ATI - Mental Health
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1. a A hospitalized client becomes angry and belligerent to-
b ward a nurse after speaking on the phone with his mother.
c The nurse learns that the mother cannot visit as expected
d due to her work. Which interventions will the nurse use to
help the client deal with the displaced anger? Select all
that apply
a) Acknowledge the client's behavior as inappropriate.
b) Invite the client to a quiet place to talk after he has
settled down.
c) Explore the client's unmet needs.
d) Assist the client in identifying alternate ways of ap-
proaching the problem.
e) Suggest that the client direct the anger at his mother's
employer.
2. c The nurse is caring for a client with severe depression.
d In which conditions would the nurse anticipate the use of
e electroconvulsive therapy (ECT) as an option? Select all
that apply
a) The client is undergoing a stressful life change.
b) The client also has a neurocognitive disorder.
c) The client cannot tolerate monoamine oxidase inhibitors
(MAOIs).
d) The client has not responded to conventional antide-
pressant medication therapy.
e) The client is having acute suicidal thoughts.
3. b A nurse is working in the emergency room when a police
c officer walks in with a rape victim to be examined. If the
d nursing goal is to reduce client anxiety, which interventions
e would be appropriate? Select all that apply
a) Begin the examination immediately in order to get it
behind her.
b) Allow a third party to be present if the client requests it.
c) Assure the client of safety in the examination room.
d) Ask factual questions to determine the type of assault.
, ATI - Mental Health
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e) Admit the client to the treatment area right away.
f) Touch the client early on demonstrating the nurse is
supportive.
4. d The nurse is meeting a client on the mental health unit.
f When beginning a therapeutic relationship, which nursing
actions are appropriate? Select all that apply
a) Discuss the client's feelings with family members.
b) Meet the needs and specific desires of the client.
c) Provide health advice to the client.
d) Help the client explore different problem-solving tech-
niques.
e) Exchange social media information with the client.
f) Encourage the practice of new coping skills.
5. a A nurse is explaining client rights for psychiatric patients
b to a client who has voluntarily sought admission to an
c inpatient psychiatric facility. Which rights would the nurse
d include in the discussion? Select all that apply
a) Right to refuse treatment
b) Right to a written treatment plan
c) Right to personal mail
d) Right to confidentiality
e) Right to obtain disability benefits
f) Right to select health care team members
6. a In the emergency department, a client reveals to the nurse
c a lethal plan for dying by suicide and agrees to a voluntary
e admission to the psychiatric unit. Which information would
the nurse discuss with the client to answer the question
"How long do I have to stay here?" Select all that apply
a) "Let's talk more after the health care team has assessed
you."
b) "You need legal representation to help you make an
informed decision."
c) "You may leave the hospital at any time unless you're
, ATI - Mental Health
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suicidal or homicidal or unable to meet your basic needs."
d) "Once you've signed the papers, you are required to
follow the treatment plan."
e) "Because you have stated that you want to hurt yourself,
you must be safe before being discharged."
f) "All clients need a court hearing before leaving the
hospital."
7. b A nurse has developed a therapeutic relationship with a
c client who has an addiction disorder. Which client behav-
e iors would indicate that the therapeutic interaction is in the
f working phase? Select all that apply
a) The client expresses uncertainty about what topic to
discuss.
b) The client acknowledges the addiction's effects on his
children.
c) The client discusses the financial problems related to
the addiction.
d) The client reluctantly shares the family history of addic-
tion.
e) The client discusses how the addiction has contributed
to family distress.
f) The client verbalizes difficulty identifying personal
strengths.
8. a A nurse is caring for a client who exhibits behaviors that
b test the nurse-client relationship. When discussing this
d behavior at a multidisciplinary team conference, which
e behaviors would the nurse provide as examples of this
behavior? Select all that apply
a) Violating the nurse's personal space
b) Placing the nurse in the role of parent
c) Displaying tattoos and piercings
d) Stating information to try to shock the nurse
e) Requesting personal information from the nurse
f) Dressing in a flamboyant or seductive manner
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