Practice Quiz Learning System ATI - Mental Health 1(Top QUALITY 2024/2025 EXAM REVIEW) FALL TO SPRING SEMESTER//

Practice Quiz Learning System ATI - Mental Health 1 A nurse enters a client's room, and observes that the client is agitated and pacing rapidly. The pt looks at the nurse and says, "back off. Leave me alone" What statement should the nurse make? - "I will give you some space if you calm down. Tell me what is making you feel so tense." *Stay at safe distance and remain calm A nurse is caring for a client who has borderline personality disorder. The nurse enters the client's room and finds the client cutting into his flesh with a paper clip. After providing first aid, which of the following actions should the nurse take first? - Identify the clients feelings that lead to the self injury *Nursing process - collecting data is first The nurse is caring for a client who reminds her of a negative person in her past. These memories cause the nurse to unconsciously displace negative feelings towards the client. The nurse should recognize that she is demonstrating which of the following behaviors? - Countertransference *The nurse demonstrates countertransference by unconsciously attributing feelings, positive or negative, about another towards the client A nurse is establishing a therapeutic relationship with a client who has hallucinations. Which of the following actions should the nurse take during the orientation phase? - Identify the clients perception of the reason for therapy assess the client's beliefs about the reason for therapy A nurse is planning care for a client who has thoughts of suicide. Which of the following goals should the nurse include in the client's plan of care? - The client agrees to notify a staff member of thoughts of self harm A nurse is caring for a client who has a new diagnosis of colon cancer. Shortly after the client receives the diagnosis, the nurse enters the client's room and the client begins yelling, "I have received terrible care here and no one cares about me." The nurse should recognize that the client is demonstrating which of the following defense mechanisms? - Displacement *Redirection of thoughts, feelings, impulses, from an object that causes anxiety to a safer more acceptable one. Patient is redirecting his anxiety about the diagnosis to the staff that is providing care. A nurse is admitting a client following care in the emergency department for an intentional overdose of opioids. The client states, "I feel so alone. No one can help me." Which of the following responses by the nurse is therapeutic? - "I would like to sit and talk to you"