ATI Mental Health 1 Learning System RN
3.0
1. A nurse is finishing an admission assessment for a teen client who has melancholy. The
nurse ought to perceive which of the following findings as the concern?
A. The patron is confrontational along with his mother and father
b. The patron is getting Ds in his training because he frequently skips college.
C. The client states he smokes half of a percent of cigarettes in line with day
d. The client gives his favorite possessions to his buddies
ANS: D - ANS-
2. A nurse enters a purchaser's room, and observes that the consumer is agitated and pacing
hastily. The pt looks at the nurse and says, "backpedal. Leave me on my own" What declaration
must the nurse make?
A. "I call for which you calm down now. Your conduct is unacceptable."
b. "I will close the door to provide privacy, and you can inform me what's bothering you."
c. "I will come up with some area in case you calm down. Tell me what is making you sense so
hectic."
d. "I will leave you alone for a d=little while whilst you try to control your self."
ANS: C (stay at safe distance and remain calm) - ANS-
3. A nurse is worrying for a patron who has borderline persona disorder. The nurse enters the
patron's room and unearths the consumer reducing into his flesh with a paper clip. After
imparting first resource, which of the subsequent actions have to the nurse take first?
A. Encourage the consumer to s=discuss emotions about self-injurious behavior all through
organization remedy
b. Fill out an incident file for threat control approximately the patron's self-injurious conduct
c. Document the customer's self-injurious conduct in his scientific file
d. Identify the customers emotions that result in the self-injurious behavior
ANS: D - ANS-
four. A nurse is being concerned for a consumer who has most important depressive sickness
and lately began taking an antidepressant. The nurse must perceive which of the following client
statements as the concern?
A. "I hate being so helpless. I can not even control my personal finance anymore."
, b. "At organization therapy today I desired to depart. I did not feeling like being with different
people."
c. "I actually have all of it found out. Everything is going to be adequate now."
d. "I don't sense like showering. I'd instead simply live in mattress these days."
ANS: C - ANS-
5. The nurse is worrying for a customer who reminds her of a poor character in her beyond.
These recollections motive the nurse to unconsciously displace bad feelings closer to the
consumer. The nurse have to recognize that she is demonstrating which of the following
behaviors?
A. Suppression
b. Countertransference
c. Transference
d. Assertiveness
ANS: B - ANS-
6. A nurse is organising a therapeutic courting with a customer who has hallucinations. Which of
the following movements ought to the nurse take for the duration of the orientation segment?
A. Identify the customers belief of the cause for remedy
b. Ask the consumer to offer a detailed description of the hallucinations (running phase)
c. Assist the client with the development of problem-fixing capabilities (working segment)
d. Explore the customer's relationship with own family participants (running section)
ANS: A - ANS-
7. A nurse is planning care for a purchaser who has thoughts of suicide. Which of the following
desires need to the nurse encompass inside the customer's plan of care?
A. The customer will perceive wonderful components of others.
B. The patron concurs to notify a personnel member of mind of self-damage.
C. The client will interact in an unbiased diversional interest
d. The customer will not verbalize thoughts or emotions associated with suicide
ANS: B - ANS-
8. A nurse is caring for a patron who has a brand new prognosis of colon most cancers. Shortly
after the purchaser receives the prognosis, the nurse enters the purchaser's room and the
customer begins yelling, "I even have received terrible care here and no one cares
approximately me." The nurse should understand that the customer is demonstrating which of
the subsequent defense mechanisms?
A. Denial
b. Displacement
c. Reaction formation
d. Projection
3.0
1. A nurse is finishing an admission assessment for a teen client who has melancholy. The
nurse ought to perceive which of the following findings as the concern?
A. The patron is confrontational along with his mother and father
b. The patron is getting Ds in his training because he frequently skips college.
C. The client states he smokes half of a percent of cigarettes in line with day
d. The client gives his favorite possessions to his buddies
ANS: D - ANS-
2. A nurse enters a purchaser's room, and observes that the consumer is agitated and pacing
hastily. The pt looks at the nurse and says, "backpedal. Leave me on my own" What declaration
must the nurse make?
A. "I call for which you calm down now. Your conduct is unacceptable."
b. "I will close the door to provide privacy, and you can inform me what's bothering you."
c. "I will come up with some area in case you calm down. Tell me what is making you sense so
hectic."
d. "I will leave you alone for a d=little while whilst you try to control your self."
ANS: C (stay at safe distance and remain calm) - ANS-
3. A nurse is worrying for a patron who has borderline persona disorder. The nurse enters the
patron's room and unearths the consumer reducing into his flesh with a paper clip. After
imparting first resource, which of the subsequent actions have to the nurse take first?
A. Encourage the consumer to s=discuss emotions about self-injurious behavior all through
organization remedy
b. Fill out an incident file for threat control approximately the patron's self-injurious conduct
c. Document the customer's self-injurious conduct in his scientific file
d. Identify the customers emotions that result in the self-injurious behavior
ANS: D - ANS-
four. A nurse is being concerned for a consumer who has most important depressive sickness
and lately began taking an antidepressant. The nurse must perceive which of the following client
statements as the concern?
A. "I hate being so helpless. I can not even control my personal finance anymore."
, b. "At organization therapy today I desired to depart. I did not feeling like being with different
people."
c. "I actually have all of it found out. Everything is going to be adequate now."
d. "I don't sense like showering. I'd instead simply live in mattress these days."
ANS: C - ANS-
5. The nurse is worrying for a customer who reminds her of a poor character in her beyond.
These recollections motive the nurse to unconsciously displace bad feelings closer to the
consumer. The nurse have to recognize that she is demonstrating which of the following
behaviors?
A. Suppression
b. Countertransference
c. Transference
d. Assertiveness
ANS: B - ANS-
6. A nurse is organising a therapeutic courting with a customer who has hallucinations. Which of
the following movements ought to the nurse take for the duration of the orientation segment?
A. Identify the customers belief of the cause for remedy
b. Ask the consumer to offer a detailed description of the hallucinations (running phase)
c. Assist the client with the development of problem-fixing capabilities (working segment)
d. Explore the customer's relationship with own family participants (running section)
ANS: A - ANS-
7. A nurse is planning care for a purchaser who has thoughts of suicide. Which of the following
desires need to the nurse encompass inside the customer's plan of care?
A. The customer will perceive wonderful components of others.
B. The patron concurs to notify a personnel member of mind of self-damage.
C. The client will interact in an unbiased diversional interest
d. The customer will not verbalize thoughts or emotions associated with suicide
ANS: B - ANS-
8. A nurse is caring for a patron who has a brand new prognosis of colon most cancers. Shortly
after the purchaser receives the prognosis, the nurse enters the purchaser's room and the
customer begins yelling, "I even have received terrible care here and no one cares
approximately me." The nurse should understand that the customer is demonstrating which of
the subsequent defense mechanisms?
A. Denial
b. Displacement
c. Reaction formation
d. Projection
