lOMoARcPSD|12231731
ATI Mental Health Proctored
exam-with 100% verified answers-
2022
A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
following statements by the newly licensed nurse indicates an understanding of the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
teaching? (Select all that apply)
,i ,i ,i ,i ,i
A. "Toassesscognitiveability,Ishouldasktheclienttocountbackwardbysevens."
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B. "Toassess affect,Ishould observethe client's facial expression."
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C. "Toassesslanguageability,Ishouldinstructtheclienttowriteasentence."
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
D. "Toassessremotememory,Ishouldhavetheclientrepeatalistofobjects."
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
E. "Toassesstheclient'sabstractthinking,Ishouldasktheclienttoidentifyourmost recent
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presidents."
,i
Anurseisplanningcarefor aclient whohasamental healthdisorder.Whichofthe following
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actions should the nurse include as a psychobiological intervention?
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A. Assisttheclientwithsystematicdesensitizationtherapy. ,i ,i ,i ,i ,i ,i
B. Teachtheclientappropriatecopingmechanisms. ,i ,i ,i ,i ,i
C. Assesstheclientforcomorbid healthconditions. ,i ,i ,i ,i ,i ,i
D. Monitortheclientfor adverseeffectsofthe medications. ,i ,i ,i ,i ,i ,i ,i ,i
A nurse in an outpatient mental health clinic is preparing to conduct an initial client
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interview. Whenconducting theinterview,whichof thefollowing actions should the nurse
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
identify as the priority?
,i ,i ,i ,i
A. Coordinateholisticcarewithsocialservices. ,i ,i ,i ,i ,i
B. Identifytheclient's perceptionofhermentalhealthstatus. ,i ,i ,i ,i ,i ,i ,i ,i
C. Includetheclient'sfamilyintheinterview. ,i ,i ,i ,i ,i ,i
D. Teachtheclientabouthercurrentmentalhealthdisorder. ,i ,i ,i ,i ,i ,i ,i ,i
Anurseistoldduringchangeofshiftreportthataclientisstuporous.Whenassessing the client,
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
which of the following findings should the nurse expect?
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A. Theclientarouses brieflyinresponsetoa sternalrub.
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B. Theclienthasa glasgow comascale scoreless than 7.
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C. Theclientexhibitsdecorticaterigidity. ,i ,i ,i ,i
D. Theclient isalertbut disoriented totimeand place.
,i ,i ,i ,i ,i ,i ,i ,i ,i
DownloadedbyRouguiatouBarry() ,i ,i ,i ,i
, lOMoARcPSD|12231731
AnurseisplanningapeergroupdiscussionabouttheDSM-5.Whichofthefollowing information
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
is appropriate to include in the discussion? (Select all that apply)
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
A. TheDSM-5includesclienteducationhandoutsformentalhealthdisorders.
,i ,i ,i ,i ,i ,i ,i ,i ,i
B. TheDSM-5establishesdiagnosticcriteriaforindividual mental healthdisorders.
,i ,i ,i ,i ,i ,i ,i ,i ,i
C. TheDSM-5indicatesrecommendedpharmacologicaltreatmentformentalhealth ,i ,i ,i ,i ,i ,i ,i ,i
disorders.
,i
D. TheDSM-5assistsnursesinplanningcareforclient'swhohavementalhealth ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
disorders.
,i
E. TheDSM-5indicatesexpectedassessmentfindingsofmental healthdisorders.
,i ,i ,i ,i ,i ,i ,i ,i ,i
Anurseinanemergencymentalhealthfacilityiscaringforagroupofclients.Thenurse should
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
identify that which of the following clients requires a temporary emergency admission?
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A. Aclient whohasschizophrenia withdelusionsofgrandeur
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B. Aclient whohasmanifestationsofdepressionandattemptedsuicide ayear ago
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C. Aclientwhohasborderlinepersonalitydisorderandassaultedahomelessmanwith a metal
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rod
,i
D. Aclientwhohasbipolardisorderandpacesquicklyaroundtheroomwhiletalkingto himself
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A nurse decides to put a client who has a psychotic disorder in seclusion overnight becausethe
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
unitisveryshort-staffed,andtheclientfrequentlyfightswithotherclients. The nurse's actions
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
are an example of which of the following torts?
,i ,i ,i ,i ,i ,i ,i ,i ,i
A. Invasion of privacy ,i ,i
B. Falseimprisonment ,i
C. Assault
D. Battery
A client tells a nurse, "Don't tell anyone but I hid a sharp knife under my mattress in orderto
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
protectmyselffrommyroommate,whoisalwaysyellingatmeandthreatening me." Which of the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
following actions should the nurse take?
,i ,i ,i ,i ,i ,i
A. Keeptheclient'scommunicationconfidential,buttalktotheclientdaily,using ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
therapeutic communication to convince him to admit to hiding the knife.
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
B. Keeptheclient'scommunicationconfidential,butwatchtheclientandhisroommate ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
closely.
,i
C. Telltheclientthatthismustbereportedtothehealthcareteambecauseitconcerns the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
health and safety of the client and others.
,i ,i ,i ,i ,i ,i ,i ,i
D. Reporttheincidenttothe healthcareteam,butdonotinformtheclientofthe intention ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
to do so.
,i ,i ,i
DownloadedbyRouguiatouBarry() ,i ,i ,i ,i
, lOMoARcPSD|12231731
Anurseiscaringforaclientwhoisinmechanicalrestraints.Whichofthefollowing statements
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
should the nurse include in the documentation? (Select all that apply)
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A. "Client atemostof his breakfast." ,i ,i ,i ,i ,i
B. "Clientwasoffered8ozofwaterevery hr." ,i ,i ,i ,i ,i ,i ,i ,i
C. "Clientshoutedobscenities atassistivepersonnel." ,i ,i ,i ,i ,i
D. "Clientreceivedchlorpromazine 15mgbymouthat 1000." ,i ,i ,i ,i ,i ,i ,i ,i
E. "Clientactedoutafterlunch." ,i ,i ,i ,i
Anursehearsanewlylicensednursediscussingaclient's hallucinationsinthehallway with
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
another nurse. Which of the following actions should the nurse take first?
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A. Notifythenursemanager. ,i ,i ,i
B. Tellthenursetostopdiscussingthebehavior.
,i ,i ,i ,i ,i ,i ,i
C. Provideanin-serviceprogramaboutconfidentiality. ,i ,i ,i ,i ,i
D. Completeanincidentreport. ,i ,i ,i
A nurse is caring for the parents of a child who has demonstrated changes in behavior and
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
mood.Whenthemotherofthechildasksthenurseforreassuranceaboutherson's condition,
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
which of the following responses should the nurse make?
,i ,i ,i ,i ,i ,i ,i ,i ,i
A. "Ithinkyoursonis gettingbetter.Whathaveyounoticed."
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B. "I'msureeverythingwillbeokay.Itjusttakestimeto heal."
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C. "I'mnot sure whats wrong. Have you asked the doctor about your concerns?"
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D. "Iunderstandyou'reconcerned.Let'sdiscusswhatconcernsyouspecifically."
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A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
coughing becauseI havethat coldthat everyone has beengetting."Thenurseshould identify
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
that the client is using which of the following defense mechanisms?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
A. Reactionformation ,i
B. Denial
C. Displacement
D. Sublimation
A nurse is providing preoperative teaching for a client who was just informed that she requires
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
emergencysurgery.Theclienthasarespiratoryrate30/minandsays,"Thisis difficult to
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
comprehend. I feel shaky and nervous." The nurse should identify that the client is
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experiencing which of the following levels of anxiety?
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A. Mild
B. Moderate
DownloadedbyRouguiatouBarry() ,i ,i ,i ,i
, lOMoARcPSD|12231731
C. Severe
D. Panic
A nurse is caring for a client who is experiencing moderate anxiety. Which of the following
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actionsshouldthenursetakewhentryingtogivenecessaryinformationtothe client? (Select all
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that apply.)
,i ,i
A. Reassuretheclientthateverythingwillbeokay. ,i ,i ,i ,i ,i ,i ,i
B. Discussprior use ofcoping mechanisms withtheclient. ,i ,i ,i ,i ,i ,i ,i ,i
C. Ignoretheclient's anxietysothat shewillnotbeembarrassed. ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
D. Demonstrateacalm mannerwhileusingsimpleandclear directions. ,i ,i ,i ,i ,i ,i ,i ,i ,i
E. Gatherinformationfromtheclientusingclosed-endedquestions. ,i ,i ,i ,i ,i ,i ,i
Anurseistalkingwithaclientwhoisatriskforsuicidefollowingthedeathofhis spouse. Which of
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the following statements should the nurse make?
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A. "Ifeelverysorry forthelonelinessyoumustbeexperiencing."
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B. "Suicide is not the appropriate way to cope with loss." ,i ,i ,i ,i ,i ,i ,i ,i ,i
C. "Losingsomeoneclose toyoumustbevery upsetting." ,i ,i ,i ,i ,i ,i ,i ,i
D. "Iknow howdifficult itistolose aloved one."
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A charge nurse is discussing the characteristics of a nurse-client relationship with a newly
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licensednurse.Whichofthefollowingcharacteristicsshouldthenurseincludein the
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discussion? (Select all that apply)
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A. Theneedsofbothparticipantsare met. ,i ,i ,i ,i ,i ,i
B. Anemotionalcommitmentexistsbetweentheparticipants.
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C. Itis goal-directed. ,i ,i
D. Behavioralchangeisencouraged. ,i ,i ,i
E. Atermination dateis established.
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A nurse is in the working phase of a therapeutic relationship with a client who has
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methamphetamineusedisorder.Whichofthefollowingactionsindicatestransference
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behavior?
,i
A. Theclientasksthenurse whether shewillgooutto dinnerwithhim.
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B. Theclientaccusesthenurses oftellinghimwhattodojustlikehisex-girlfriend.
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C. Theclientremindsthe nurse of afriendwhodiedfrom asubstance overdose.
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D. Theclient becomesangryandthreatenstoharm himself. ,i ,i ,i ,i ,i ,i ,i ,i
Anurseisplanningcarefortheterminationphaseofanurse-clientrelationship.Whichofthe following
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actions should the nurse include in the plan of care?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
A. Discussingwaystousenew behaviors ,i ,i ,i ,i ,i
B. Practicingnewproblem-solvingskills ,i ,i ,i
DownloadedbyRouguiatouBarry() ,i ,i ,i ,i
ATI Mental Health Proctored
exam-with 100% verified answers-
2022
A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
following statements by the newly licensed nurse indicates an understanding of the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
teaching? (Select all that apply)
,i ,i ,i ,i ,i
A. "Toassesscognitiveability,Ishouldasktheclienttocountbackwardbysevens."
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
B. "Toassess affect,Ishould observethe client's facial expression."
,i ,i ,i ,i ,i ,i ,i ,i ,i
C. "Toassesslanguageability,Ishouldinstructtheclienttowriteasentence."
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
D. "Toassessremotememory,Ishouldhavetheclientrepeatalistofobjects."
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
E. "Toassesstheclient'sabstractthinking,Ishouldasktheclienttoidentifyourmost recent
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
presidents."
,i
Anurseisplanningcarefor aclient whohasamental healthdisorder.Whichofthe following
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
actions should the nurse include as a psychobiological intervention?
,i ,i ,i ,i ,i ,i ,i ,i ,i
A. Assisttheclientwithsystematicdesensitizationtherapy. ,i ,i ,i ,i ,i ,i
B. Teachtheclientappropriatecopingmechanisms. ,i ,i ,i ,i ,i
C. Assesstheclientforcomorbid healthconditions. ,i ,i ,i ,i ,i ,i
D. Monitortheclientfor adverseeffectsofthe medications. ,i ,i ,i ,i ,i ,i ,i ,i
A nurse in an outpatient mental health clinic is preparing to conduct an initial client
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
interview. Whenconducting theinterview,whichof thefollowing actions should the nurse
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
identify as the priority?
,i ,i ,i ,i
A. Coordinateholisticcarewithsocialservices. ,i ,i ,i ,i ,i
B. Identifytheclient's perceptionofhermentalhealthstatus. ,i ,i ,i ,i ,i ,i ,i ,i
C. Includetheclient'sfamilyintheinterview. ,i ,i ,i ,i ,i ,i
D. Teachtheclientabouthercurrentmentalhealthdisorder. ,i ,i ,i ,i ,i ,i ,i ,i
Anurseistoldduringchangeofshiftreportthataclientisstuporous.Whenassessing the client,
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
which of the following findings should the nurse expect?
,i ,i ,i ,i ,i ,i ,i ,i ,i
A. Theclientarouses brieflyinresponsetoa sternalrub.
,i ,i ,i ,i ,i ,i ,i ,i ,i
B. Theclienthasa glasgow comascale scoreless than 7.
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
C. Theclientexhibitsdecorticaterigidity. ,i ,i ,i ,i
D. Theclient isalertbut disoriented totimeand place.
,i ,i ,i ,i ,i ,i ,i ,i ,i
DownloadedbyRouguiatouBarry() ,i ,i ,i ,i
, lOMoARcPSD|12231731
AnurseisplanningapeergroupdiscussionabouttheDSM-5.Whichofthefollowing information
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
is appropriate to include in the discussion? (Select all that apply)
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
A. TheDSM-5includesclienteducationhandoutsformentalhealthdisorders.
,i ,i ,i ,i ,i ,i ,i ,i ,i
B. TheDSM-5establishesdiagnosticcriteriaforindividual mental healthdisorders.
,i ,i ,i ,i ,i ,i ,i ,i ,i
C. TheDSM-5indicatesrecommendedpharmacologicaltreatmentformentalhealth ,i ,i ,i ,i ,i ,i ,i ,i
disorders.
,i
D. TheDSM-5assistsnursesinplanningcareforclient'swhohavementalhealth ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
disorders.
,i
E. TheDSM-5indicatesexpectedassessmentfindingsofmental healthdisorders.
,i ,i ,i ,i ,i ,i ,i ,i ,i
Anurseinanemergencymentalhealthfacilityiscaringforagroupofclients.Thenurse should
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
identify that which of the following clients requires a temporary emergency admission?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
A. Aclient whohasschizophrenia withdelusionsofgrandeur
,i ,i ,i ,i ,i ,i ,i ,i
B. Aclient whohasmanifestationsofdepressionandattemptedsuicide ayear ago
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
C. Aclientwhohasborderlinepersonalitydisorderandassaultedahomelessmanwith a metal
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
rod
,i
D. Aclientwhohasbipolardisorderandpacesquicklyaroundtheroomwhiletalkingto himself
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
A nurse decides to put a client who has a psychotic disorder in seclusion overnight becausethe
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
unitisveryshort-staffed,andtheclientfrequentlyfightswithotherclients. The nurse's actions
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
are an example of which of the following torts?
,i ,i ,i ,i ,i ,i ,i ,i ,i
A. Invasion of privacy ,i ,i
B. Falseimprisonment ,i
C. Assault
D. Battery
A client tells a nurse, "Don't tell anyone but I hid a sharp knife under my mattress in orderto
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
protectmyselffrommyroommate,whoisalwaysyellingatmeandthreatening me." Which of the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
following actions should the nurse take?
,i ,i ,i ,i ,i ,i
A. Keeptheclient'scommunicationconfidential,buttalktotheclientdaily,using ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
therapeutic communication to convince him to admit to hiding the knife.
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
B. Keeptheclient'scommunicationconfidential,butwatchtheclientandhisroommate ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
closely.
,i
C. Telltheclientthatthismustbereportedtothehealthcareteambecauseitconcerns the
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
health and safety of the client and others.
,i ,i ,i ,i ,i ,i ,i ,i
D. Reporttheincidenttothe healthcareteam,butdonotinformtheclientofthe intention ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
to do so.
,i ,i ,i
DownloadedbyRouguiatouBarry() ,i ,i ,i ,i
, lOMoARcPSD|12231731
Anurseiscaringforaclientwhoisinmechanicalrestraints.Whichofthefollowing statements
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
should the nurse include in the documentation? (Select all that apply)
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
A. "Client atemostof his breakfast." ,i ,i ,i ,i ,i
B. "Clientwasoffered8ozofwaterevery hr." ,i ,i ,i ,i ,i ,i ,i ,i
C. "Clientshoutedobscenities atassistivepersonnel." ,i ,i ,i ,i ,i
D. "Clientreceivedchlorpromazine 15mgbymouthat 1000." ,i ,i ,i ,i ,i ,i ,i ,i
E. "Clientactedoutafterlunch." ,i ,i ,i ,i
Anursehearsanewlylicensednursediscussingaclient's hallucinationsinthehallway with
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
another nurse. Which of the following actions should the nurse take first?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
A. Notifythenursemanager. ,i ,i ,i
B. Tellthenursetostopdiscussingthebehavior.
,i ,i ,i ,i ,i ,i ,i
C. Provideanin-serviceprogramaboutconfidentiality. ,i ,i ,i ,i ,i
D. Completeanincidentreport. ,i ,i ,i
A nurse is caring for the parents of a child who has demonstrated changes in behavior and
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
mood.Whenthemotherofthechildasksthenurseforreassuranceaboutherson's condition,
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
which of the following responses should the nurse make?
,i ,i ,i ,i ,i ,i ,i ,i ,i
A. "Ithinkyoursonis gettingbetter.Whathaveyounoticed."
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
B. "I'msureeverythingwillbeokay.Itjusttakestimeto heal."
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
C. "I'mnot sure whats wrong. Have you asked the doctor about your concerns?"
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
D. "Iunderstandyou'reconcerned.Let'sdiscusswhatconcernsyouspecifically."
,i ,i ,i ,i ,i ,i ,i ,i ,i
A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
coughing becauseI havethat coldthat everyone has beengetting."Thenurseshould identify
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
that the client is using which of the following defense mechanisms?
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
A. Reactionformation ,i
B. Denial
C. Displacement
D. Sublimation
A nurse is providing preoperative teaching for a client who was just informed that she requires
,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
emergencysurgery.Theclienthasarespiratoryrate30/minandsays,"Thisis difficult to
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comprehend. I feel shaky and nervous." The nurse should identify that the client is
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experiencing which of the following levels of anxiety?
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A. Mild
B. Moderate
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, lOMoARcPSD|12231731
C. Severe
D. Panic
A nurse is caring for a client who is experiencing moderate anxiety. Which of the following
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actionsshouldthenursetakewhentryingtogivenecessaryinformationtothe client? (Select all
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that apply.)
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A. Reassuretheclientthateverythingwillbeokay. ,i ,i ,i ,i ,i ,i ,i
B. Discussprior use ofcoping mechanisms withtheclient. ,i ,i ,i ,i ,i ,i ,i ,i
C. Ignoretheclient's anxietysothat shewillnotbeembarrassed. ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
D. Demonstrateacalm mannerwhileusingsimpleandclear directions. ,i ,i ,i ,i ,i ,i ,i ,i ,i
E. Gatherinformationfromtheclientusingclosed-endedquestions. ,i ,i ,i ,i ,i ,i ,i
Anurseistalkingwithaclientwhoisatriskforsuicidefollowingthedeathofhis spouse. Which of
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the following statements should the nurse make?
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A. "Ifeelverysorry forthelonelinessyoumustbeexperiencing."
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B. "Suicide is not the appropriate way to cope with loss." ,i ,i ,i ,i ,i ,i ,i ,i ,i
C. "Losingsomeoneclose toyoumustbevery upsetting." ,i ,i ,i ,i ,i ,i ,i ,i
D. "Iknow howdifficult itistolose aloved one."
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A charge nurse is discussing the characteristics of a nurse-client relationship with a newly
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licensednurse.Whichofthefollowingcharacteristicsshouldthenurseincludein the
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discussion? (Select all that apply)
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A. Theneedsofbothparticipantsare met. ,i ,i ,i ,i ,i ,i
B. Anemotionalcommitmentexistsbetweentheparticipants.
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C. Itis goal-directed. ,i ,i
D. Behavioralchangeisencouraged. ,i ,i ,i
E. Atermination dateis established.
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A nurse is in the working phase of a therapeutic relationship with a client who has
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methamphetamineusedisorder.Whichofthefollowingactionsindicatestransference
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behavior?
,i
A. Theclientasksthenurse whether shewillgooutto dinnerwithhim.
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B. Theclientaccusesthenurses oftellinghimwhattodojustlikehisex-girlfriend.
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C. Theclientremindsthe nurse of afriendwhodiedfrom asubstance overdose.
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D. Theclient becomesangryandthreatenstoharm himself. ,i ,i ,i ,i ,i ,i ,i ,i
Anurseisplanningcarefortheterminationphaseofanurse-clientrelationship.Whichofthe following
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actions should the nurse include in the plan of care?
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A. Discussingwaystousenew behaviors ,i ,i ,i ,i ,i
B. Practicingnewproblem-solvingskills ,i ,i ,i
DownloadedbyRouguiatouBarry() ,i ,i ,i ,i
