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ATI RN Mental Health with ngn
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ATI RN Mental Health with ngn
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ATI RN MENTAL HEALTH WITH NGNQUESTIONS WITH VERIFIED ANSWERS
n A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the
following statements by the newly licensed nurse indicates a need for further teaching?
A. "To assess cognitive ability, I should ask the client to count backward by 7."
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 objec - D. "To assess remote
memory, I should have the client repeat a list of objects."
Asking the client to repeat a list of objects is appropriate to assess immediate, rather than remote,
memory.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
A nurse is planning care for a client who has a mental health disorder. Which of the following is
appropriate to 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 medications.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises - D. Monitor the client for adverse
effects of medications.
Assisting with systematic desensitization therapy is a cognitive and behavioral.
Teaching appropriate coping mechanisms is a counseling or health teaching.
Assessing for comorbid health conditions is health promotion and maintenance.
,D. Monitoring for adverse effects of medications is an example of a psychobiological intervention.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When
conducting the interview, which of the following is the highest priority action?
A. Respect the client's need for personal space.
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.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises - *B. Identify the client's perception of
her mental health status.*
A. Appropriate, but not highest priority.
B. Assessment is the priority action when taking the nursing process approach. Identifying the client's
perception of her mental health status provides important information about the client's psychosocial
history.
C. Appropriate, but not highest priority.
D. Appropriate, but not highest priority.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
A nurse is told during change-of-shift report that a client is stuporous. When assessing the client, which
of the following is an expected finding?
A. The client arouses briefly in response to a sternal rib.
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.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises - *A. The client arouses briefly in
response to a sternal rib.*
A. A client who is stuporous requires vigorous or painful stimuli to elicit a response.
B. <7 on GCS indicates comatose, not stuporous, level of consciousness.
C. Abnormal posturing = comatose.
D. Stuporous /= alert.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual of Mental
Disorders, 5th Edition (DSM-5). Which of the following is appropriate to include in the discussion? (SATA)
A. The DSM-5 is used to identify mental health disorders.
B. The DSM-5 establishes diagnostic criteria.
C. The DSM-5 indicates recommended pharmacological treatment.
D. The DSM-5 assists nurses in planning care.
E. The DSM-5 indicates expected assessment findings.
ATI RN Mental Health Nursing - A, B, D, E.
The DSM-5 is used as a diagnostic tool, establishes diagnostic criteria, used by nurses to plan,
implement, and evaluate care, and identifies expected findings for mental health disorders.
It does not indicate pharmacological treatment.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
, Which of the following is an example of a client who requires emergency admission to a mental health
facility?
A. A client with schizophrenia who has frequent hallucinations.
B. nA nclient nwith nsymptoms nof ndepression nwho nattempted nsuicide na nyear nago.
C. nA nclient nwith nborderline npersonality ndisorder nwho nassaulted na nhomeless nman nwith na nmetal nrod.
D. nA nclient nwith nbipolar ndisorder nwho npaces nquickly ndown nthe nsidewalk nwhile ntalking nto nhimself.
ATI nRN nMental nHealth nNursing nModules nCh. n2 nApplication nEx n- nC. nA nclient nwith nborderline
npersonality ndisorder nwho nassaulted na nhomeless nman nwith na nmetal nrod.
Hallucinations, ndepression, nand/or npacing ndoes nnot nconstitute nclear nreason nfor nemergency
ncommitment.
ATI nRN nMental nHealth nNursing nModules nCh. n2 nApplication nExercises
A nclient ntells na nstudent nnurse, n"Don't ntell nanyone, nbut nI nhid na nsharp nknife nunder nmy nmattress nin
norder nto nprotect nmyself nfrom nmy nroommate, nwho nis nalways nyelling nat nme nand nthreatening nme."
nWhich nof nthe nfollowing nactions nshould nthe nnurse ntake?
A. nKeep nthe nclient's ncommunication nconfidential, nbut ntalk nto nthe nclient ndaily, nusing ntherapeutic
ncommunication nto nconvince nhim nto nadmit nto nholding nthe nknife.
B. nKeep nthe nclient's ncommunication nconfidential, nbut nwatch nthe nclient nand nhis nroommate nclosely.
C. n- nC. nTell nthe nclient nthat nthis nmust nbe nreported nto nhealth ncare nstaff nbecause nit nconcerns nthe
nhealth nand nsafety nof nthe nclient nand nothers. n
The ninformation ncannot nbe nkept nconfidential nand nthe nclient nmust nbe ninformed nthat nthis nwill nbe
nreported nto nthe nhealth ncare nstaff.
• nThis nis na nserious nsafety nissue nthat nmust nbe nreported nto nthe nstaff. nUsing nthe nprinciple nof nveracity,
nthe nstudent ntells nthis nclient ntruthfully nwhat nmust nbe ndone nregarding nthe nissue.
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