ATI Mental Health CMS
A community mental health nurse is planning strategies to address substances use by
adolescents. Which of the following interventions should the nurse plan as a method of
primary prevention?
A. Offer substance use treatment options for adolescents from low-income households.
B. Encourage the use of random testing for substance use for adolescents participating
in extracurricular activities.
C. Educate high school teachers about how to detect the manifestations of substance
use.
D. Provide a presentation at area high schools on resisting peer pressure for substance
use. - correct ans--D
Arynurseryasksryanryolderryadultryclient,ry"Didryyouryhaveryanyryvisitorsryyesterday?"ryTheryclientryr
esponds,ry"Yes,ryseveralrymembersryofrymyrychurchrychoirrycamerytoryseryme."ryTherynurseryknow
srythatryonlyrytheryclient'srydaughterryvisitedrytherydayrybefore.ryWhichryofrytheryfollowingrycognitiv
eryimpairmentsryisrytheryclientrydemonstrating?
A.ryPerseverationry(repetitionryofryphrases)
B.ryConfabulationry(fillingrygapsryinrymemoryrybyryfabrication)
C.ryApraxiary(lossryofrypurposefulrymovement)
D.ryAgnosiary(lossryofrysensoryryabilityrytoryrecognizeryobjects)ry-rycorrectryans--B
Arynurseryatryarycollegerycampusryhealthryclinicryisrycaringryforryaryclientrywhoryreportsrymanifestati
onsryofrybulimiarynervosa.ryTheryclientrytellsrytherynurse,ry"Iryknowrymyryeatingrybingesryandryvomiti
ngryarerynotrynormal,rybutryIrycannotrycontrolryit."ryWhichryofrytheryfollowingryresponsesryshouldryth
erynurserymake?
A.ry"Whyrydoryyourythinkryyouryareryexperiencingrytheserybehaviorsryofrybingesryandryvomiting?"
B.ry"Areryotherrystudentsryinryyourrydormryalsoryexperiencingrythisrybehavior?"
C.ry"Youryareryfeelingryhelplessryaboutrychangingrythisrybehavior?"
D.ry"Youryknowryyourymustrystoprybecauseryyouryareryendangeringryyourryhealth."ry-
rycorrectryans--C
Arynurseryatryanryacuterymentalryhealthryfacilityryisrycaringryforryaryclientrywhoryhasryacuterymaniaryd
uerytorybipolarrydisorder.ryAtry0300,rytheryclientryrunsrytorytherynurse'srystationryandrydemandsrytorys
eerytheryproviderryimmediately.ryWhichryofrytheryfollowingryresponsesryshouldrytherynurserymake
?
A.ry"Yourryrequestryisryunreasonable.ryWerycannotrycallryyourryproviderryatry3:00ryinrytherymorning
."
,B.ry"Ifryyourycanrycalmrydownryforry5ryminutesrythenryIrywillrycallryyourryproviderryforryyou."
C.ry"Calmrydown,rygorybackrytoryyourryroom,ryandrycomerybackryinry15ryminutesryandrywe'llrytalkryab
outryhowryyou'reryfeeling."
D.ry"Yourymustryberyveryryupsetryaboutrysomethingrytorywantrytoryseeryyourryproviderryinrytherymiddl
eryofrytherynight."ry-rycorrectryans--D
Arynurseryentersryaryclient'sryroomryandryobservesrythatrytheryclientryisryagitatedryandrypacingryrapi
dly.ryTheryclientrylooksryatrytherynurseryandrysays,ry"Backryoff.ryLeaverymeryalone."ryWhichryofrythery
followingrystatementsryshouldrytherynurserymake?
A.ry"Irydemandrythatryyourycalmrydownrynow.ryYourrybehaviorryisryunacceptable."
B.ry"Irywillrycloserytherydoorrytoryprovideryprivacy,ryandryyourycanrytellrymerywhatryisrybotheringryyou."
C.ry"Irywillrygiveryyouryspaceryifryyourycalmrydown.ryTellrymerywhatryisrycausingryyourytoryfeelrysorytens
e."
D.ry"Irywillryleaveryyouryaloneryforryaryfewryminutesrywhileryyourytryrytorycontrolryyourself."ry-
rycorrectryans--C
Arynurseryinryarymentalryhealthryclinicryisryassessingryaryclientrywhoryhasryaryhistoryryofrymania.ryWhi
chryofrytheryfollowingryfindingsryindicatesrythatrytheryclientryisryexperiencingryaryrelapse?
A.ryWeightrygain
B.ryRitualisticrybehavior
C.ryAnhedonia
D.ryPressuredryspeechry-rycorrectryans--D
Arynurseryinryarymentalryhealthryclinicryisrycaringryforryaryclientrywhoryhasrybipolarrydisorderryandrysta
tes,ry"IrynorylongerrytakerymyrymedicationrybecauseryIrylikerytheryfeeingryofrybeingrymanic."ryWhichry
ofrytheryfollowingryresponsesrybyrytherynurseryisryanryexampleryofrytherapeuticrycommunication?
A.ry"Yourymightryfeelrygoodrynow,rybutrywhatryaboutrywhenryyourygetrydepressed?"
B.ry"Whyrydoryyourythinkryyourylikeryfeelingrymanic?"
C.ry"Youryfeelrybetterrywhenryyourydon'trytakeryyourrymedication?"
D.ry"Whatrydoryyourythinkryyourryproviderrywillrysayryaboutryyourygoingryoffryyourrymedication?"ry-
rycorrectryans--C
Arynurseryinryarymentalryhealthryclinicryisrycaringryforryaryclientrywhorystates,ry"IrythinkryIrymightryhavery
aryproblemrywithryalcohol."ryWhichryofrytheryfollowingryactionsryshouldrytherynurserytakeryfirst?
A.ryProviderytheryclientrywithryinformationryaboutryary12-stepryrecoveryryprogram.
B.ryEncouragerytheryclientrytoryacceptryresponsibilityryforryhisryalcoholryuse.
C.ryTeachrytheryclientryalternaterycopingrymechanismsrytoryuseryinryplaceryofryalcohol.
D.ryAskrytheryclientrytorycompleteryaryCAGEryQuestionnaire.ry-rycorrectryans--D
Arynurseryinryarymentalryhealthryfacilityryisrycaringryforryaryclientrywhoryhasrygeneralizedryanxietyrydi
sorder.ryWhichryofrytheryfollowingrystatementsryshouldrytherynurserymake?
, A.ry"We'llryassistryyourywithrymakingrydecisions."
B.ry"Someonerywillryworkrywithryyourywhenryyouryhaveryflashbacks."
C.ry"You'llryberygoingrythroughryaversionrytherapyrytoryhelpryyourycope."
D.ry"Therytherapyrywillryhelpryyourycontrolryyourryimpulses."ry-rycorrectryans--A
Arynurseryinryarymentalryhealthryfacilityryisryreviewingryconfidentialityryrequirementsrywithryarynewl
yrylicensedrynurse.ryWhichryofrytheryfollowingrystatementsrybyrytherynewlyrylicensedrynurseryindic
atesryanryunderstandingryofrytheryinformation?
A.ry"Iryamrylegallyryrequiredrytorynotifyryaryclient'sryemployerryaboutryarysubstanceryuserydisorder."
B.ry"Ifryaryclientryisryinvoluntarilyrycommitted,ryIrycanrydiscussryinformationrywithrytheryclient'srynextr
yofrykin."
C.ry"Irycanrydiscussryaryclient'srytreatmentrywithryothersryasrylongryasrytheyryareryemployeesryofrythe
ryfacility."
D.ry"Iryshouldrykeepryinformationryprivateryevenryafterryaryclientrydies."ry-rycorrectryans--D
Arynurseryinryarypediatricryemergencyrydepartmentryisrycaringryforryfourryclients.ryTherynurseryshou
ldrysuspectrypossibleryabuserywithrywhichryofrytheryfollowingryclients?
A.ryAry14-month-
oldrytoddlerrywhoryhasryrecentlyrylearnedrytorywalkryandryhasrymanyrybruisesryonrybonyryprominen
cesryinryvariousrystagesryofryhealing
B.ryAry9-month-
oldryinfantrywhoryreportedlyrynearlyrydrownedryafterryclimbingryintorytherytubryandryturningryonryther
ywater
C.ryAry6-year-
oldrytoddlerrywhoryhasryaryfractureryofrytherytibiaryandryfibula,rywhichryreportedlyryoccurredrywhileryr
idingryarybicycle
D.ryAry3-year-
oldrytoddlerrywhoryhasryburnsryinryarysplashrypatternryoverrytheryfaceryandrychest,ryreportedlyrysust
ainedrywhenryarytableclothrywasrypulled,ryspillingryaryteapotry-rycorrectryans--B
Arynurseryinryanryemergencyrydepartmentryisrycaringryforryaryfemaleryclientrywhoryhasryecchymosi
sryofrytherytrunkryandryface.ryTheryclientryreportsrythatryherrypartnerryhitryher,rycausingrytheryinjuries.r
yWhenryofferedryinformationryaboutrysheltersryforryintimaterypartnerryviolence,rytheryclientrydeclin
es,rystating,ry"Irycouldryneverryleaverymyryhusbandrybecauseryofrymyrykids."ryWhichryofrytheryfollowi
ngryresponsesryshouldrytherynurserymake?
A.ry"Aren'tryyouryworriedryaboutrytherysafetyryofryyourrychildren?"
B.ry"Canryyouryidentifyryyourrybehaviorsrythatryprovokeryyourrypartner?"
C.ry"Therynextrytimerythisryoccurs,rywhatrymightryyourydorytoryensureryyourrysafety?"
D.ry"Youryneedrytoryremoveryyourselfryandryyourrychildrenryfromrytheryabusiverysituation."ry-
rycorrectryans--C
A community mental health nurse is planning strategies to address substances use by
adolescents. Which of the following interventions should the nurse plan as a method of
primary prevention?
A. Offer substance use treatment options for adolescents from low-income households.
B. Encourage the use of random testing for substance use for adolescents participating
in extracurricular activities.
C. Educate high school teachers about how to detect the manifestations of substance
use.
D. Provide a presentation at area high schools on resisting peer pressure for substance
use. - correct ans--D
Arynurseryasksryanryolderryadultryclient,ry"Didryyouryhaveryanyryvisitorsryyesterday?"ryTheryclientryr
esponds,ry"Yes,ryseveralrymembersryofrymyrychurchrychoirrycamerytoryseryme."ryTherynurseryknow
srythatryonlyrytheryclient'srydaughterryvisitedrytherydayrybefore.ryWhichryofrytheryfollowingrycognitiv
eryimpairmentsryisrytheryclientrydemonstrating?
A.ryPerseverationry(repetitionryofryphrases)
B.ryConfabulationry(fillingrygapsryinrymemoryrybyryfabrication)
C.ryApraxiary(lossryofrypurposefulrymovement)
D.ryAgnosiary(lossryofrysensoryryabilityrytoryrecognizeryobjects)ry-rycorrectryans--B
Arynurseryatryarycollegerycampusryhealthryclinicryisrycaringryforryaryclientrywhoryreportsrymanifestati
onsryofrybulimiarynervosa.ryTheryclientrytellsrytherynurse,ry"Iryknowrymyryeatingrybingesryandryvomiti
ngryarerynotrynormal,rybutryIrycannotrycontrolryit."ryWhichryofrytheryfollowingryresponsesryshouldryth
erynurserymake?
A.ry"Whyrydoryyourythinkryyouryareryexperiencingrytheserybehaviorsryofrybingesryandryvomiting?"
B.ry"Areryotherrystudentsryinryyourrydormryalsoryexperiencingrythisrybehavior?"
C.ry"Youryareryfeelingryhelplessryaboutrychangingrythisrybehavior?"
D.ry"Youryknowryyourymustrystoprybecauseryyouryareryendangeringryyourryhealth."ry-
rycorrectryans--C
Arynurseryatryanryacuterymentalryhealthryfacilityryisrycaringryforryaryclientrywhoryhasryacuterymaniaryd
uerytorybipolarrydisorder.ryAtry0300,rytheryclientryrunsrytorytherynurse'srystationryandrydemandsrytorys
eerytheryproviderryimmediately.ryWhichryofrytheryfollowingryresponsesryshouldrytherynurserymake
?
A.ry"Yourryrequestryisryunreasonable.ryWerycannotrycallryyourryproviderryatry3:00ryinrytherymorning
."
,B.ry"Ifryyourycanrycalmrydownryforry5ryminutesrythenryIrywillrycallryyourryproviderryforryyou."
C.ry"Calmrydown,rygorybackrytoryyourryroom,ryandrycomerybackryinry15ryminutesryandrywe'llrytalkryab
outryhowryyou'reryfeeling."
D.ry"Yourymustryberyveryryupsetryaboutrysomethingrytorywantrytoryseeryyourryproviderryinrytherymiddl
eryofrytherynight."ry-rycorrectryans--D
Arynurseryentersryaryclient'sryroomryandryobservesrythatrytheryclientryisryagitatedryandrypacingryrapi
dly.ryTheryclientrylooksryatrytherynurseryandrysays,ry"Backryoff.ryLeaverymeryalone."ryWhichryofrythery
followingrystatementsryshouldrytherynurserymake?
A.ry"Irydemandrythatryyourycalmrydownrynow.ryYourrybehaviorryisryunacceptable."
B.ry"Irywillrycloserytherydoorrytoryprovideryprivacy,ryandryyourycanrytellrymerywhatryisrybotheringryyou."
C.ry"Irywillrygiveryyouryspaceryifryyourycalmrydown.ryTellrymerywhatryisrycausingryyourytoryfeelrysorytens
e."
D.ry"Irywillryleaveryyouryaloneryforryaryfewryminutesrywhileryyourytryrytorycontrolryyourself."ry-
rycorrectryans--C
Arynurseryinryarymentalryhealthryclinicryisryassessingryaryclientrywhoryhasryaryhistoryryofrymania.ryWhi
chryofrytheryfollowingryfindingsryindicatesrythatrytheryclientryisryexperiencingryaryrelapse?
A.ryWeightrygain
B.ryRitualisticrybehavior
C.ryAnhedonia
D.ryPressuredryspeechry-rycorrectryans--D
Arynurseryinryarymentalryhealthryclinicryisrycaringryforryaryclientrywhoryhasrybipolarrydisorderryandrysta
tes,ry"IrynorylongerrytakerymyrymedicationrybecauseryIrylikerytheryfeeingryofrybeingrymanic."ryWhichry
ofrytheryfollowingryresponsesrybyrytherynurseryisryanryexampleryofrytherapeuticrycommunication?
A.ry"Yourymightryfeelrygoodrynow,rybutrywhatryaboutrywhenryyourygetrydepressed?"
B.ry"Whyrydoryyourythinkryyourylikeryfeelingrymanic?"
C.ry"Youryfeelrybetterrywhenryyourydon'trytakeryyourrymedication?"
D.ry"Whatrydoryyourythinkryyourryproviderrywillrysayryaboutryyourygoingryoffryyourrymedication?"ry-
rycorrectryans--C
Arynurseryinryarymentalryhealthryclinicryisrycaringryforryaryclientrywhorystates,ry"IrythinkryIrymightryhavery
aryproblemrywithryalcohol."ryWhichryofrytheryfollowingryactionsryshouldrytherynurserytakeryfirst?
A.ryProviderytheryclientrywithryinformationryaboutryary12-stepryrecoveryryprogram.
B.ryEncouragerytheryclientrytoryacceptryresponsibilityryforryhisryalcoholryuse.
C.ryTeachrytheryclientryalternaterycopingrymechanismsrytoryuseryinryplaceryofryalcohol.
D.ryAskrytheryclientrytorycompleteryaryCAGEryQuestionnaire.ry-rycorrectryans--D
Arynurseryinryarymentalryhealthryfacilityryisrycaringryforryaryclientrywhoryhasrygeneralizedryanxietyrydi
sorder.ryWhichryofrytheryfollowingrystatementsryshouldrytherynurserymake?
, A.ry"We'llryassistryyourywithrymakingrydecisions."
B.ry"Someonerywillryworkrywithryyourywhenryyouryhaveryflashbacks."
C.ry"You'llryberygoingrythroughryaversionrytherapyrytoryhelpryyourycope."
D.ry"Therytherapyrywillryhelpryyourycontrolryyourryimpulses."ry-rycorrectryans--A
Arynurseryinryarymentalryhealthryfacilityryisryreviewingryconfidentialityryrequirementsrywithryarynewl
yrylicensedrynurse.ryWhichryofrytheryfollowingrystatementsrybyrytherynewlyrylicensedrynurseryindic
atesryanryunderstandingryofrytheryinformation?
A.ry"Iryamrylegallyryrequiredrytorynotifyryaryclient'sryemployerryaboutryarysubstanceryuserydisorder."
B.ry"Ifryaryclientryisryinvoluntarilyrycommitted,ryIrycanrydiscussryinformationrywithrytheryclient'srynextr
yofrykin."
C.ry"Irycanrydiscussryaryclient'srytreatmentrywithryothersryasrylongryasrytheyryareryemployeesryofrythe
ryfacility."
D.ry"Iryshouldrykeepryinformationryprivateryevenryafterryaryclientrydies."ry-rycorrectryans--D
Arynurseryinryarypediatricryemergencyrydepartmentryisrycaringryforryfourryclients.ryTherynurseryshou
ldrysuspectrypossibleryabuserywithrywhichryofrytheryfollowingryclients?
A.ryAry14-month-
oldrytoddlerrywhoryhasryrecentlyrylearnedrytorywalkryandryhasrymanyrybruisesryonrybonyryprominen
cesryinryvariousrystagesryofryhealing
B.ryAry9-month-
oldryinfantrywhoryreportedlyrynearlyrydrownedryafterryclimbingryintorytherytubryandryturningryonryther
ywater
C.ryAry6-year-
oldrytoddlerrywhoryhasryaryfractureryofrytherytibiaryandryfibula,rywhichryreportedlyryoccurredrywhileryr
idingryarybicycle
D.ryAry3-year-
oldrytoddlerrywhoryhasryburnsryinryarysplashrypatternryoverrytheryfaceryandrychest,ryreportedlyrysust
ainedrywhenryarytableclothrywasrypulled,ryspillingryaryteapotry-rycorrectryans--B
Arynurseryinryanryemergencyrydepartmentryisrycaringryforryaryfemaleryclientrywhoryhasryecchymosi
sryofrytherytrunkryandryface.ryTheryclientryreportsrythatryherrypartnerryhitryher,rycausingrytheryinjuries.r
yWhenryofferedryinformationryaboutrysheltersryforryintimaterypartnerryviolence,rytheryclientrydeclin
es,rystating,ry"Irycouldryneverryleaverymyryhusbandrybecauseryofrymyrykids."ryWhichryofrytheryfollowi
ngryresponsesryshouldrytherynurserymake?
A.ry"Aren'tryyouryworriedryaboutrytherysafetyryofryyourrychildren?"
B.ry"Canryyouryidentifyryyourrybehaviorsrythatryprovokeryyourrypartner?"
C.ry"Therynextrytimerythisryoccurs,rywhatrymightryyourydorytoryensureryyourrysafety?"
D.ry"Youryneedrytoryremoveryyourselfryandryyourrychildrenryfromrytheryabusiverysituation."ry-
rycorrectryans--C
