctryans--C
Arynurseryinryanryacuterymentalryhealthryfacilityryisrycaringryforryaryclientrywhoryhasrybipolarrydisorde
r.ryWhichryofrytheryfollowingryisrytherypriorityrynursingryaction?
A)rySetryconsistentrylimitsryforryexpectedryclientrybehavior
B)ryAdministerryprescribedrymedicationsryasryscheduled
C)ryProviderytheryclientrywithrysteprybyrystepryinstructionsryduringryhygieneryactivities
D)ryMonitorrytheryclientryforryescalatingrybehaviorry-ry-correctryans--D
Arynurseryinryanryacuterymentalryhealthryfacilityryisryplanningrycareryforryaryclientrywhoryhasrydissoci
ativeryfugue.ryWhichryofrytheryfollowingryinterventionsryshouldrytherynurseryaddrytorytheryplanryofryc
are?
A)ryTeachrytheryclientrytoryrecognizeryhowrystressrybringsryonryarypersonalityrychangeryinrytheryclie
nt
B)ryRepeatedlyrypresentrytheryclientrywithryinformationryaboutrypastryevents
C)ryMakerydecisionsryforrytheryclientryregardingryroutinerydailyryactivities
D)ryWorkrywithrytheryclientryonrygroundingrytechniquesry-ry-correctryans--D
Arynurseryinryanryemergencyrymentalryhealthryfacilityryisrycaringryforryarygroupryofryclients.ryTherynur
seryshouldryidentifyrythatrywhichryofrytheryfollowingryclientsryrequiresryarytemporaryryemergencyry
admission?
A)ryAryclientrywhoryhasryschizophreniarywithrydelusionsryofrygrandeur
B)ryAryclientrywhoryhasrymanifestationsryofrydepressionryandryattemptedrysuicideryaryyearryago.
C)ryAryclientrywhoryhasryborderlinerypersonalityrydisorderryandryassaultedryaryhomelessrymanrywit
hryarymetalryrod.
