1
ATI Mental Health Questions
A nurse enters a clients room and observes that the client is agitated
and pacing rapidly. the client looks at the nurse and says back off
leave me alone. which of the following statements should the nurse
make? - -Correct answer-I demand that you come down now your
behavior is unacceptable
I will close the door to provide privacy and you can tell me what is
bothering you
I will give you space if you calm down tell me what is causing you to
feel so tense***
I will leave you alone for a few minutes while you try to control
yourself
A nurse is caring for a client who has borderline personality disorder.
The nurse enters the clients room and finds the client cutting into his
flesh with a paperclip after providing first aid, which of the following
actions should the nurse take first - -Correct answer-Encourage the
client to discuss feelings about his self injurious behavior during
group therapy
fill out an incident report for risk management about the client self
injurious behavior
1
, 2
document the self injurious behavior in his medical record
identify the clients feelings that led to the self injurious behavior***
A nurse is caring for a client who reminds her of a negative person in
the past these memories cause the nurse to unconsciously displays
negative feelings toward the client the nurse should recognize that
she is demonstrating which of the following behaviors - -Correct
answer-Suppression
countertransference ***
transference
assertiveness
A nurse is establishing a therapeutic relationship with a client who
has hallucinations which of the following actions should the nurse
take during orientation phase - -Correct answer-Identify the clients
perception of the reason for therapy ***
ask the client to provide a detailed description of the hallucinations
assist the client with the development of problem-solving skills
explore the clients relationship with family members
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, 3
A nurse is planning care for a client who has thoughts of suicide
which of the following goals should the nurse include in the clients
plan of care - -Correct answer-The client will identify positive aspects
of others
the client agrees to notify a staff member of thoughts of self harm
***
the client will engage an independent diversional activity
the client will not verbalize thoughts or feelings related to suicide
A nurse is caring for a client who has a new diagnosis of colon cancer
shortly after the client receives the diagnosis the nurse enters the
clients room and the client begins yelling I received terrible care here
and no one cares about me the nurse should recognize that the
client is demonstrating which of the following defense mechanisms -
-Correct answer-Denial
displacement ***
reaction formation
projection
A nurse is meeting a client following care in the emergency
department for an intentional overdose of opioids the client states I
feel so alone no one can help me which of the following responses by
the nurse is therapeutic - -Correct answer-Lets finish your admission
and then talk about your feelings
3
ATI Mental Health Questions
A nurse enters a clients room and observes that the client is agitated
and pacing rapidly. the client looks at the nurse and says back off
leave me alone. which of the following statements should the nurse
make? - -Correct answer-I demand that you come down now your
behavior is unacceptable
I will close the door to provide privacy and you can tell me what is
bothering you
I will give you space if you calm down tell me what is causing you to
feel so tense***
I will leave you alone for a few minutes while you try to control
yourself
A nurse is caring for a client who has borderline personality disorder.
The nurse enters the clients room and finds the client cutting into his
flesh with a paperclip after providing first aid, which of the following
actions should the nurse take first - -Correct answer-Encourage the
client to discuss feelings about his self injurious behavior during
group therapy
fill out an incident report for risk management about the client self
injurious behavior
1
, 2
document the self injurious behavior in his medical record
identify the clients feelings that led to the self injurious behavior***
A nurse is caring for a client who reminds her of a negative person in
the past these memories cause the nurse to unconsciously displays
negative feelings toward the client the nurse should recognize that
she is demonstrating which of the following behaviors - -Correct
answer-Suppression
countertransference ***
transference
assertiveness
A nurse is establishing a therapeutic relationship with a client who
has hallucinations which of the following actions should the nurse
take during orientation phase - -Correct answer-Identify the clients
perception of the reason for therapy ***
ask the client to provide a detailed description of the hallucinations
assist the client with the development of problem-solving skills
explore the clients relationship with family members
2
, 3
A nurse is planning care for a client who has thoughts of suicide
which of the following goals should the nurse include in the clients
plan of care - -Correct answer-The client will identify positive aspects
of others
the client agrees to notify a staff member of thoughts of self harm
***
the client will engage an independent diversional activity
the client will not verbalize thoughts or feelings related to suicide
A nurse is caring for a client who has a new diagnosis of colon cancer
shortly after the client receives the diagnosis the nurse enters the
clients room and the client begins yelling I received terrible care here
and no one cares about me the nurse should recognize that the
client is demonstrating which of the following defense mechanisms -
-Correct answer-Denial
displacement ***
reaction formation
projection
A nurse is meeting a client following care in the emergency
department for an intentional overdose of opioids the client states I
feel so alone no one can help me which of the following responses by
the nurse is therapeutic - -Correct answer-Lets finish your admission
and then talk about your feelings
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