ATI RN MENT AL HEALTH
Terms in this set (83)
A charge nur se is discussing
ment al status examina tions
with a newly licensed nur se.
Which of the following
statements by the ne wly
licensed nur se indica tes a
need for further teaching ?
A. "To assess cognitiv e
ability, I shoul d ask the
client to count backward by
7."
B. "To assess affect, I shoul d
obser ve the client's facial
expression."
C. "To assess langua ge
ability, I shoul d ins truct the
client to write a sent ence ."
D. "To assess remot e
memor y, I shoul d have the
client repea t a list of objecD. "To assess remot e memor y, I shoul d have the client
repea t a list of objects."
Asking the client to repea t a list of objects is appr opria te
to assess immedia te, rather than r emot e, memor y.
ATI RN Ment al Heal th Nur sing Mo dules Ch. 1 Application
Exercises A nurse is planning care for
a client who has a ment al
health disor der. Which of
the following is appr opria te
to include as a
psychobiol ogical
intervention?
A. Assis t the client with
systematic desensitiz ation
therapy.
B. Teach the client
appr opria te coping
mechanisms.
C. Assess the client for
comorbid heal th conditions.
D. Monit or the client for
adverse effects of
medica tions.
ATI RN Ment al Heal th
Nursing Mo dules Ch. 1
Application E xercisesD. Monit or the client for adverse effects of medica tions.
Assis ting with s ystematic desensitiz ation therapy is a
cognitiv e and beha vioral.
Teaching appr opria te coping mechanisms is a
counsel ing or heal th teaching.
Assessing for comorbid heal th conditions is heal th
promotion and maint enance .
D. Monit oring for adverse effects of medica tions is an
exampl e of a psychobiol ogical intervention.
ATI RN Ment al Heal th Nur sing Mo dules Ch. 1 Application
Exercises A nurse in an outp atient
ment al heal th clinic is
preparing to conduct an
initial client interview. When
conducting the int erview,
which of the following is the
highes t priority action?
A. Respect the client's need
for personal space.
B. Identify the client's
perception of her ment al
health status.
C. Incl ude the client's family
in the int erview.
D. Teach the client about
her current ment al heal th
disor der.
ATI RN Ment al Heal th
Nursing Mo dules Ch. 1
Application E xercisesB. Identify the client's perception of her ment al health
status.
A. Appropria te, but not highes t priority .
B. Assessment is the priority action when taking the
nursing pr ocess appr oach. Identifying the client's
perception of her ment al heal th status provides
import ant informa tion about the client's psychosocial
history.
C. Appropria te, but not highes t priority .
D. Appropria te, but not highes t priority .
ATI RN Ment al Heal th Nur sing Mo dules Ch. 1 Application
Exercises A nurse is told during
change-o f-shift report that
a client is stupor ous. When
assessing the client, which
of the following is an
expect ed finding ?
A. The client arouses briefly
in response to a sternal rib.
B. The client has a Glasgo w
Coma Scale scor e less than
7.
C. The client exhibits
decortica te rigidity .
D. The client is alert but
disorient ed to time and
place.
ATI RN Ment al Heal th
Nursing Mo dules Ch. 1
Application E xercisesA. The client arouses brie fly in response to a sternal
rib.
A. A client who is stupor ous requir es vigor ous or painful
stimul i to elicit a response .
B. <7 on GCS indica tes coma tose, not stupor ous, l evel of
consciousness.
C. Abnormal posturing = coma tose.
D. Stupor ous /= alert.
ATI RN Ment al Heal th Nur sing Mo dules Ch. 1 Application
Exercises
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