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, A charge nurse is discussing mental status examinations D. "To assess remote memory, I should have the client repeat a list of objects."
with a newly licensed nurse. Which of the following
statements by the newly licensed nurse indicates a need Asking the client to repeat a list of objects is appropriate to assess immediate,
for further teaching? rather than remote, memory.
A. "To assess cognitive ability, I should ask the client to ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
count backward by 7."
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."
ATI RN Mental Health Nursing Modules Ch. 1 Application
Exercises
A nurse is planning care for a client who has a mental D. Monitor the client for adverse effects of medications.
health disorder. Which of the following is appropriate to
include as a psychobiological intervention? Assisting with systematic desensitization therapy is a cognitive and behavioral.
Teaching appropriate coping mechanisms is a counseling or health teaching.
A. Assist the client with systematic desensitization therapy. Assessing for comorbid health conditions is health promotion and maintenance.
B. Teach the client appropriate coping mechanisms.
C. Assess the client for comorbid health conditions. D. Monitoring for adverse effects of medications is an example of a psychobiological
D. Monitor the client for adverse effects of medications. intervention.
ATI RN Mental Health Nursing Modules Ch. 1 Application ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
Exercises
A nurse in an outpatient mental health clinic is preparing to B. Identify the client's perception of her mental health status.
conduct an initial client interview. When conducting the
interview, which of the following is the highest priority A. Appropriate, but not highest priority.
action?
B. Assessment is the priority action when taking the nursing process approach.
A. Respect the client's need for personal space. Identifying the client's perception of her mental health status provides important
B. Identify the client's perception of her mental health information about the client's psychosocial history.
status.
C. Include the client's family in the interview. C. Appropriate, but not highest priority.
D. Teach the client about her current mental health D. Appropriate, but not highest priority.
disorder.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
ATI RN Mental Health Nursing Modules Ch. 1 Application
Exercises
A nurse is told during change-of-shift report that a client is A. The client arouses briefly in response to a sternal rib.
stuporous. When assessing the client, which of the
following is an expected finding? A. A client who is stuporous requires vigorous or painful stimuli to elicit a response.
A. The client arouses briefly in response to a sternal rib. B. <7 on GCS indicates comatose, not stuporous, level of consciousness.
B. The client has a Glasgow Coma Scale score less than C. Abnormal posturing = comatose.
7. D. Stuporous /= alert.
C. The client exhibits decorticate rigidity.
D. The client is alert but disoriented to time and place. ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
ATI RN Mental Health Nursing Modules Ch. 1 Application
Exercises
A nurse is planning a peer group discussion about the A, B, D, E.
Diagnostic and Statistical Manual of Mental Disorders, 5th The DSM-5 is used as a diagnostic tool, establishes diagnostic criteria, used by
Edition (DSM-5). Which of the following is appropriate to nurses to plan, implement, and evaluate care, and identifies expected findings for
include in the discussion? (SATA) mental health disorders.
A. The DSM-5 is used to identify mental health disorders. It does not indicate pharmacological treatment.
B. The DSM-5 establishes diagnostic criteria.
C. The DSM-5 indicates recommended pharmacological ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
treatment.
D. The DSM-5 assists nurses in planning care.
E. The DSM-5 indicates expected assessment findings.
ATI RN Mental Health Nursing Modules Ch. 1 Application
Exercises