VERSIONS GRADED A+
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises - CORRECT ANSWERS-*B.
Identify the client's perception of her mental health status.*
A. Appropriate, but not highest priority.
B. Assessment is the priority action when taking the nursing process approach. Identifying the client's
perception of her mental health status provides important information about the client's psychosocial
history.
C. Appropriate, but not highest priority.
D. Appropriate, but not highest priority.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
A nurse is told during change-of-shift report that a client is stuporous. When assessing the client, which
of the following is an expected finding?
A. The client arouses briefly in response to a sternal rib.
B. The client has a Glasgow Coma Scale score less than 7.
C. The client exhibits decorticate rigidity.
D. The client is alert but disoriented to time and place.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises - CORRECT ANSWERS-*A.
The client arouses briefly in response to a sternal rib.*
A. A client who is stuporous requires vigorous or painful stimuli to elicit a response.
,B. <7 on GCS indicates comatose, not stuporous, level of consciousness.
C. Abnormal posturing = comatose.
D. Stuporous /= alert.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
A nurse is planning a peer group discussion about the Diagnostic and Statistical Manual of Mental
Disorders, 5th Edition (DSM-5). Which of the following is appropriate to include in the discussion? (SATA)
A. The DSM-5 is used to identify mental health disorders.
B. The DSM-5 establishes diagnostic criteria.
C. The DSM-5 indicates recommended pharmacological treatment.
D. The DSM-5 assists nurses in planning care.
E. The DSM-5 indicates expected assessment findings.
ATI RN Mental Health Nursing - CORRECT ANSWERS-A, B, D, E.
The DSM-5 is used as a diagnostic tool, establishes diagnostic criteria, used by nurses to plan,
implement, and evaluate care, and identifies expected findings for mental health disorders.
It does not indicate pharmacological treatment.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
Which of the following is an example of a client who requires emergency admission to a mental health
facility?
A. A client with schizophrenia who has frequent hallucinations.
B. A client with symptoms of depression who attempted suicide a year ago.
C. A client with borderline personality disorder who assaulted a homeless man with a metal rod.
D. A client with bipolar disorder who paces quickly down the sidewalk while talking to himself.
,ATI RN Mental Health Nursing Modules Ch. 2 Application Ex - CORRECT ANSWERS-C. A client
with borderline personality disorder who assaulted a homeless man with a metal rod.
Hallucinations, depression, and/or pacing does not constitute clear reason for emergency commitment.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
A client tells a student nurse, "Don't tell anyone, but I hid a sharp knife under my mattress in order to
protect myself from my roommate, who is always yelling at me and threatening me." Which of the
following actions should the nurse take?
A. Keep the client's communication confidential, but talk to the client daily, using therapeutic
communication to convince him to admit to holding the knife.
B. Keep the client's communication confidential, but watch the client and his roommate closely.
C. - CORRECT ANSWERS-C. Tell the client that this must be reported to health care staff
because it concerns the health and safety of the client and others.
The information cannot be kept confidential and the client must be informed that this will be reported to
the health care staff.
• This is a serious safety issue that must be reported to the staff. Using the principle of veracity, the
student tells this client truthfully what must be done regarding the issue.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
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:
A. beneficence.
B. a tort.
, C. a facility policy.
D. justice.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises - CORRECT ANSWERS-B. a
tort.
Beneficence: doing good for a client.
Tort: a civil wrong that violates a client's civil rights.
If a policy, the facility would be in violation of federal and state statute, and the nurse could be held
responsible.
Justice: action involving the fair and equal treatment of clients.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
A nurse is caring for a client in restraints. Which of the following statements are appropriate
documentation? (SATA)
A. " Client ate most of his breakfast."
B. "Client was offered 8oz of water every hr."
C. "Client shouted at assistive personnel."
D. "Client received chlorpromazine (Thorazine) 15mg by mouth at 1000."
E. "Client acted out after lunch." - CORRECT ANSWERS-B, C, D: Objective data is correct, not
subjective.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
A nurse hears a newly licensed nurse discussing a client's hallucinations in the hallway with another
nurse. Which of the following actions should the nurse take first?
A. Notify the nurse manager.