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1. A nurse is performing a cognitive as- Easily distracted
sessment to distinguish delirium from
dementia in a client whose family re-
ports episodes of confusion. Which of
the following assessment findings sup-
ports the nurse's suspicion of delirium?
2. A nurse is caring for a client who gave "I'll stay with you just in case you want to talk."
birth to a stillborn baby. Which of the
following statements should the nurse
make?
3. A nurse is caring for four clients in A 35-year-old client who has major depressive
an emergency department. The nurse disorder
should identify that which of the follow-
ing clients can give informed consent?
4. A nurse is teaching a newly licensed "I will update the plan of care as a client's man-
nurse about nursing care plans for ifestations of depression change."
clients who have depressive disorders.
Which of the following statements by the
newly licensed nurse indicates an under-
standing of the teaching?
5. A nurse on a medical-surgical unit is Blood pressure 154/96 mm Hg
assessing a client who sustained in-
juries 12 hr ago following a motor-vehi-
cle crash. The client's admission blood
alcohol level was 325 mg/dL. Which of
the following findings should indicate to
the nurse that the client is experiencing
alcohol withdrawal?
, ATI RN MENTAL HEALTH EXAM 2023 WITH NGN
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6. A nurse is planning care for a client who Nonmaleficence
has made repeated physical threats to-
ward others on the unit. Although the
client does not want to leave the unit, the
nurse requests the provider to transfer
the client to a unit that is equipped to
manage violent behavior. Which of the
following ethical principles should the
nurse apply in this situation?
7. A nurse is discussing a 12-step program The client should obtain a sponsor before dis-
with a client who has alcohol use disor- charge for an increased chance of recovery.
der and is in an acute care facility under-
going detoxification. Which of the fol-
lowing information should the nurse in-
clude in the teaching?
8. A nurse is creating a plan of care for Renew the prescription for the client every 4 hr.
a client who has been placed in seclu-
sion after threatening to harm others on
the unit. Which of the following inter-
ventions should the nurse include in the
plan?
9. A nurse is performing an admission as- Inform the client that this admission is confiden-
sessment on a client and notices that tial.
the client appears withdrawn and fear-
ful. To establish a trusting nurse-client
relationship, which of the following ac-
tions should the nurse take first?
10. A nurse is planning discharge teaching Assertive community treatment
for a client who has severe schizoaffec-