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ATI Mental Health Practice Test 1 and 2|80 Answered Questions A+ Graded
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ATI Mental Health Practice Test 1 and 2|80Answered Questions A+ Graded
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 first?
a. encourage the client to discuss feelings about his self-injurious behavior
during group therapy.
b. Fill out an incident report for risk management about the client' self-
injurious behavior
c. document the client's self-injurious behavior in his medical record
d. identify the client's feelings that led to self-injurious behavior - -d
Assess first; before formulating a plan or doing anything else, the nurse
should assess what caused the incident by helping the client identify events
or feelings that led to his self-injurious behavior
-A nurse is assessing a client who is experiencing moderate-level anxiety.
Which of the following findings should the nurse expect?
a. The client has a heightened perceptual field
b. The client has difficulty concentrating
c. the client reports shortness of breath
d. the client reports a sense of impending doom - -b
Moderate anxiety = difficulty concentrating/focusing which inc as anxiety inc
-A nurse in a pediatric emergency department is caring for four clients. The
nurse should suspect possible abuse with which of the following clients?
a. 14 month old toddler who has recently learned to walk and has many
bruises on bony prominences in various stages of healing
b. a 9 month old infant who reportedly nearly drowned after climbing into the
tub and turning on the water
c. a 6 yr old toddler who has a fracture of the tibia and fibula which
reportedly occurred while riding a bicycle
d. a 3 yr old toddler who has burns in a splash pattern over the face and
chest, reportedly sustained when a table cloth was pulled, spilling a teapot -
-b
Nurse should identify that a 9 month old is unlikely to be able to turn on the
water and therefore the reported cause seems inconsistent with the
developmental abilities
-A nurse is performing a mental status assessment on an older adult client
who has dementia. which of the following questions should the nurse ask to
assess the client' remote memory?
a. What year did you graduate from high school?
b. What is your favorite childhood memory?
,c. What did you have for supper yesterday?
d. What is today's date? - -a.
The nurse should ask questions that determine client's ability to remember
things from distant past that can be validated
-A nurse in an emergency department is caring for a female client who has
ecchymosis of the trunk and face. The client reports that her partner hit her,
causing the injuries. When offered information about shelters for intimate
partner violence, the client declines, stating, "I could never leave my
husband because of my kids." Which of the following responses should the
nurse make?
a. Aren't you worried about the safety of your children?
b. Can you identify your behaviors that provoke your partner?
c. The next time this occurs, what might you do to ensure your safety?
d. You need to remove yourself and your children form the abusive situation.
- -a.
Nurse should encourage formulation of a plan of action and avoid making
responses that are judgmental, imply the client is to blame, or offer advice
-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 feel like being with other
people.
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. - -c. This
statement indicates possible plan for suicide; this rxn is possible after
starting antidepressants, when the client gets the energy to act on suicidal
thoughts.
-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
b. displacement
c. reaction formation
d. projection - -b.
Displacement = redirection of thoughts, feelings, and impulses from an
object that causes anxiety to a safer, more acceptable one; this client is
redirecting his anxiety about the dx to the staff
-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 - -Countertransference = unconsciously attributing feelings,
positive or negative, about another towards the client
-A nurse is planning reminiscence therapy for an older adult client. The
nurse should identify which of the following goals for the client's therapy.
a. client will gain inc self-esteem
b. client will maintain orientation to place and time
c. client will independently perform ADLs
d. client will achieve optimal sensory stimulation - -a
Nurse should use reminiscence therapy to assist client in reflecting on past
experiences ; review of client's life is intended to increase client's self-
esteem and attain ego integrity
-A nurse is assessing a client who has anorexia nervosa. the nurse should
expect the client to display which of the following characteristics?
a. refuses to participate in physical exercise activities
b. possess feelings of decreased self-worth
c. preoccupied with concerns about personal health
d. avoids discussion of food - -b
Client will have altered sense of self-image and self-identity bc they base
self-worth on body weight and they are dec bc the client views self as
overweight
-A nurse is est a therapeutic relationship with a client who has
hallucinations. Which of the following actions should the nurse take during
the orientation phase?
a. identify the client's perception of the reason for therapy
b. ask the client to provide a detailed description of the hallucinations
c. assist the client with the development of problem-solving skills
d. explore the client's relationship with family members - -a.
the nurse should est rapport and confidentiality during orientation phase, all
other options refer to the working phase
-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 - -a
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