Mental health exam 2 ATI questions
and answers graded A+
A client who has borderline personality disorder and assaulted a homeless man with a metal
rod - correct answer ✔✔ The nurse in an emergency mental health facility is caring for a group
of clients. The nurse should identify that which of the following clients requires a temporary
emergency admission?
false imprisonment - correct answer ✔✔ A nurse decides to put a client who has psychosis in
seclusion overnight because the unit is very
short-staffed, and the client frequently fights with other clients. This is an example of
Tell the client that this must be reported to the healthcare team because it concerns health and
safety of the client and others. - correct answer ✔✔ A client tells a nurse, "don't tell anyone,
but I had a sharp knife under my mattress in order to protect myself from my roommate, who is
always threatening me." Which of the following action should the nurse take?
"client was offered 8oz of water every hour"
"client shouted obscenities at assistive personnel"
"client received chlorpromazine 15 mg by mouth at 1000" - correct answer ✔✔ A nurses caring
for a client who is in mechanical restraints. Which of the following statements should the nurse
include in the documentation?
Tell the nurse to stop discussing this behavior. - correct answer ✔✔ A nurse hears a newly
licensed nurse discussing clients hallucinations in the hallway with another nurse. Which of the
following actions should the nurse take first?
Asks for group suggestions of techniques and then supports discussion - correct answer ✔✔ A
nurse wants to use democratic leadership with a group whose purpose is to learn appropriate
, conflict resolution techniques.The nurse is correct in implementing this form of group
leadership when demonstrating which of the following actions?
Define the purpose of the group, discuss termination of the group, and establish an expectation
of confidentiality within the group. - correct answer ✔✔ A nurse if planning group therapy for
clients dealing with the bereavement. Which of the following activities should the nursing
include in the initial phase?
subgroup - correct answer ✔✔ A nurse on an acute mental health unit forms a group to focus
on self-management of medications. At each of the meetings, two of the members conspire
together to exclude the rest of the group. This is an example of which the following concepts?
manipulation - correct answer ✔✔ A nurse is conducting a family therapy session. The younger
child tells the nurse about plans to make the order sibling look bad, the nurse identify this
dysfunctional behavior as which of the following?
a member who brags about accomplishments - correct answer ✔✔ A nurses working with an
established group and identifies various member roles. Which of the following should the nurse
identify as an individual role?
"I will receive a muscle relaxant to protect me from injury during ECT." - correct answer ✔✔ A
nurse is providing teaching for a client who is scheduled to receive ECT for the treatment of
major depressive disorder. Which of the following client statements indicates understanding of
the teaching?
"I will schedule to client for TMS treatments 3 to 5 times a week for the first several weeks." -
correct answer ✔✔ A charge nurse is discussing TMS with the newly licensed nurse. Which of
the following statements by the newly licensed nurse indicates an understanding of the
teaching?
memory loss and confusion - correct answer ✔✔ A nurse is assessing a client immediately
following and ECT procedure. Which of the following finding should the nurse expect?
and answers graded A+
A client who has borderline personality disorder and assaulted a homeless man with a metal
rod - correct answer ✔✔ The nurse in an emergency mental health facility is caring for a group
of clients. The nurse should identify that which of the following clients requires a temporary
emergency admission?
false imprisonment - correct answer ✔✔ A nurse decides to put a client who has psychosis in
seclusion overnight because the unit is very
short-staffed, and the client frequently fights with other clients. This is an example of
Tell the client that this must be reported to the healthcare team because it concerns health and
safety of the client and others. - correct answer ✔✔ A client tells a nurse, "don't tell anyone,
but I had a sharp knife under my mattress in order to protect myself from my roommate, who is
always threatening me." Which of the following action should the nurse take?
"client was offered 8oz of water every hour"
"client shouted obscenities at assistive personnel"
"client received chlorpromazine 15 mg by mouth at 1000" - correct answer ✔✔ A nurses caring
for a client who is in mechanical restraints. Which of the following statements should the nurse
include in the documentation?
Tell the nurse to stop discussing this behavior. - correct answer ✔✔ A nurse hears a newly
licensed nurse discussing clients hallucinations in the hallway with another nurse. Which of the
following actions should the nurse take first?
Asks for group suggestions of techniques and then supports discussion - correct answer ✔✔ A
nurse wants to use democratic leadership with a group whose purpose is to learn appropriate
, conflict resolution techniques.The nurse is correct in implementing this form of group
leadership when demonstrating which of the following actions?
Define the purpose of the group, discuss termination of the group, and establish an expectation
of confidentiality within the group. - correct answer ✔✔ A nurse if planning group therapy for
clients dealing with the bereavement. Which of the following activities should the nursing
include in the initial phase?
subgroup - correct answer ✔✔ A nurse on an acute mental health unit forms a group to focus
on self-management of medications. At each of the meetings, two of the members conspire
together to exclude the rest of the group. This is an example of which the following concepts?
manipulation - correct answer ✔✔ A nurse is conducting a family therapy session. The younger
child tells the nurse about plans to make the order sibling look bad, the nurse identify this
dysfunctional behavior as which of the following?
a member who brags about accomplishments - correct answer ✔✔ A nurses working with an
established group and identifies various member roles. Which of the following should the nurse
identify as an individual role?
"I will receive a muscle relaxant to protect me from injury during ECT." - correct answer ✔✔ A
nurse is providing teaching for a client who is scheduled to receive ECT for the treatment of
major depressive disorder. Which of the following client statements indicates understanding of
the teaching?
"I will schedule to client for TMS treatments 3 to 5 times a week for the first several weeks." -
correct answer ✔✔ A charge nurse is discussing TMS with the newly licensed nurse. Which of
the following statements by the newly licensed nurse indicates an understanding of the
teaching?
memory loss and confusion - correct answer ✔✔ A nurse is assessing a client immediately
following and ECT procedure. Which of the following finding should the nurse expect?