COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) |
A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When
conducting the interview, which of the following is the highest priority action?
A. Respect the client's need for personal space.
B. Identify the client's perception of her mental health status.
C. Include the client's family in the interview.
D. Teach the client about her current mental health disorder.
A charge nurse is discussing transcranial magnetic stimulation (TMS) with a newly licensed nurse. Which
of the following statements by the newly licensed nurse indicates a need for further teaching?
A. "TMS is indicated for clients whose depression is not relieved by medication."
B. "I will provide postanesthesia care following TMS."
C. "TMS is usually performed as an outpatient procedure."
D. "I will schedule the client for daily TMS treatments for the first several weeks."
ATI RN Mental Health Nursing Modules Ch. 10 Notes - CORRECT ANSWERS-*B*:
Postanesthesia care is not necessary because the client does not receive anesthesia and is alert during
the procedure.
ATI RN Mental Health Nursing Modules Ch. 10 Notes
A nurse is assessing a client immediately following an electroconvulsive therapy (ECT) proceedure. Which
of the following are expected findings? (SATA)
A. Hypotension
B. Paralytic ileus
,C. Memory loss
D. Nausea
E. Tachycardia
ATI RN Mental Health Nursing Modules Ch. 10 Notes - CORRECT ANSWERS-*C, D, E*:
BP is expected to be elevated.
ATI RN Mental Health Nursing Modules Ch. 10 Notes
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 Modules Ch. 1 Application Exercises - 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 Exercises - 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. Tell the client that this must be reported to health care staff because it concerns the health and safety
of the client and others.
D. Report the incident, but do not inform the client of the intention to do so.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises - 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.