A nurse is conducting a counseling session with a client
who has a substance use disorder. The client repeatedly
Explain that this time is designated to focus on the client.
ask personal questions about the nurse. Which of the
following actions should the nurse take?
A nurse is preparing to apply restaurants on a client who
is threatening to harm others and has not responded Document the clients behavior every 15 minutes while
to lessen case of interventions. Which of the following restraints are in place.
actions should the nurse plan to take?
Community mental health nurse is planning strategies
to address substance use my adolescence. Which of the
following intervention should the nurse plan as a method
Provide a presentation at area high school's and resisting
of primary prevention?Community mental health nurse is
peer pressure for substance use.
planning strategies to address substance use my ado-
lescence. Which of the following intervention should the
nurse plan as a method of primary prevention?
A nurse in an emergency department is caring for an 18
month old toddler who has a fractured left femur. What is
"My child was riding a bicycle and fell ott."
the long statement by the toddler's parent should cause
the nurse to suspect child abuse?
A nurse is administering an oral sedative to a client who
is receiving careful and involuntary admission. The client Document the client refusal of the medication in the med-
states, " I'm not taking any more medication." Which of ical record.
the following actions should the nurse take?
A nurse is caring for a school age client who begins wet-
ting the bed after finding out her parents are getting a
Regression
divorce. The nurse should identify the client is exhibiting
which is a fine defense mechanisms?
A nurse is caring for a client who is brought to the clinic
by her adult son who states that his father recently died.
The client repeatedly yells at her son stating, " Quit lying
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, ATI RN 3.0 Mental Health 1 Test Questions and Answers Graded A+
about your father!" The nurse should recognize that the
client is demonstrating which of the following defense Denial
mechanisms?
A nurse is caring for a client called mental health coun-
seling center. The client received a failing grade in the
course and spends entire counseling session blaming Projection
the teacher. The nurse should recognize this behavior as
example of which of the following defense mechanisms?
A nurse at a college campus health clinic is caring for
a client who reports manifestations of bulimia nervosa.
The client tells the nurse, " I know my eating binges and " You are feeling helpless about changing this behavior?"
vomiting are not normal, but I cannot control it." Which of
the following responses should the nurse make?
A nurse is preparing to administer fluphenazine de-
canoate 12.5 mg subcutaneous. available is fluphenazine
0.5
decanoate 25 mg/mL. How many mL should the nurse
administer per dose?
A nurse is providing support for the parents of a child has a
new diagnosis of a terminal brain tumor. The nurse should
Denial
expect the parents to experience which of the following
stages of grief?
A nurse is caring for a client who has depression. The
nurse observes that the client has not come to breakfast
" In other words, you seem to be saying that you feel
and is still in bed. The client states, " I'm not worth your
unworthy of help."
time. Leave me alone and go help someone else." which
of the following responses should the nurse make?
A nurse is caring for a client has schizophrenia. The client
states, " My internal organs have turned to stone." The
Somatic
nurse should document this finding as which of the fol-
lowing types of delusions?
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