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81 Multiple choice questions

Term 1 of 81
A nurse decides to put a client who has psychosis in seclusion overnight because the unit is very
short-staffed, and the client frequently fights with other clients. This is an example of:

beneficence.


a tort.

a facility policy.

justice.

ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises

,Term 2 of 81
1. A nurse is assisting the parents of a school-age child who has oppositional defiant disorder in
identifying strategies to promote positive behavior. Which of the following is an appropriate
strategy for the nurse to recommend? (Select all that apply.)
A.Allow the child to choose consequences for negative behavior.
B.Use role playing to act out unacceptable behavior.
C.Develop a reward system for acceptable behavior.
D.Encourage the child to participate in school sports.
E.Be consistent when a

A, C, E


A. CoRRECT: Difficulty with social and professional relationships is a personality
characteristic that can be seen with all personality disorder types.
B. inCorrECt: Clients who have schizotypal personality disorder may display magical
thinking or delusions; however, this is not associated with all personality disorder types.
C. CoRRECT: Maladaptive response to stress is a personality characteristic that can be seen
with all personality disorder types.
D.inCorrECt: Clients who have narcissistic personality disorder may display grandiose
thinking; however, this is not associated with all personality disorder types.
E. CoRRECT: Difficulty understanding personal boundaries is a personality characteristic
that can be seen with all personality disorder types.
NCLEX® Connection: Psychosocial Integrity, Mental Health Concepts

C, D, E

A.IncOrrEct: The parents should set clear limits on unacceptable behavior.
B.IncOrrEct: The parents should focus on acceptable behavior and should demonstrate this
through modeling.
C.CORRECT: The parents should have a method to reward the child for acceptable
behavior.
D.CORRECT: The parents should encourage physical activity through which the child can
use energy and obtain success.
E.CORRECT: The parents should set clear limits on unacceptable behavior and should be
consistent.
NCLEX® Connection: Psychosocial Integrity, Behavioral Interventions


D:
Free association is the spontaneous, uncensored verbalization of whatever comes to the
client's mind.

, ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises

B

A. INCORRECT: Regression refers to resorting to an earlier way of functioning, such as
having a temper tantrum.
B. CORRECT: Splitting occurs when a person is unable to see both positive and negative
qualities at the same time. The client who has borderline personality disorder tends to see a
person as all bad one time and all good another time.
C.INCORRECT: Undoing is a behavior that is intended to undo or reverse unacceptable
thoughts or acts, such as buying a gift for a spouse after having an extramarital affair.
D.INCORRECT: In identification, the person imitates the behavior of someone admired or
feared.
NCLEX® Connection: Psychosocial Integrity, Mental Health Concepts

Term 3 of 81
A nurse is interviewing a 25-year-old client who has a new diagnosis of dysthymia. Which of the
following findings should the nurse expect?

There are wide fluctuations in mood.


The report of a minimum of five clinical findings of depression.

The presence of manifestations for at least 2 years.

There is an inflated sense of self-esteem.

ATI RN Mental Health Nursing Modules Ch. 12 Notes

, Term 4 of 81
5. A nurse is assessing a 4-year-old child for indications of autism spectrum disorder. For which of
the following indications should the nurse assess?
A.Impulsive behavior
B.Repetitive counting
C.Destructiveness
D.Somatic problems

B

A.IncOrrEct: Impulsive behavior is an indication of ADHD rather than autism spectrum
disorder.
B.CORRECT: Repetitive actions and strict routines are an indication of autism spectrum
disorder.
C.IncOrrEct: Destructiveness is an indication of conduct disorder rather than autism
spectrum disorder.
D.IncOrrEct: Somatic problems are an indication of posttraumatic stress disorder rather
than autism spectrum disorder.
NCLEX® Connection: Psychosocial Integrity, Mental Health Concepts

A

A. CoRRECT: Clients who have avoidant personality disorder often have a fear of
abandonment. Therefore, this type of statement is expected.
B. inCorrECt: This statement indicates manipulation, which is not expected from a client who
has borderline rather than avoidant personality disorder.
C. inCorrECt: This statement indicates a need for admiration, which is expected from a client
who has narcissistic rather than avoidant personality disorder.
D. inCorrECt: This statement indicates a risk for self-injury, which is expected from a client
who has borderline rather than avoidant personality disorder.
NCLEX® Connection: Psychosocial Integrity, Mental Health Concepts

C

A.INCORRECT: SAD PERSONS is not a tool to provide data related to the client's current
anxiety level.
B.INCORRECT: SAD PERSONS is not a tool to provide data related to a client's ability to
problem solve.
C.CORRECT: SAD PERSONS is a tool that provides data related to a client's suicide
potential.

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