MENTAL HEALTH QUIZ 1 ATI EXAM QUESTIONS AND ANSWERS.

A nurse enters a clients 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? "I will give you space if you calm down. Tell me what is causing you to feel so tense." A nurse is caring for a client who has borderline personality disorder. The nurse enters the clients 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 take first? Identify the client's feelings that led to the self-injurious behavior. 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. Countertransference A nurse is establishing a therapeutic relationship with a client who has hallucinations. Which of the following actions should the nurse take during the orientation phase. Identify the client's perception of the reason for therapy. 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? The client agrees to notify a staff member of thoughts of self-harm. 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 clients 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 mechanism? Displacement A nurse is admitting a client following care in the emergency department for an intentional overdose of opioids. The client states, "I feel so alone. No one can help me." Which of the following responses by the nurse is therapeutic? "I would like to sit and talk with you." 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? Stay with the client and allow the client to cry. A nurse in a mental health clinic is caring for a client who has bipolar disorder and states, "I no longer take my medication because I like the feeling of being manic." Which of the following responses by the nurse is an example of therapeutic communication? "You feel better when you don't take your medication?" A nurse is planning reminiscence therapy for an older adult client. The nurse should identify which of the following goals for the clients therapy? The client will gain increased self-esteem. A nurse is preforming a mental status assessment on an older adult client who has dementia. Which of the following questions should the nurse ask to assess the clients remote memory? "What year did you graduate from high school?" A nurse is counseling a client who seems relaxed initially, but then becomes restless and begins wringing his hands. The nurse states that the client seems tense, and the client agrees. Which of the following statements should the nurse make? "What were we discussing when you began to feel uncomfortable?" A nurse at a college campus health clinic is caring for a client who reports manifestations of bulimia nervosa. The client tells the nurse, "I know my eating binges and vomiting are not normal, but I cannot control it." Which of the following responses should the nurse make? "You are feeling helpless about changing this behavior?" A nurse is caring for a client at a college counseling center. The client received a failing grade in a course a spends the entire counseling session blaming the teacher. The nurse should recognize this behavior as an example of which of the following defense mechanisms? Projection A nurse in an emergency department is caring for an 18-month-old toddler who has a fractured left femur. Which of the following statements by the toddler's parent should cause the nurse to suspect child abuse? "My child was riding a bicycle and fell off." 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? "I should keep the clients information private even after a client dies." A nurse at an acute mental health facility is caring for a client who has acute mania due to bipolar disorder. At 0300, the client runs to the nurse's station and demands to see the provider immediately. Which of the following responses should the nurse make? "You must be very upset about something to want to see your provider in the middle of the night." A nurse is caring for a client who has depression and started taking paroxetine one week ago. The client states to the nurse, "My family would be better off without me." Which of the following responses should the nurse make? "You sound upset. Are you thinking of hurting yourself?" A nurse is conducting a counseling session with a client who has a substance use disorder. The client repeatedly asks personal questions about the nurse. Which of the following actions should the nurse take? Explain that this time is designates to focus on the client. 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? Denial A nurse is assessing a client who is experiencing moderate-level anxiety. Which of the following findings should the nurse expect? The client has difficulty concentrating. 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? "I have it all figured out. Everything is going to be okay now." 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? Denial