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ATI Mental Health Proctored Exam 2023/2024 already graded A+
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ATI Mental Health Proctored ExamThe client is responsive and able to fully respond by opening their eyes and attending to a
normal tone of voice and speech. What is the level of consciousness? - ANSAlert
The client is able to open their eyes and respond but is drowsy and falls asleep readily. What is
the level of consciousness? - ANSLethargic
The client requires vigorous or painful stimuli (pinching a tendon or rubbing the sternum) to elicit
a brief response. They might not be able to respond verbally. What is the level of
consciousness? - ANSStuporous
The client is unconscious and does not respond to painful stimuli. What is the level of
consciousness? - ANSComatose
How to test a client's immediate memory - ANSAsk the client to repeat a series of numbers or a
list of objects
How to test a client's recent memory - ANSAsk the client to recall recent events, such as visitors
from the current day, or the purpose of the current mental health appointment or admission
How to test a client's remote memory - ANSAsk the client to state a fact from his past that is
verifiable, such as his birth date or his mother's maiden name
How to assess a client's ability to calculate - ANSAsk the client to count backward from 100 in
sevens
How to assess a client's ability to think abstractly - ANSAsk the client to interpret something
complex such as, "A bird in the hand is worth two in the bush."
Glasgow coma scale - ANSUsed to obtain a baseline assessment of a client's level of
consciousness; highest score is 15 and indicates that the client is awake and responding
appropriately; a score of 7 or less indicates that the client is in a coma
Serious mental illness - ANSIncludes disorders classified as severe and persistent mental
illnesses; clients often have difficulty with ADLs; can be chronic or recurrent
A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates an understanding of the teaching?
(Select all that apply)
A. "To assess cognitive ability, I should ask the client to count backward by sevens."
,B. "To assess affect, I should observe the client's facial expression."
C. "To assess language ability, I should instruct the client to write a sentence."
D. "To assess remote memory, I should have the client repeat a list of objects."
E. "To assess the client's abstract thinking, I should ask the client to identify our most recent
presidents." - ANSA. Counting backward by sevens is an appropriate technique to assess a
client's cognitive ability.
B. Observing a client's facial expression is appropriate when assessing affect.
C. Writing a sentence is an indication of language ability.
Remote language is tested by asking the client to state a fact from his past that his verifiable
(date of birth). Abstract thinking is tested by asking the client to interpret something.
A nurse is planning care for a client who has a mental health disorder. Which of the following
actions should the nurse include as a psychobiological intervention?
A. Assist the client with systematic desensitization therapy.
B. Teach the client appropriate coping mechanisms.
C. Assess the client for comorbid health conditions.
D. Monitor the client for adverse effects of the medications. - ANSD. Monitoring for adverse
effects of medications is an example of a psychobiological intervention.
Systematic desensitization is cognitive and behavioral. Teaching coping mechanisms is a
counseling or health teaching. Assessing for comorbid conditions is health promotion and
maintenance.
A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview.
When conducting the interview, which of the following actions should the nurse identify as the
priority?
A. Coordinate holistic care with social services.
B. Identify the client's perception of her mental health status.
C. Include the client's family in the interview.
D. Teach the client about her current mental health disorder. - ANSB. Assessment is the priority
action. Identifying the client's perception of her mental health status provides important
information about the client's psychosocial history.
A nurse is told during change of shift report that a client is stuporous. When assessing the
client, which of the following findings should the nurse expect?
A. The client arouses briefly in response to a sternal rub.
B. The client has a glasgow coma scale score less than 7.
C. The client exhibits decorticate rigidity.
,D. The client is alert but disoriented to time and place. - ANSA. A client who is stuporous
requires vigorous or painful stimuli to elicit a response.
B & C occur with comatose patients.
A nurse is planning a peer group discussion about the DSM-5. Which of the following
information is appropriate to include in the discussion? (Select all that apply)
A. The DSM-5 includes client education handouts for mental health disorders.
B. The DSM-5 establishes diagnostic criteria for individual mental health disorders.
C. The DSM-5 indicates recommended pharmacological treatment for mental health disorders.
D. The DSM-5 assists nurses in planning care for client's who have mental health disorders.
E. The DSM-5 indicates expected assessment findings of mental health disorders. - ANSB, D, &
E. The DSM-5 establishes diagnostic criteria, assists nurses in planning care, and identifies
expected findings for mental health disorders.
The DSM-5 does not contain client education handouts or recommended pharmacological
treatment.
Beneficence - ANSThe quality of doing good, can be described as charity
Autonomy - ANSThe client's right to make their own decisions
Justice - ANSFair and equal treatment for all
Fidelity - ANSLoyalty and faithfulness to the client and to one's duty
Veracity - ANSHonesty when dealing with a client
Requirements for restraining a patient - ANSProvider must prescribe the restraint in writing; time
limits are based on age, 4 hr for adults, 2 hr for ages 9-17, 1 hr for age 8 and younger; must be
reviewed every 24 hr; documentation must be done every 15-30 min
False imprisonment - ANSConfining a client to a specific area if the reason for such confinement
is for the convenience of the staff
Assault - ANSMaking a threat to a client's person
Battery - ANSTouching a client in a harmful or offensive way
A nurse in an emergency mental health facility is caring for a group of clients. The nurse should
identify that which of the following clients requires a temporary emergency admission?
, A. A client who has schizophrenia with delusions of grandeur
B. A client who has manifestations of depression and attempted suicide a year ago
C. A client who has borderline personality disorder and assaulted a homeless man with a metal
rod
D. A client who has bipolar disorder and paces quickly around the room while talking to himself -
ANSC. A client who is a current danger to self or others is a candidate for a temporary
emergency admission.
A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the
unit is very short-staffed, and the client frequently fights with other clients. The nurse's actions
are an example of which of the following torts?
A. Invasion of privacy
B. False imprisonment
C. Assault
D. Battery - ANSB. Secluding a client for the convenience of the staff is false imprisonment.
A client tells a nurse, "Don't tell anyone but I hid a sharp knife under my mattress in order to
protect myself from my roommate, who is always yelling at me and threatening me." Which of
the following actions should the nurse take?
A. Keep the client's communication confidential, but talk to the client daily, using therapeutic
communication to convince him to admit to hiding the knife.
B. Keep the client's communication confidential, but watch the client and his roommate closely.
C. Tell the client that this must be reported to the health care team because it concerns the
health and safety of the client and others.
D. Report the incident to the health care team, but do not inform the client of the intention to do
so. - ANSC. The information presented by the client is a serious safety issue that the nurse must
report to the health care team, using the ethical principle of veracity.
A nurse is caring for a client who is in mechanical restraints. Which of the following statements
should the nurse include in the documentation? (Select all that apply)
A. "Client ate most of his breakfast."
B. "Client was offered 8 oz of water every hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15 mg by mouth at 1000."
E. "Client acted out after lunch." - ANSB, C, & D. Documentation must include how much water
was offered and how often, a description of the client's verbal communication, and the dosage
and time of medication administration.
Intake and behavior should be documented in the client's medical record.
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