ATI MENTAL HEALTH PROCTORED QUIZ 1

1. A nurse is caring for a client who has borderline personality disorder. The nurse enters the client’s 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? a. Identify the client’s feeling that led to the self-injurious behavior. b. Encourage the client to discuss feelings about his self-injurious behavior during group therapy. c. Fill out an incident report for the risk management about the client’s self-injurious behavior. d. Document the client’s self-injurious behavior in his medical record. 2. A nurse is assessing a client who is experiencing moderate-level anxiety. Which of the following findings should the nurse expect? a. The client reports a sense of impending doom b. The client has a heightened perceptual field. c. The client has difficulty concentrating. d. The client reports shortness of breath. 3. A nurse is in a pediatric emergency department is caring for four clients. The nurse should suspect possible abuse with which of the following clients? a. A 6-year-old toddler who ha a fracture of the tibia and fibula, which reportedly occurred while riding a bicycle. b. A 14-year-old toddler who has recently learned to walk and has many bruises on bony prominences in various stages of healing. c. A 3-year-old toddler who has burns in a splash pattern over the face and chest, reportedly sustained when a tablecloth was pulled spilling a teapot. d. A 9-month-old infant who reportedly nearly drown after climbing into the tub and turning on the water