Test Bank
Varcarolis Essentials of Psychiatric Mental
Health Nursing
By Chyllia D Fosbre
5th Edition
MULTIPLE CHOICES
1|Page
,1. A nurse in an emergency mental health facility is caring for a group of clients. The nurse
should identify that which of the following clients requires a temporary emergency
admission?
A. A client who has schizophrenia with delusions of grandeur
B. A client who has manifestations of depression and attempted suicide a year ago
C. A client who has borderline personality disorder and assaulted a homeless man with a
metal rod.
D. A client who has bipolar disorder and paces quickly around the room while talking to
themselves - Ans✓✓ C. A client who has borderline personality disorder and assaulted a
homeless man with a metal rod.
ATI Book: Chapter 1 Legal and Ethical Issues
2. A nurse decides to put a client who has a psychotic disorder in seclusion overnight because
the unit is very short-staffed, and the client frequently flights with other clients. The nurses
actions are an example of which of the following torts?
A. Invasion of privacy
B. False imprisonment
C. Assault
D. Battery - Ans✓✓ B. False imprisonment
ATI Book: Chapter 1 Legal and Ethical Issues
3. A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in order
to protect myself from my roommate, who is always yelling at me and threatening me."
Which of the following
actions should the nurse take?
2|Page
,A. Keep the client's communication confidential, but talk to the client daily, using therapeutic
communication to convince him to admit to hiding the knife.
B. Keep the client's communication confidential, but watch the client and his roommate
closely.
C. Tell the client that this must be reported to the health care team because it concerns the
health and safety of the client and others.
D. Report the incident to the health care team, but do not inform the client of the intention to
do so - Ans✓✓ C. Tell the client that this must be reported to the health care team because it
concerns the health and safety of the client and others.
ATI Book: Chapter 1 Legal and Ethical Issues
4. A nurse is caring for a client who is in mechanical restraints. Which of the following
statements should the nurse include in the documentation? Select All That Apply (Hint: 3
Answer Choice)
A. "Client ate most of their breakfast"
B. "Client was offered 8 oz. of water every hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15mg by mouth at 1000"
E. "Client acted out after lunch" - Ans✓✓ B. "Client was offered 8 oz. of water every hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15mg by mouth at 1000"
ATI Book: Chapter 1 Legal and Ethical Issues
3|Page
, 5. A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway
with another nurse. Which of the following actions should the nurse take first?
A. Notify the nurse manager.
B. Tell the nurse to stop discussing the behavior.
C. Provide an in-service program about confidentiality.
D. Complete an incident report. - Ans✓✓ B. Tell the nurse to stop discussing the behavior.
ATI Book: Chapter 1 Legal and Ethical Issues
1. A charge nurse is conducting a class on therapeutic communications with a group of newly
licensed nurses. Which of the following aspects of communications should the nurse identify
as a component of verbal communications?
A. Personal space
B. Posture
C. Eye contact
D. Intonation - Ans✓✓ D. Intonation
ATI Book: Chapter 3 Effective Communication
2. A nurse in an acute mental health facility is communicating with a client. The client states,
"I can't sleep. I stay up all night." The nurse responds, "You are having difficulty sleeping?"
Which of the following therapeutic communication techniques is the nurse demonstrating?
A. Offering general leads
B. Summarizing
C. Focusing
4|Page
Varcarolis Essentials of Psychiatric Mental
Health Nursing
By Chyllia D Fosbre
5th Edition
MULTIPLE CHOICES
1|Page
,1. A nurse in an emergency mental health facility is caring for a group of clients. The nurse
should identify that which of the following clients requires a temporary emergency
admission?
A. A client who has schizophrenia with delusions of grandeur
B. A client who has manifestations of depression and attempted suicide a year ago
C. A client who has borderline personality disorder and assaulted a homeless man with a
metal rod.
D. A client who has bipolar disorder and paces quickly around the room while talking to
themselves - Ans✓✓ C. A client who has borderline personality disorder and assaulted a
homeless man with a metal rod.
ATI Book: Chapter 1 Legal and Ethical Issues
2. A nurse decides to put a client who has a psychotic disorder in seclusion overnight because
the unit is very short-staffed, and the client frequently flights with other clients. The nurses
actions are an example of which of the following torts?
A. Invasion of privacy
B. False imprisonment
C. Assault
D. Battery - Ans✓✓ B. False imprisonment
ATI Book: Chapter 1 Legal and Ethical Issues
3. A client tells a nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in order
to protect myself from my roommate, who is always yelling at me and threatening me."
Which of the following
actions should the nurse take?
2|Page
,A. Keep the client's communication confidential, but talk to the client daily, using therapeutic
communication to convince him to admit to hiding the knife.
B. Keep the client's communication confidential, but watch the client and his roommate
closely.
C. Tell the client that this must be reported to the health care team because it concerns the
health and safety of the client and others.
D. Report the incident to the health care team, but do not inform the client of the intention to
do so - Ans✓✓ C. Tell the client that this must be reported to the health care team because it
concerns the health and safety of the client and others.
ATI Book: Chapter 1 Legal and Ethical Issues
4. A nurse is caring for a client who is in mechanical restraints. Which of the following
statements should the nurse include in the documentation? Select All That Apply (Hint: 3
Answer Choice)
A. "Client ate most of their breakfast"
B. "Client was offered 8 oz. of water every hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15mg by mouth at 1000"
E. "Client acted out after lunch" - Ans✓✓ B. "Client was offered 8 oz. of water every hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15mg by mouth at 1000"
ATI Book: Chapter 1 Legal and Ethical Issues
3|Page
, 5. A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway
with another nurse. Which of the following actions should the nurse take first?
A. Notify the nurse manager.
B. Tell the nurse to stop discussing the behavior.
C. Provide an in-service program about confidentiality.
D. Complete an incident report. - Ans✓✓ B. Tell the nurse to stop discussing the behavior.
ATI Book: Chapter 1 Legal and Ethical Issues
1. A charge nurse is conducting a class on therapeutic communications with a group of newly
licensed nurses. Which of the following aspects of communications should the nurse identify
as a component of verbal communications?
A. Personal space
B. Posture
C. Eye contact
D. Intonation - Ans✓✓ D. Intonation
ATI Book: Chapter 3 Effective Communication
2. A nurse in an acute mental health facility is communicating with a client. The client states,
"I can't sleep. I stay up all night." The nurse responds, "You are having difficulty sleeping?"
Which of the following therapeutic communication techniques is the nurse demonstrating?
A. Offering general leads
B. Summarizing
C. Focusing
4|Page
