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ATI RN MENTAL HEALTH CMS 2 | QUESTIONS AND ANSWERS |
VERIFIED ANSWERS GRADED A+ | LATEST EXAM
A nurse is admitting a client in the emergency department for an intentional
overdose of opioids. The client state, "I feel so alone. No one can help me."
Which of the following responses by the nurse is therapeutic?
A. "Let's finish your admission and then talk about your feelings."
B. "How come you feel that no one can help you when you are receiving help
now?"
C. "Why do you feel that no one can help you?"
D. "I would like to sit and talk with you." - CORRECT ANSWER - D
A nurse is caring for a client whose adolescent child died in a motor-vehicle
crash. The client is crying inconsolably. Which of the following actions should
the nurse take?
A. Suggest that the client call the facility's chaplain.
B. Provide a quiet place for the client to be alone.
C. Stay with the client and allow the client to cry.
D. Express sympathy for the client's loss. - CORRECT ANSWER - C
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?
A. Denial
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B. Displacement
C. Reaction formation
D. Projection - CORRECT ANSWER - B
A nurse is caring for a client who has schizophrenia. The client states, "My
internal organs have turned to stone." The nurse should document this finding as
which of the following types of delusions?
A. Somatic
B. Reference
C. Persecutory
D. Grandiose - CORRECT ANSWER - A
A nurse is caring for a client who is brought to the clinic by her adult son who
states that his father recently died. The client repeatedly yells at her son stating,
"Quit lying about your father!" The nurse should recognize that the client is
demonstrating which of the following defense mechanisms?
A. Denial
B. Identification
C. Introjection
D. Sublimation - CORRECT ANSWER - A
A nurse is caring for a client who has major depressive disorder and recently
started taking an antidepressant. The nurse should identify which of the
following client statements as the priority?
A. "I hate being so helpless. I can't even manage my own finances anymore."
B. "At group therapy today I wanted to leave. I didn't feeling like being with
other people."
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C. "I have it all figured out. Everything is going to be okay now."
D. "I don't feel like showering. I'd rather just stay in bed today." - CORRECT
ANSWER - C
A nurse is administering an oral sedative to a client who is receiving care
following an involuntary admission. The client states, "I'm not taking any more
medication." Which of the following actions should the nurse take?
A. Administer the medication by another route.
B. Refer the client's refusal to the facility's ethics committee.
C. Inform the client that, due to her involuntary admission, she cannot refuse a
sedative.
D. Document the client's refusal of the medication in the medical record. -
CORRECT ANSWER - D
A nurse enters a client's room and observes that the client is agitated and pacing
rapidly. The client looks at the nurse and says, "Back off. Leave me alone."
Which of the following statements should the nurse make?
A. "I demand that you calm down now. Your behavior is unacceptable."
B. "I will close the door to provide privacy, and you can tell me what is
bothering you."
C. "I will give you space if you calm down. Tell me what is causing you to feel
so tense."
D. "I will leave you alone for a few minutes while you try to control yourself." -
CORRECT ANSWER - C
A nurse is providing support for the parents of a child who has a new diagnosis
of a terminal brain tumor. The nurse should expect the parents to experience
which of the following stages of grief first?
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A. Denial
B. Bargaining
C. Anger
D. Depression - CORRECT ANSWER - A
A nurse in a mental health facility is reviewing confidentiality requirements
with a newly licensed nurse. Which of the following statements by the newly
licensed nurse indicates an understanding of the information?
A. "I am legally required to notify a client's employer about a substance use
disorder."
B. "If a client is involuntarily committed, I can discuss information with the
client's next of kin."
C. "I can discuss a client's treatment with others as long as they are employees
of the facility."
D. "I should keep information private even after a client dies." - CORRECT
ANSWER - D
A 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?
A. Suppression
B. Countertransference
C. Transference
D. Assertiveness - CORRECT ANSWER - B
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?
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ATI RN MENTAL HEALTH CMS 2 | QUESTIONS AND ANSWERS |
VERIFIED ANSWERS GRADED A+ | LATEST EXAM
A nurse is admitting a client in the emergency department for an intentional
overdose of opioids. The client state, "I feel so alone. No one can help me."
Which of the following responses by the nurse is therapeutic?
A. "Let's finish your admission and then talk about your feelings."
B. "How come you feel that no one can help you when you are receiving help
now?"
C. "Why do you feel that no one can help you?"
D. "I would like to sit and talk with you." - CORRECT ANSWER - D
A nurse is caring for a client whose adolescent child died in a motor-vehicle
crash. The client is crying inconsolably. Which of the following actions should
the nurse take?
A. Suggest that the client call the facility's chaplain.
B. Provide a quiet place for the client to be alone.
C. Stay with the client and allow the client to cry.
D. Express sympathy for the client's loss. - CORRECT ANSWER - C
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?
A. Denial
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ComprehensivePage 2 of 34
B. Displacement
C. Reaction formation
D. Projection - CORRECT ANSWER - B
A nurse is caring for a client who has schizophrenia. The client states, "My
internal organs have turned to stone." The nurse should document this finding as
which of the following types of delusions?
A. Somatic
B. Reference
C. Persecutory
D. Grandiose - CORRECT ANSWER - A
A nurse is caring for a client who is brought to the clinic by her adult son who
states that his father recently died. The client repeatedly yells at her son stating,
"Quit lying about your father!" The nurse should recognize that the client is
demonstrating which of the following defense mechanisms?
A. Denial
B. Identification
C. Introjection
D. Sublimation - CORRECT ANSWER - A
A nurse is caring for a client who has major depressive disorder and recently
started taking an antidepressant. The nurse should identify which of the
following client statements as the priority?
A. "I hate being so helpless. I can't even manage my own finances anymore."
B. "At group therapy today I wanted to leave. I didn't feeling like being with
other people."
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ComprehensivePage 3 of 34
C. "I have it all figured out. Everything is going to be okay now."
D. "I don't feel like showering. I'd rather just stay in bed today." - CORRECT
ANSWER - C
A nurse is administering an oral sedative to a client who is receiving care
following an involuntary admission. The client states, "I'm not taking any more
medication." Which of the following actions should the nurse take?
A. Administer the medication by another route.
B. Refer the client's refusal to the facility's ethics committee.
C. Inform the client that, due to her involuntary admission, she cannot refuse a
sedative.
D. Document the client's refusal of the medication in the medical record. -
CORRECT ANSWER - D
A nurse enters a client's room and observes that the client is agitated and pacing
rapidly. The client looks at the nurse and says, "Back off. Leave me alone."
Which of the following statements should the nurse make?
A. "I demand that you calm down now. Your behavior is unacceptable."
B. "I will close the door to provide privacy, and you can tell me what is
bothering you."
C. "I will give you space if you calm down. Tell me what is causing you to feel
so tense."
D. "I will leave you alone for a few minutes while you try to control yourself." -
CORRECT ANSWER - C
A nurse is providing support for the parents of a child who has a new diagnosis
of a terminal brain tumor. The nurse should expect the parents to experience
which of the following stages of grief first?
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ComprehensivePage 4 of 34
A. Denial
B. Bargaining
C. Anger
D. Depression - CORRECT ANSWER - A
A nurse in a mental health facility is reviewing confidentiality requirements
with a newly licensed nurse. Which of the following statements by the newly
licensed nurse indicates an understanding of the information?
A. "I am legally required to notify a client's employer about a substance use
disorder."
B. "If a client is involuntarily committed, I can discuss information with the
client's next of kin."
C. "I can discuss a client's treatment with others as long as they are employees
of the facility."
D. "I should keep information private even after a client dies." - CORRECT
ANSWER - D
A 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?
A. Suppression
B. Countertransference
C. Transference
D. Assertiveness - CORRECT ANSWER - B
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?
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