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Terms in this set (83)
A charge nurse is discussing D. "To assess remote memory, I should have the client
mental status examinations repeat a list of objects."
with a newly licensed nurse.
Which of the following Asking the client to repeat a list of objects is appropriate
statements by the newly to assess immediate, rather than remote, memory.
licensed nurse indicates a
need for further teaching? ATI RN Mental Health Nursing Modules Ch. 1 Application
Exercises
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
objects."
ATI RN Mental Health
Nursing Modules Ch. 1
Application Exercises
,A nurse is planning care for D. Monitor the client for adverse effects of medications.
a client who has a mental
health disorder. Which of Assisting with systematic desensitization therapy is a
the following is appropriate cognitive and behavioral.
to include as a Teaching appropriate coping mechanisms is a
psychobiological counseling or health teaching.
intervention? Assessing for comorbid health conditions is health
promotion and maintenance.
A. Assist the client with
systematic desensitization D. Monitoring for adverse effects of medications is an
therapy. example of a psychobiological intervention.
B. Teach the client
appropriate coping ATI RN Mental Health Nursing Modules Ch. 1 Application
mechanisms. Exercises
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
,A nurse in an outpatient B. Identify the client's perception of her mental health
mental health clinic is status.
preparing to conduct an
initial client interview. When A. Appropriate, but not highest priority.
conducting the interview,
which of the following is the B. Assessment is the priority action when taking the
highest priority action? nursing process approach. Identifying the client's
perception of her mental health status provides
A. Respect the client's need important information about the client's psychosocial
for personal space. history.
B. Identify the client's
perception of her mental C. Appropriate, but not highest priority.
health status. D. Appropriate, but not highest priority.
C. Include the client's family
in the interview. ATI RN Mental Health Nursing Modules Ch. 1 Application
D. Teach the client about Exercises
her current mental health
disorder.
ATI RN Mental Health
Nursing Modules Ch. 1
Application Exercises
, A nurse is told during A. The client arouses briefly in response to a sternal
change-of-shift report that rib.
a client is stuporous. When
assessing the client, which A. A client who is stuporous requires vigorous or painful
of the following is an stimuli to elicit a response.
expected finding?
B. <7 on GCS indicates comatose, not stuporous, level of
A. The client arouses briefly consciousness.
in response to a sternal rib. C. Abnormal posturing = comatose.
B. The client has a Glasgow D. Stuporous /= alert.
Coma Scale score less than
7. ATI RN Mental Health Nursing Modules Ch. 1 Application
C. The client exhibits Exercises
decorticate rigidity.
D. The client is alert but
disoriented to time and
place.
ATI RN Mental Health
Nursing Modules Ch. 1
Application Exercises
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