ATI MENTAL HEALTH PROCTORED EXAM REVIEW FORAM B

ATI MENTAL HEALTH PROCTORED EXAM REVIEW FORAM B 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? - ANSWER-A client who has borderline personality disorder and assaulted a homeless man with a metal rod 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? - ANSWER-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? - ANSWER-Report the incident to the health care team, but do not inform the client of the intention to do so. 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) - ANSWER--Client was offered 8 oz of water every hr." -Client shouted obscenities at assistive personnel." -Client received chlorpromazine 15 mg by mouth at 1000. A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with another nurse. Which of the following actions should the nurse take first? - ANSWER-Tell the nurse to stop discussing the behavior A nurse is caring for the parents of a child who has demonstrated changes in behavior and mood. When the mother of the child asks the nurse for reassurance about her son's condition, which of the following responses should the nurse make? - ANSWER-I understand you're concerned. Let's discuss what concerns you specifically." A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm coughing because I have that cold that everyone has been getting." The nurse should identify that the client is using which of the following defense mechanisms? - ANSWER-Denial