ATI Mental Health Proctored Exam
Review Questions and Answers.
A charge nurse is discussing mental status exams with a newly licensed nurse. Whi
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ch of the following statements by the newly licensed nurse indicates an understandi
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ng of the teaching? (Select all that apply).
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A. "To assess cognitive ability, I should ask the client to count backward by sevens.
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"
B. "To assess affect, I should observe the client's facial expression.
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C. "To assess language ability, I should instruct the client to write a sentence."
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D. "To assess remote memory, I should have the client repeat a list of objects."
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E. "To assess the client's abstract thinking, I should ask the client to identify our mo
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st recent presidents." -
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(correct answers)A. "To assess cognitive ability, I should ask the client to count bac
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kward by sevens." yu yu
B. "To assess affect, I should observe the client's facial expression.
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C. "To assess language ability, I should instruct the client to write a sentence."
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A nurse is planning care for a client who has a mental health disorder. Which of the
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following actions should the nurse include as a psychobiological intervention?
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A. Assist the client with systematic desensitization therapy.
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B. Teach the client appropriate coping mechanisms
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C. Assess the client for comorbid health conditions.
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D. Monitor the client for adverse effects of the medications. -
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(correct answers)D. Monitor the client for adverse effects of the medications.
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A nurse in an outpatient mental health clinic is preparing to conduct an initial client
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interview. When conducting the interview, which of the following actions should the
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nurse identify as the priority?
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,A. Coordinate holistic care with social services
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B. Identify the client's perception of her mental health status.
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C. Include the client's family in the interview.
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D. Teach the client about her current mental health disorder. -
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(correct answers)B. Identify the client's perception of her mental health status.
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A nurse is told during change of shift report that a client is stuporous. When assessi
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ng the client, which of the following findings should the nurse expect?
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A. The client arouses briefly in response to a sternal rub.
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B. The client has a glasgow coma scale score less than 7.
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C. The client exhibits decorticate rigidity.
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D. The client is alert but disoriented to time and place. -
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(correct answers)A. The client arouses briefly in response to a sternal rub.
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A nurse is planning a peer group discussion about the DSM-
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5. Which of the following information is appropriate to include in the discussion?
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(Select all that apply)
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A. The DSM-5 includes client education handouts for mental health disorders.
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B. The DSM-5 establishes diagnostic criteria for individual mental health disorders.
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C. The DSM-
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5 indicates recommended pharmacological treatment for mental health disorders.
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D. The DSM-
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5 assists nurses in planning care for client's who have mental health disorders.
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E. The DSM-5 indicates expected assessment findings of mental health disorders. -
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(correct answers)B. The DSM-
yu yu yu yu
5 establishes diagnostic criteria for individual mental health disorders.
yu yu yu yu yu yu yu yu
D. The DSM-
yu yu
5 assists nurses in planning care for client's who have mental health disorders.
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E. The DSM-5 indicates expected assessment findings of mental health disorders.
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A nurse in an emergency mental health facility is caring for a group of clients. The
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
nurse should identify that which of the following clients requires a temporary emerg
yu yu yu yu yu yu yu yu yu yu yu yu
ency admission? yu
A. A client who has schizophrenia with delusions of grandeur
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,B. A client who has manifestations of depression and attempted suicide a year ago
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C. A client who has borderline personality disorder and assaulted a homeless man
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with a metal rod yu yu yu
D. A client who has bipolar disorder and paces quickly around the room while talkin
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g to himself -
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(correct answers)C. A client who has borderline personality disorder and assaulted
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a homeless man with a metal rod
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A nurse decides to put a client who has a psychotic disorder in seclusion overnight
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because the unit is very short- yu yu yu yu yu
staffed, and the client frequently fights with other clients. The nurse's actions are a
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n example of which of the following torts?
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A. Invasion of privacy
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B. False imprisonment
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C. Assaultyu
D. Battery - (correct answers)B. False imprisonment
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A client tells a nurse, "Don't tell anyone but I hid a sharp knife under my mattress i
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n order to protect myself from my roommate, who is always yelling at me and threa
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tening me." Which of the following actions should the nurse take?
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A. Keep the client's communication confidential, but talk to the client daily, using th
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erapeutic communication to convince him to admit to hiding the knife
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B. Keep the client's communication confidential, but watch the client and his room
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mate closely. yu
C. Tell the client that this must be reported to the health care team because it conc
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erns the health and safety of the client and others.
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D. Report the incident to the health care team, but do not inform the client of the in
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tention to do so. - yu yu yu yu
(correct answers)D. Report the incident to the health care team, but do not inform
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the client of the intention to do so.
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A nurse is caring for a client who is in mechanical restraints. Which of the following
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statements should the nurse include in the documentation? (Select all that apply)
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A. "Client ate most of his breakfast."
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B. "Client was offered 8 oz of water every hr."
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C. "Client shouted obscenities at assistive personnel."
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, D. "Client received chlorpromazine 15 mg by mouth at 1000."
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E. "Client acted out after lunch." -
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(correct answers)B. "Client was offered 8 oz of water every hr."
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C. "Client shouted obscenities at assistive personnel."
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D. "Client received chlorpromazine 15 mg by mouth at 1000.
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A nurse hears a newly licensed nurse discussing a client's hallucinations in the hall
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way with another nurse. Which of the following actions should the nurse take first?
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A. Notify the nurse manager.
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B. Tell the nurse to stop discussing the behavior.
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C. Provide an in-service program about confidentiality.
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D. Complete an incident report. -
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(correct answers)B. Tell the nurse to stop discussing the behavior
yu yu yu yu yu yu yu yu yu yu
A nurse is caring for the parents of a child who has demonstrated changes in behav
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
ior and mood. When the mother of the child asks the nurse for reassurance about h
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
er son's condition, which of the following responses should the nurse make?
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A. "I think your son is getting better. What have you noticed."
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B. "I'm sure everything will be okay. It just takes time to heal."
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C. "I'm not sure whats wrong. Have you asked the doctor about your concerns?"
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D. "I understand you're concerned. Let's discuss what concerns you specifically." -
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(correct answers)D. "I understand you're concerned. Let's discuss what concerns y
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ou specifically."
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A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'
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m coughing because I have that cold that everyone has been getting." The nurse sh
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ould identify that the client is using which of the following defense mechanisms?
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A. Reaction formation
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B. Denial
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C. Displacement
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D. Sublimation - (correct answers)B. Denial
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A nurse is providing preoperative teaching for a client who was just informed that s
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he requires emergency surgery. The client has a respiratory rate 30/
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min and says, "This is difficult to comprehend. I feel shaky and nervous." The nurse
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Review Questions and Answers.
A charge nurse is discussing mental status exams with a newly licensed nurse. Whi
yu yu yu yu yu yu yu yu yu yu yu yu yu
ch of the following statements by the newly licensed nurse indicates an understandi
yu yu yu yu yu yu yu yu yu yu yu yu
ng of the teaching? (Select all that apply).
yu yu yu yu yu yu yu yu
A. "To assess cognitive ability, I should ask the client to count backward by sevens.
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
"
B. "To assess affect, I should observe the client's facial expression.
yu yu yu yu yu yu yu yu yu yu
C. "To assess language ability, I should instruct the client to write a sentence."
yu yu yu yu yu yu yu yu yu yu yu yu yu
D. "To assess remote memory, I should have the client repeat a list of objects."
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
E. "To assess the client's abstract thinking, I should ask the client to identify our mo
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
st recent presidents." -
yu yu yu
(correct answers)A. "To assess cognitive ability, I should ask the client to count bac
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
kward by sevens." yu yu
B. "To assess affect, I should observe the client's facial expression.
yu yu yu yu yu yu yu yu yu yu
C. "To assess language ability, I should instruct the client to write a sentence."
yu yu yu yu yu yu yu yu yu yu yu yu yu
A nurse is planning care for a client who has a mental health disorder. Which of the
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
following actions should the nurse include as a psychobiological intervention?
yu yu yu yu yu yu yu yu yu
A. Assist the client with systematic desensitization therapy.
yu yu yu yu yu yu yu
B. Teach the client appropriate coping mechanisms
yu yu yu yu yu yu
C. Assess the client for comorbid health conditions.
yu yu yu yu yu yu yu
D. Monitor the client for adverse effects of the medications. -
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(correct answers)D. Monitor the client for adverse effects of the medications.
yu yu yu yu yu yu yu yu yu yu yu
A nurse in an outpatient mental health clinic is preparing to conduct an initial client
yu yu yu yu yu yu yu yu yu yu yu yu yu yu y
interview. When conducting the interview, which of the following actions should the
u yu yu yu yu yu yu yu yu yu yu yu
nurse identify as the priority?
yu yu yu yu yu
,A. Coordinate holistic care with social services
yu yu yu yu yu yu
B. Identify the client's perception of her mental health status.
yu yu yu yu yu yu yu yu yu
C. Include the client's family in the interview.
yu yu yu yu yu yu yu
D. Teach the client about her current mental health disorder. -
yu yu yu yu yu yu yu yu yu yu
(correct answers)B. Identify the client's perception of her mental health status.
yu yu yu yu yu yu yu yu yu yu yu
A nurse is told during change of shift report that a client is stuporous. When assessi
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
ng the client, which of the following findings should the nurse expect?
yu yu yu yu yu yu yu yu yu yu yu
A. The client arouses briefly in response to a sternal rub.
yu yu yu yu yu yu yu yu yu yu
B. The client has a glasgow coma scale score less than 7.
yu yu yu yu yu yu yu yu yu yu yu
C. The client exhibits decorticate rigidity.
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D. The client is alert but disoriented to time and place. -
yu yu yu yu yu yu yu yu yu yu yu
(correct answers)A. The client arouses briefly in response to a sternal rub.
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A nurse is planning a peer group discussion about the DSM-
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5. Which of the following information is appropriate to include in the discussion?
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(Select all that apply)
yu yu yu yu
A. The DSM-5 includes client education handouts for mental health disorders.
yu yu yu yu yu yu yu yu yu yu
B. The DSM-5 establishes diagnostic criteria for individual mental health disorders.
yu yu yu yu yu yu yu yu yu yu
C. The DSM-
yu yu
5 indicates recommended pharmacological treatment for mental health disorders.
yu yu yu yu yu yu yu yu
D. The DSM-
yu yu
5 assists nurses in planning care for client's who have mental health disorders.
yu yu yu yu yu yu yu yu yu yu yu yu
E. The DSM-5 indicates expected assessment findings of mental health disorders. -
yu yu yu yu yu yu yu yu yu yu yu
(correct answers)B. The DSM-
yu yu yu yu
5 establishes diagnostic criteria for individual mental health disorders.
yu yu yu yu yu yu yu yu
D. The DSM-
yu yu
5 assists nurses in planning care for client's who have mental health disorders.
yu yu yu yu yu yu yu yu yu yu yu yu
E. The DSM-5 indicates expected assessment findings of mental health disorders.
yu yu yu yu yu yu yu yu yu yu
A nurse in an emergency mental health facility is caring for a group of clients. The
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
nurse should identify that which of the following clients requires a temporary emerg
yu yu yu yu yu yu yu yu yu yu yu yu
ency admission? yu
A. A client who has schizophrenia with delusions of grandeur
yu yu yu yu yu yu yu yu yu
,B. A client who has manifestations of depression and attempted suicide a year ago
yu yu yu yu yu yu yu yu yu yu yu yu yu
C. A client who has borderline personality disorder and assaulted a homeless man
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with a metal rod yu yu yu
D. A client who has bipolar disorder and paces quickly around the room while talkin
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
g to himself -
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(correct answers)C. A client who has borderline personality disorder and assaulted
yu yu yu yu yu yu yu yu yu yu yu yu
a homeless man with a metal rod
yu yu yu yu yu yu
A nurse decides to put a client who has a psychotic disorder in seclusion overnight
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
because the unit is very short- yu yu yu yu yu
staffed, and the client frequently fights with other clients. The nurse's actions are a
yu yu yu yu yu yu yu yu yu yu yu yu yu
n example of which of the following torts?
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A. Invasion of privacy
yu yu yu
B. False imprisonment
yu yu
C. Assaultyu
D. Battery - (correct answers)B. False imprisonment
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A client tells a nurse, "Don't tell anyone but I hid a sharp knife under my mattress i
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
n order to protect myself from my roommate, who is always yelling at me and threa
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
tening me." Which of the following actions should the nurse take?
yu yu yu yu yu yu yu yu yu yu
A. Keep the client's communication confidential, but talk to the client daily, using th
yu yu yu yu yu yu yu yu yu yu yu yu yu
erapeutic communication to convince him to admit to hiding the knife
yu yu yu yu yu yu yu yu yu yu
B. Keep the client's communication confidential, but watch the client and his room
yu yu yu yu yu yu yu yu yu yu yu yu
mate closely. yu
C. Tell the client that this must be reported to the health care team because it conc
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
erns the health and safety of the client and others.
yu yu yu yu yu yu yu yu yu
D. Report the incident to the health care team, but do not inform the client of the in
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tention to do so. - yu yu yu yu
(correct answers)D. Report the incident to the health care team, but do not inform
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
the client of the intention to do so.
yu yu yu yu yu yu yu
A nurse is caring for a client who is in mechanical restraints. Which of the following
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
statements should the nurse include in the documentation? (Select all that apply)
yu yu yu yu yu yu yu yu yu yu yu
A. "Client ate most of his breakfast."
yu yu yu yu yu yu
B. "Client was offered 8 oz of water every hr."
yu yu yu yu yu yu yu yu yu
C. "Client shouted obscenities at assistive personnel."
yu yu yu yu yu yu
, D. "Client received chlorpromazine 15 mg by mouth at 1000."
yu yu yu yu yu yu yu yu yu
E. "Client acted out after lunch." -
yu yu yu yu yu yu
(correct answers)B. "Client was offered 8 oz of water every hr."
yu yu yu yu yu yu yu yu yu yu yu
C. "Client shouted obscenities at assistive personnel."
yu yu yu yu yu yu
D. "Client received chlorpromazine 15 mg by mouth at 1000.
yu yu yu yu yu yu yu yu yu
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hall
yu yu yu yu yu yu yu yu yu yu yu yu yu
way with another nurse. Which of the following actions should the nurse take first?
yu yu yu yu yu yu yu yu yu yu yu yu yu
A. Notify the nurse manager.
yu yu yu yu
B. Tell the nurse to stop discussing the behavior.
yu yu yu yu yu yu yu yu
C. Provide an in-service program about confidentiality.
yu yu yu yu yu yu
D. Complete an incident report. -
yu yu yu yu yu
(correct answers)B. Tell the nurse to stop discussing the behavior
yu yu yu yu yu yu yu yu yu yu
A nurse is caring for the parents of a child who has demonstrated changes in behav
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
ior and mood. When the mother of the child asks the nurse for reassurance about h
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
er son's condition, which of the following responses should the nurse make?
yu yu yu yu yu yu yu yu yu yu yu
A. "I think your son is getting better. What have you noticed."
yu yu yu yu yu yu yu yu yu yu yu
B. "I'm sure everything will be okay. It just takes time to heal."
yu yu yu yu yu yu yu yu yu yu yu yu
C. "I'm not sure whats wrong. Have you asked the doctor about your concerns?"
yu yu yu yu yu yu yu yu yu yu yu yu yu
D. "I understand you're concerned. Let's discuss what concerns you specifically." -
yu yu yu yu yu yu yu yu yu yu yu
(correct answers)D. "I understand you're concerned. Let's discuss what concerns y
yu yu yu yu yu yu yu yu yu yu yu
ou specifically."
yu
A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'
yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu yu
m coughing because I have that cold that everyone has been getting." The nurse sh
yu yu yu yu yu yu yu yu yu yu yu yu yu yu
ould identify that the client is using which of the following defense mechanisms?
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A. Reaction formation
yu yu
B. Denial
yu
C. Displacement
yu
D. Sublimation - (correct answers)B. Denial
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A nurse is providing preoperative teaching for a client who was just informed that s
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he requires emergency surgery. The client has a respiratory rate 30/
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min and says, "This is difficult to comprehend. I feel shaky and nervous." The nurse
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