ATI RN Concept -
VG VG VG
Based Assessment Level 4 Online Practice A
VG VG VG VG VG VG VG
ATI RN 3.0 MENTAL HEALTH 1
AVGnurseVGisVGconductingVGaVGcounselingVGsessionVGwithVGaVGclientVGwhoVGhasVGaVGsubstanceVGuseVGdisorder.VGTheVGcl
ientVGrepeatedlyVGaskVGpersonalVGquestionsVGaboutVGtheVGnurse.VGWhichVGofVGtheVGfollowingVGactionsVGshouldVGtheVGnu
rseVGtake?VG-VGanswer--ExplainVGthatVGthisVGtimeVGisVGdesignatedVGtoVGfocusVGonVGtheVGclient.
AVGnurseVGisVGpreparingVGtoVGapplyVGrestaurantsVGonVGaVGclientVGwhoVGisVGthreateningVGtoVGharmVGothersVGandVGhasVGn
otVGrespondedVGtoVGlessenVGcaseVGofVGinterventions.VGWhichVGofVGtheVGfollowingVGactionsVGshouldVGtheVGnurseVGplanVGt
oVGtake?VG-VGanswer--DocumentVGtheVGclientsVGbehaviorVGeveryVG15VGminutesVGwhileVGrestraintsVGareVGinVGplace.
CommunityVGmentalVGhealthVGnurseVGisVGplanningVGstrategiesVGtoVGaddressVGsubstanceVGuseVGmyVGadolescence.VGWh
ichVGofVGtheVGfollowingVGinterventionVGshouldVGtheVGnurseVGplanVGasVGaVGmethodVGofVGprimaryVGprevention?
CommunityVGmentalVGhealthVGnurseVGisVGplanningVGstrategiesVGtoVGaddressVGsubstanceVGuseVGmyVGadolescence.VGWh
ichVGofVGtheVGfollowingVGinterventionVGshouldVGtheVGnurseVGplanVGasVGaVGmethodVGofVGprimaryVGprevention?VG-
VGanswer--ProvideVGaVGpresentationVGatVGareaVGhighVGschool'sVGandVGresistingVGpeerVGpressureVGforVGsubstanceVGuse.
AVGnurseVGinVGanVGemergencyVGdepartmentVGisVGcaringVGforVGanVG18VGmonthVGoldVGtoddlerVGwhoVGhasVGaVGfracturedVGle
ftVGfemur.VGWhatVGisVGtheVGlongVGstatementVGbyVGtheVGtoddler'sVGparentVGshouldVGcauseVGtheVGnurseVGtoVGsuspectVGchil
dVGabuse?VG-VGanswer--"MyVGchildVGwasVGridingVGaVGbicycleVGandVGfellVGoff."
AVGnurseVGisVGadministeringVGanVGoralVGsedativeVGtoVGaVGclientVGwhoVGisVGreceivingVGcarefulVGandVGinvoluntaryVGadmiss
ion.VGTheVGclientVGstates,VG"VGI'mVGnotVGtakingVGanyVGmoreVGmedication."VGWhichVGofVGtheVGfollowingVGactionsVGshouldVG
theVGnurseVGtake?VG-VGanswer--DocumentVGtheVGclientVGrefusalVGofVGtheVGmedicationVGinVGtheVGmedicalVGrecord.
AVGnurseVGisVGcaringVGforVGaVGschoolVGageVGclientVGwhoVGbeginsVGwettingVGtheVGbedVGafterVGfindingVGoutVGherVGparentsV
GareVGgettingVGaVGdivorce.VGTheVGnurseVGshouldVGidentifyVGtheVGclientVGisVGexhibitingVGwhichVGisVGaVGfineVGdefenseVGme
chanisms?VG-VGanswer--Regression
AVGnurseVGisVGcaringVGforVGaVGclientVGwhoVGisVGbroughtVGtoVGtheVGclinicVGbyVGherVGadultVGsonVGwhoVGstatesVGthatVGhisVGfa
therVGrecentlyVGdied.VGTheVGclientVGrepeatedlyVGyellsVGatVGherVGsonVGstating,VG"VGQuitVGlyingVGaboutVGyourVGfather!"VGTh
eVGnurseVGshouldVGrecognizeVGthatVGtheVGclientVGisVGdemonstratingVGwhichVGofVGtheVGfollowingVGdefenseVGmechanisms
?VG-VGanswer--Denial
AVGnurseVGisVGcaringVGforVGaVGclientVGcalledVGmentalVGhealthVGcounselingVGcenter.VGTheVGclientVGreceivedVGaVGfailingVGg
radeVGinVGtheVGcourseVGandVGspendsVGentireVGcounselingVGsessionVGblamingVGtheVGteacher.VGTheVGnurseVGshouldVGrec
ognizeVGthisVGbehaviorVGasVGexampleVGofVGwhichVGofVGtheVGfollowingVGdefenseVGmechanisms?VG-VGanswer--Projection
AVGnurseVGatVGaVGcollegeVGcampusVGhealthVGclinicVGisVGcaringVGforVGaVGclientVGwhoVGreportsVGmanifestationsVGofVGbulimi
aVGnervosa.VGTheVGclientVGtellsVGtheVGnurse,VG"VGIVGknowVGmyVGeatingVGbingesVGandVGvomitingVGareVGnotVGnormal,VGbutV
GIVGcannotVGcontrolVGit."VGWhichVGofVGtheVGfollowingVGresponsesVGshouldVGtheVGnurseVGmake?VG-
VGanswer--"VGYouVGareVGfeelingVGhelplessVGaboutVGchangingVGthisVGbehavior?"
AVGnurseVGisVGpreparingVGtoVGadministerVGfluphenazineVGdecanoateVG12.5VGmgVGsubcutaneous.VGavailableVGisVGfluphe
nazineVGdecanoateVG25VGmg/mL.VGHowVGmanyVGmLVGshouldVGtheVGnurseVGadministerVGperVGdose?VG-VGanswer--0.5
1VG/
VG4
VG VG VG
Based Assessment Level 4 Online Practice A
VG VG VG VG VG VG VG
ATI RN 3.0 MENTAL HEALTH 1
AVGnurseVGisVGconductingVGaVGcounselingVGsessionVGwithVGaVGclientVGwhoVGhasVGaVGsubstanceVGuseVGdisorder.VGTheVGcl
ientVGrepeatedlyVGaskVGpersonalVGquestionsVGaboutVGtheVGnurse.VGWhichVGofVGtheVGfollowingVGactionsVGshouldVGtheVGnu
rseVGtake?VG-VGanswer--ExplainVGthatVGthisVGtimeVGisVGdesignatedVGtoVGfocusVGonVGtheVGclient.
AVGnurseVGisVGpreparingVGtoVGapplyVGrestaurantsVGonVGaVGclientVGwhoVGisVGthreateningVGtoVGharmVGothersVGandVGhasVGn
otVGrespondedVGtoVGlessenVGcaseVGofVGinterventions.VGWhichVGofVGtheVGfollowingVGactionsVGshouldVGtheVGnurseVGplanVGt
oVGtake?VG-VGanswer--DocumentVGtheVGclientsVGbehaviorVGeveryVG15VGminutesVGwhileVGrestraintsVGareVGinVGplace.
CommunityVGmentalVGhealthVGnurseVGisVGplanningVGstrategiesVGtoVGaddressVGsubstanceVGuseVGmyVGadolescence.VGWh
ichVGofVGtheVGfollowingVGinterventionVGshouldVGtheVGnurseVGplanVGasVGaVGmethodVGofVGprimaryVGprevention?
CommunityVGmentalVGhealthVGnurseVGisVGplanningVGstrategiesVGtoVGaddressVGsubstanceVGuseVGmyVGadolescence.VGWh
ichVGofVGtheVGfollowingVGinterventionVGshouldVGtheVGnurseVGplanVGasVGaVGmethodVGofVGprimaryVGprevention?VG-
VGanswer--ProvideVGaVGpresentationVGatVGareaVGhighVGschool'sVGandVGresistingVGpeerVGpressureVGforVGsubstanceVGuse.
AVGnurseVGinVGanVGemergencyVGdepartmentVGisVGcaringVGforVGanVG18VGmonthVGoldVGtoddlerVGwhoVGhasVGaVGfracturedVGle
ftVGfemur.VGWhatVGisVGtheVGlongVGstatementVGbyVGtheVGtoddler'sVGparentVGshouldVGcauseVGtheVGnurseVGtoVGsuspectVGchil
dVGabuse?VG-VGanswer--"MyVGchildVGwasVGridingVGaVGbicycleVGandVGfellVGoff."
AVGnurseVGisVGadministeringVGanVGoralVGsedativeVGtoVGaVGclientVGwhoVGisVGreceivingVGcarefulVGandVGinvoluntaryVGadmiss
ion.VGTheVGclientVGstates,VG"VGI'mVGnotVGtakingVGanyVGmoreVGmedication."VGWhichVGofVGtheVGfollowingVGactionsVGshouldVG
theVGnurseVGtake?VG-VGanswer--DocumentVGtheVGclientVGrefusalVGofVGtheVGmedicationVGinVGtheVGmedicalVGrecord.
AVGnurseVGisVGcaringVGforVGaVGschoolVGageVGclientVGwhoVGbeginsVGwettingVGtheVGbedVGafterVGfindingVGoutVGherVGparentsV
GareVGgettingVGaVGdivorce.VGTheVGnurseVGshouldVGidentifyVGtheVGclientVGisVGexhibitingVGwhichVGisVGaVGfineVGdefenseVGme
chanisms?VG-VGanswer--Regression
AVGnurseVGisVGcaringVGforVGaVGclientVGwhoVGisVGbroughtVGtoVGtheVGclinicVGbyVGherVGadultVGsonVGwhoVGstatesVGthatVGhisVGfa
therVGrecentlyVGdied.VGTheVGclientVGrepeatedlyVGyellsVGatVGherVGsonVGstating,VG"VGQuitVGlyingVGaboutVGyourVGfather!"VGTh
eVGnurseVGshouldVGrecognizeVGthatVGtheVGclientVGisVGdemonstratingVGwhichVGofVGtheVGfollowingVGdefenseVGmechanisms
?VG-VGanswer--Denial
AVGnurseVGisVGcaringVGforVGaVGclientVGcalledVGmentalVGhealthVGcounselingVGcenter.VGTheVGclientVGreceivedVGaVGfailingVGg
radeVGinVGtheVGcourseVGandVGspendsVGentireVGcounselingVGsessionVGblamingVGtheVGteacher.VGTheVGnurseVGshouldVGrec
ognizeVGthisVGbehaviorVGasVGexampleVGofVGwhichVGofVGtheVGfollowingVGdefenseVGmechanisms?VG-VGanswer--Projection
AVGnurseVGatVGaVGcollegeVGcampusVGhealthVGclinicVGisVGcaringVGforVGaVGclientVGwhoVGreportsVGmanifestationsVGofVGbulimi
aVGnervosa.VGTheVGclientVGtellsVGtheVGnurse,VG"VGIVGknowVGmyVGeatingVGbingesVGandVGvomitingVGareVGnotVGnormal,VGbutV
GIVGcannotVGcontrolVGit."VGWhichVGofVGtheVGfollowingVGresponsesVGshouldVGtheVGnurseVGmake?VG-
VGanswer--"VGYouVGareVGfeelingVGhelplessVGaboutVGchangingVGthisVGbehavior?"
AVGnurseVGisVGpreparingVGtoVGadministerVGfluphenazineVGdecanoateVG12.5VGmgVGsubcutaneous.VGavailableVGisVGfluphe
nazineVGdecanoateVG25VGmg/mL.VGHowVGmanyVGmLVGshouldVGtheVGnurseVGadministerVGperVGdose?VG-VGanswer--0.5
1VG/
VG4
