ATI Learning Systems - Mental Health 1
Questions and Answers 100% Pass
While taking a health history from a client in the outpatient mental health clinic, nurse observes
that the client is persistent in making personal inquiries. Which of the following is the most
therapeutic response? ✔✔Explain to the client that this time is for him
Focus of relationship is on the client's ideas, experiences, and feelings.
A nurse is caring for a client diagnosed with dementia. She should understand that the goal of
reminiscence therapy in long term care facilities is to.... ✔✔share memories of past experiences
and events
Which of the following is an important short term goal for a nurse to plan with a suicidal client?
✔✔sign a contract pledging not to act on suicide plans
A nurse's neighbor has just found out that her teenage child died in a motor vehicle accident. The
neighbor is crying inconsolably. Which of the following is an appropriate therapeutic nursing
response? ✔✔Sit silently with the client while he cries. Being silent is a communication that is
appropriate at times of grieving
A parent brings an 18 month old child to the ER, the child sustained a fractured left femur.
Which of the following statements by the parent might make the nurse suspect child abuse?
✔✔My child was riding a bicycle and got the right foot caught in the spokes. Kid is TOO young
and not developmentally capable of riding a bike
,A nurse should assess that the client with the highest potential for suicide is the depressed client
who states which of the following? ✔✔I don't feel like going to group therapy today. I don't
want to be with other people.
- manifestation of severe depression
A nurse is caring for a client dx with disorganized schizophrenia. The client does not return a
visitors greeting and instead lies down on the bed and curls up in the fetal position. Which of the
following defense mechanisms is the client exhibiting? ✔✔Regression - represents dysfunctional
attempt to reduce anxiety and conflict by returning to less mature behaviors that help the client
tolerate the anxiety
A client was admitted to the psychiatric unit with a dx of bippolar d/o. At 3a the client runs to the
nurses station and demands to see the therapist immediately. Which of the following responses
by the nurse is appropriate? ✔✔You must be very upset about something to want to see your
therapist in the middle of the night
A client is admitted to the psych unit following tx in the ER for an intentional OD ingestion. As
the nurse performs the admission assessment, the client says Why would you want to waste your
time on a worthless person like me? Appropriate therapeutic response? ✔✔I think you are
worthwhile, and I want to talk to you - offering one's self
The nurse should document that a client is experiencing mild anxiety when the nurse observes
which of the following? ✔✔The client is extremely alert. A heightened perceptual field and
increased awareness.
, A nurse is working in a busy pediatric ER. In which of the following cases should the nurse
maintain a high index of suspicion of physical child abuse? ✔✔A 9 month old who reportedly
nearly drowned after climbing into the tub and turning on the water - inconsistent with
developmental abilities
A client who is bipolar states to the psych nurse in the mental health outreach clinic, "I no longer
take my meds because I like to feel manic." Appropriate response?
A) You might feel good now, but what about when you get depressed?
B) Why do you think you like feeling manic?
C) You feel better when you don't take your medication?
D) What do you think your provider will say about you going off your medication? ✔✔C) You
feel better when you don't take your medication?
Rationale: Therapeutic communication tool of validating or clarifying the client's feelings. This
open-ended paraphrasing acknowledges the client's statement and allows for further exploration
of the subject.
The nurse in the oncology unit provides support to the parents of a child newly dx with a
glioblastoma tumor of the brain. In planning care, the nurse understands the parents initial
reaction to a potentially terminal illiness in their child is.... ✔✔denial and disbelief
A widow is brought to the clinic by her adult son, who found her at home crying. She said that
she could not go on alone. He tells the nurse that when his father died six months earlier, and the
family was amazed at his mother's fortitude during and immediately after the funeral. She did not
cry or seem unduly upset. The nurse recognizes that his mother had previously dealt with her
husbands death by using which defense mechanism? ✔✔Denial
Questions and Answers 100% Pass
While taking a health history from a client in the outpatient mental health clinic, nurse observes
that the client is persistent in making personal inquiries. Which of the following is the most
therapeutic response? ✔✔Explain to the client that this time is for him
Focus of relationship is on the client's ideas, experiences, and feelings.
A nurse is caring for a client diagnosed with dementia. She should understand that the goal of
reminiscence therapy in long term care facilities is to.... ✔✔share memories of past experiences
and events
Which of the following is an important short term goal for a nurse to plan with a suicidal client?
✔✔sign a contract pledging not to act on suicide plans
A nurse's neighbor has just found out that her teenage child died in a motor vehicle accident. The
neighbor is crying inconsolably. Which of the following is an appropriate therapeutic nursing
response? ✔✔Sit silently with the client while he cries. Being silent is a communication that is
appropriate at times of grieving
A parent brings an 18 month old child to the ER, the child sustained a fractured left femur.
Which of the following statements by the parent might make the nurse suspect child abuse?
✔✔My child was riding a bicycle and got the right foot caught in the spokes. Kid is TOO young
and not developmentally capable of riding a bike
,A nurse should assess that the client with the highest potential for suicide is the depressed client
who states which of the following? ✔✔I don't feel like going to group therapy today. I don't
want to be with other people.
- manifestation of severe depression
A nurse is caring for a client dx with disorganized schizophrenia. The client does not return a
visitors greeting and instead lies down on the bed and curls up in the fetal position. Which of the
following defense mechanisms is the client exhibiting? ✔✔Regression - represents dysfunctional
attempt to reduce anxiety and conflict by returning to less mature behaviors that help the client
tolerate the anxiety
A client was admitted to the psychiatric unit with a dx of bippolar d/o. At 3a the client runs to the
nurses station and demands to see the therapist immediately. Which of the following responses
by the nurse is appropriate? ✔✔You must be very upset about something to want to see your
therapist in the middle of the night
A client is admitted to the psych unit following tx in the ER for an intentional OD ingestion. As
the nurse performs the admission assessment, the client says Why would you want to waste your
time on a worthless person like me? Appropriate therapeutic response? ✔✔I think you are
worthwhile, and I want to talk to you - offering one's self
The nurse should document that a client is experiencing mild anxiety when the nurse observes
which of the following? ✔✔The client is extremely alert. A heightened perceptual field and
increased awareness.
, A nurse is working in a busy pediatric ER. In which of the following cases should the nurse
maintain a high index of suspicion of physical child abuse? ✔✔A 9 month old who reportedly
nearly drowned after climbing into the tub and turning on the water - inconsistent with
developmental abilities
A client who is bipolar states to the psych nurse in the mental health outreach clinic, "I no longer
take my meds because I like to feel manic." Appropriate response?
A) You might feel good now, but what about when you get depressed?
B) Why do you think you like feeling manic?
C) You feel better when you don't take your medication?
D) What do you think your provider will say about you going off your medication? ✔✔C) You
feel better when you don't take your medication?
Rationale: Therapeutic communication tool of validating or clarifying the client's feelings. This
open-ended paraphrasing acknowledges the client's statement and allows for further exploration
of the subject.
The nurse in the oncology unit provides support to the parents of a child newly dx with a
glioblastoma tumor of the brain. In planning care, the nurse understands the parents initial
reaction to a potentially terminal illiness in their child is.... ✔✔denial and disbelief
A widow is brought to the clinic by her adult son, who found her at home crying. She said that
she could not go on alone. He tells the nurse that when his father died six months earlier, and the
family was amazed at his mother's fortitude during and immediately after the funeral. She did not
cry or seem unduly upset. The nurse recognizes that his mother had previously dealt with her
husbands death by using which defense mechanism? ✔✔Denial
