ATI mental health Week 4
Chapter 12, 19, 20-21, 33
Chapter 12- Trauma and Stressor related disorders
1. A nurse working on an acute mental health unit is caring for a client who has
posttraumatic stress disorder (PTSD). Which of the following findings should the nurse
expect? (Select all that apply.)
A. difficulty concentrating on tasks
B. negative self‐image
C. recurring nightmares
2. A nurse is involved in a serious and prolonged mass casualty incident in the emergency
department. Which of the following strategies should the nurse use to help prevent
developing a trauma‐related disorder? (Select all that apply)
B. Take breaks during the incident for food and water. Eating nutritious foods while
working during a traumatic incident can help prevent development of a trauma‐related
disorder.
C. Debrief with others following the incident.
E. Take advantage of offered counseling
3. A nurse is collecting an admission history for a client who has acute stress disorder
(ASD). Which of the following information should the nurse expect to collect?
D. The client expresses a sense of unreality about the traumatic incident. The client who
has ASD often expresses dissociative manifestations regarding the event, which includes
a sense of unreality.
4. A nurse is caring for a client who has derealization disorder. Which of the following
findings should the nurse identify as an indication of derealization?
C. The client states that the furniture in the room seems to be small and far away.
5. A nurse in an acute mental health facility is planning care for a client who has
dissociative fugue. Which of the following interventions should the nurse add to the plan
of care?
D. Work with the client on grounding techniques. Grounding techniques, such as
stomping the feet, clapping the hands, or touching physical objects, are useful for clients
who have a dissociative disorder andare experiencing manifestations of derealization.
Chapter 19 – Eating Disorders
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, 1. A nurse is preparing to obtain a nursing history from a client who has a new diagnosis
of anorexia nervosa. Which of the following questions should the nurse to include in
the assessment? (select all that apply.)
A. “What is your relationship like with your family?” A nursing history of a client
who has anorexia nervosa should include an assessment of family and interpersonal
relationships.
C. “Would you describe your current eating habits?”
E. “Can you discuss your feelings about your appearance?”
2. A nurse is caring for an adolescent client who has anorexia nervosawith recent rapid
weight loss and a current weight of 90 lb. Which of the following statements indicates
the client is experiencing the cognitive distortion of catastrophizing?
A. “Life isn’t worth living if I gain weight.” this statement reflects the cognitive
distortion of catastrophizing because the client’s perception of her appearance or
situation is much worse than her current condition.
3. A nurse is performing an admission assessment of a client who has bulimia nervosa
with purging behavior. Which of the following is an expected finding? (select all that
apply.)
B. Hypokalemia
D. slightly elevated body weight. Most clients who have bulimia nervosa maintain a
weight within a normal range or slightly higher.
4. A nurse on an acute care unitis planning care for a clientwho has anorexia nervosa
with binge‐eating and purging behavior. Which of the following nursing actions
should the nurse include in the client’s plan of care?
D. implement one‐to‐one observation during meal times. The nurse should closely
monitor the client during and after meals to prevent purging.
5. A nurse is caring for a client who has bulimia nervosa and has stopped purging
behavior. The client tells the nurse that she is afraid she is going to gain weight.
Which of the following response should the nurse make?
C. “I understand you have concerns about your weight, but first, let’s talk about your
recent accomplishments.” this statement acknowledges the client’s concern and then
focuses the conversation on the client’s accomplishments, which can promote client
self‐esteem and self‐image.
This study source was downloaded by 100000869269453 from CourseHero.com on 07-12-2023 09:35:17 GMT -05:00
https://www.coursehero.com/file/29178730/ATI-mental-health-Week-4docx/
Chapter 12, 19, 20-21, 33
Chapter 12- Trauma and Stressor related disorders
1. A nurse working on an acute mental health unit is caring for a client who has
posttraumatic stress disorder (PTSD). Which of the following findings should the nurse
expect? (Select all that apply.)
A. difficulty concentrating on tasks
B. negative self‐image
C. recurring nightmares
2. A nurse is involved in a serious and prolonged mass casualty incident in the emergency
department. Which of the following strategies should the nurse use to help prevent
developing a trauma‐related disorder? (Select all that apply)
B. Take breaks during the incident for food and water. Eating nutritious foods while
working during a traumatic incident can help prevent development of a trauma‐related
disorder.
C. Debrief with others following the incident.
E. Take advantage of offered counseling
3. A nurse is collecting an admission history for a client who has acute stress disorder
(ASD). Which of the following information should the nurse expect to collect?
D. The client expresses a sense of unreality about the traumatic incident. The client who
has ASD often expresses dissociative manifestations regarding the event, which includes
a sense of unreality.
4. A nurse is caring for a client who has derealization disorder. Which of the following
findings should the nurse identify as an indication of derealization?
C. The client states that the furniture in the room seems to be small and far away.
5. A nurse in an acute mental health facility is planning care for a client who has
dissociative fugue. Which of the following interventions should the nurse add to the plan
of care?
D. Work with the client on grounding techniques. Grounding techniques, such as
stomping the feet, clapping the hands, or touching physical objects, are useful for clients
who have a dissociative disorder andare experiencing manifestations of derealization.
Chapter 19 – Eating Disorders
This study source was downloaded by 100000869269453 from CourseHero.com on 07-12-2023 09:35:17 GMT -05:00
https://www.coursehero.com/file/29178730/ATI-mental-health-Week-4docx/
, 1. A nurse is preparing to obtain a nursing history from a client who has a new diagnosis
of anorexia nervosa. Which of the following questions should the nurse to include in
the assessment? (select all that apply.)
A. “What is your relationship like with your family?” A nursing history of a client
who has anorexia nervosa should include an assessment of family and interpersonal
relationships.
C. “Would you describe your current eating habits?”
E. “Can you discuss your feelings about your appearance?”
2. A nurse is caring for an adolescent client who has anorexia nervosawith recent rapid
weight loss and a current weight of 90 lb. Which of the following statements indicates
the client is experiencing the cognitive distortion of catastrophizing?
A. “Life isn’t worth living if I gain weight.” this statement reflects the cognitive
distortion of catastrophizing because the client’s perception of her appearance or
situation is much worse than her current condition.
3. A nurse is performing an admission assessment of a client who has bulimia nervosa
with purging behavior. Which of the following is an expected finding? (select all that
apply.)
B. Hypokalemia
D. slightly elevated body weight. Most clients who have bulimia nervosa maintain a
weight within a normal range or slightly higher.
4. A nurse on an acute care unitis planning care for a clientwho has anorexia nervosa
with binge‐eating and purging behavior. Which of the following nursing actions
should the nurse include in the client’s plan of care?
D. implement one‐to‐one observation during meal times. The nurse should closely
monitor the client during and after meals to prevent purging.
5. A nurse is caring for a client who has bulimia nervosa and has stopped purging
behavior. The client tells the nurse that she is afraid she is going to gain weight.
Which of the following response should the nurse make?
C. “I understand you have concerns about your weight, but first, let’s talk about your
recent accomplishments.” this statement acknowledges the client’s concern and then
focuses the conversation on the client’s accomplishments, which can promote client
self‐esteem and self‐image.
This study source was downloaded by 100000869269453 from CourseHero.com on 07-12-2023 09:35:17 GMT -05:00
https://www.coursehero.com/file/29178730/ATI-mental-health-Week-4docx/
