ATI Mental Health Ch 1-15 70 QUESTIONS & ANSWERS A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse i... ndicates a need for further teaching? A. "To assess cognitive ability; I should ask the client to count backwards 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." - D. To assess remote memory; I should have the client repeat a list of objects." 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 - D. Monitor the client for adverse effects of medications 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 of her own mental health status C. Include the client's family in the interview D. Teach the client about her current mental health disorder - B. Identify the client's perception of her of her own mental health status 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 rub 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 - A. The client arouses briefly in response to a sternal rub A nurse is planning a peer group discussion about the DSM-5. Which of the following is appropriate to include in the discussion? (select all that apply) 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 - A. The DSM-5 is used to identify mental health disorders B. The DSM-5 establishes diagnostic criteria D. The DSM-5 assists nurses in planning care E. The DSM-5 indicates expected assessment findings Which of the following is an example of a client who requires emergency admission to a mental health facility? - C- A client with borderline personality disorder who assaulted a homeless man with a metal rod A client tells a student nurse "don't tell, but I hid a knife under my mattress to protect myself from my room mate" which action should the nurse take? - C - Tell the client that this must be reported to health care staff because it concerns the health and safety of others A nurse puts a client who has psychosis in seclusion overnight because the unit is short-staffed and the client fights with others, example of? - B - a tort, false imprisonmentA nurse is caring for a client in restraints. Which is appropriate documentation? - B,C,D - Client was offered 8 oz of water every hr, client shouted at assistive personnel, client received thorazine 15 mg by mouth at 1000 A nurse hears a newly licensed nurse discussing a clients hallucinations in the hallway with another nurse, which action should she take first? - B- tell the nurse to stop discussing the behavior A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following responses by the newly licensed nurse requires additional teaching regarding nonverbal communication? A. Personal space B. Posture C. Eye contact D. Intonation - D. Intonation [Show More]
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