NRS 3016 MIDTERM ATI/MOODLE QUESTIONS WITH VERIFIED ANSWERS

NRS 3016 MIDTERM ATI/MOODLE QUESTIONS WITH VERIFIED ANSWERS .A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply.) A. "To assess cognitive ability, I should ask the client to count backward by sevens." 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." E. "To assess the client's abstract thinking, I should ask the client to identify our most recent presidents." - ANSWERS-A. CORRECT: Counting backward by 7s is an appropriate technique to assess a client's cognitive ability. B. CORRECT: Observing a client's facial expression is appropriate when assessing affect. C. CORRECT: Writing a sentence is an indication of language ability. D. Asking the client to repeat a list of objects is appropriate to assess immediate, rather than remote, memory. E. Asking the client to identify recent presidents is appropriate to assess cognitive knowledge rather than abstract thinking. .A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse 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. - ANSWERS-D. CORRECT: Monitoring for adverse effects of medication A. Assisting with systematic desensitization therapy is a cognitive and behavioral, rather than a psychobiological intervention. B. Teaching appropriate coping mechanisms is a counseling or health teaching, rather than a psychobiological intervention. C. Assessing for comorbid health conditions is health promotion and maintenance, rather than a psychobiological, intervention. .A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as the priority? A. Coordinate holistic care with social services. B. Identify the client's perception of their mental health status. C. Include the client's family in the interview. D. Teach the client about their current mental health disorder - ANSWERS-B. CORRECT: Assessment is the priority action when using the nursing process approach to client care. Identifying the client's perception of their mental health status provides important information about the client's psychosocial history. A. It is appropriate to coordinate holistic care for the client with social services as part of case management. However, another action is the priority. C. If the client wishes, it is appropriate to include the client's family in the interview. However, another action is the priority. D. It is appropriate to teach the client about their disorder. However, another action is the priority .A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM 5). Which of the following information is appropriate to include in the discussion? (Select all that apply.) A. The DSM 5 includes client education handouts for mental health disorders. B. The DSM 5 establishes diagnostic criteria for individual mental health disorders. C. The DSM 5 indicates recommended pharmacological treatment for mental health disorders. D. The DSM 5 assists nurses in planning care for client's who have mental health disorders. E. The DSM 5 indicates expected assessment findings of mental health disorders - ANSWERS-B. CORRECT: The DSM 5 establishes diagnostic criteria for mental health disorders. D. CORRECT: Nurses use the DSM 5 to plan, implement, and evaluate care for client's who have mental health disorders. E. CORRECT: The DSM 5 identifies expected A. The DSM 5 is used by mental health professionals. However, it does not include client education handouts. C. The DSM 5 does not indicate pharmacological treatment for mental health disorders. .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? A. A client who has schizophrenia with delusions of grandeur B. A client who has manifestations of depression and attempted suicide a year ago C. A client who has borderline personality disorder and assaulted a homeless man with a metal rod D. A client who has bipolar disorder and paces quickly around the room while talking to themselves - ANSWERS-C. CORRECT: A client who is a current danger to self or others is a candidate for a temporary emergency admission. A. The presence of delusions does not constitute a clear reason for a temporary emergency admission unless they present a danger for the client or others. B. Clinical findings of depression do not constitute a clear reason for a temporary emergency admission unless the client is currently at risk for suicide. D. The presence of pacing does not constitute a clear reason for a temporary emergency admission .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? A. Invasion of privacy B. False imprisonment C. Assault D. Battery - ANSWERS-B. CORRECT: A civil wrong that violates a client's civil rights is a tort. In this case, it is false imprisonment, which is the confining of a client to a specific area (a seclusion room) if the reason for such confinement is for the convenience of staff. A. Invasion of privacy is the sharing or obtaining of the client's confidential information without the client's consent. C. Assault is making a threat to the client's person. D. Battery involves causing intentional, physical harm to clients .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 threatening me." Which of the following actions should the nurse take? A. Keep the client's communication confidential, but talk to the client daily, using therapeutic communication to convince them to admit to hiding the knife. B. Keep the client's communication confidential, but watch the client and their roommate closely. C. Tell the client that this must be reported to the health care team because it concerns the health and safety of the client and others. D. Report the incident to the health care team, but do not inform the client of the intention to do so - ANSWERS-C. CORRECT: The information presented by the client is a serious safety issue that the nurse must report to the health care team. Using the ethical principle of veracity, the student tells the client truthfully what must be done regarding the issue.