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ATI Mental Health ATI Exam 1 2024
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ATI Mental Health ATI Exam 1 A charge nurse is discussing the mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply) A. To assess cognitive ability, i should ask the client to count backward by sevens B. To assess affect, i should observe the clients facial expression C. To assess language ability, i should instruct client to write a sentence D. To assess remote memory, i should have the client repeat a list of objects E. To assess the clients abstract thinking, i should ask the client to identify our most recent presidents โโA, B, C A nurse is planning care for a client who has a mental health disorder. Which of the following actions should the nurse include as a psychobiological intervention? A. Assist the client with systematic desensitization therapy B. Teach the client appropriate coping mechanisms C. Assess the client for comorbid health conditions D. Monitor the client for adverse effects of medications โโD A nurse in an outpatient mental health clinic is preparing to conduct an initial client interview. When conducting the interview, which of the following actions should the nurse identify as the priority? A. Coordinate holistic care with social services B. Identify the client's perception of their mental health status C. Include the client's family in the interview D. Teach the client about their current mental health disorder โโB 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 information is appropriate to include in the discussion? (Select all that apply) A. The DSM-5 includes client education handouts for mental health disorders.
B. The DSM-5 establishes diagnostic criteria for individual mental health disorders. C. The DSM-5 indicates recommended pharmacological treatment for mental health disorders. D. The DSM-5 assists nurse in planning care for clients who have mental health disorders. E. The DSM-5 indicates expected assessment findings of mental health disorders. โโB, D, E A 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? A. A client who has schizophrenia with delusions of grandeur B. A client who has manifestations of depression and attempted suicide a year ago C. A client who has borderline personality disorder and assaulted a homeless man with a metal rod D. A client who has bipolar disorder and paces quickly around the room while talking to themselves โโC A nurse decides to put a client who has a psychotic disorder in seclusion overnight because the unit is very short staffed and the client frequently fights with other clients. The nurses actions are an example of which of the following torts? A. Invasion of privacy B. False imprisonment C. Assault D. Battery โโB A client tells a 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 threatening me." Which of the following actions should the nurse take? A. Keep the clients communication confidential but talk to the client daily using therapeutic communication to convince them to admit to hiding the knife B. Keep the clients communication confidential but watch the client and their roommate closely C. Tell the client that this must be reported to the health care team because it concerns the health and safety of the client and others D. Report the incident to the health care team but do not inform the client of the intention to do so โโC
A nurse is communicating with a client who was admitted for treatment of a substance use disorder. Which of the following communication techniques should the nurse identify as a barrier to therapeutic communication? A. Offering advice B. Reflecting C. Listening attentively D. Giving information โโA A nurse caring for a client who has anorexia nervosa. Which of the following examples demonstrates the nurses use of interpersonal communication? A. The nurse discusses the clients weight loss during a health care team meeting B. The nurse examines their own personal feelings about clients who have anorexia nervosa C. The nurse asks the client about personal body image perception D. The nurse presents an educational session about anorexia nervosa to a large group of adolescents โโC A nurse is talking with the caregiver of a child who has demonstrated recent changes in behavior and mood. When the caregiver of the child asks the nurse for reassurance about their child's condition which of the following responses should the nurse make? A. I think your child is getting better. What have you noticed? B. I'm sure everything will be okay. It just takes time C. I'm not sure what's wrong. Have you asked the doctor about your concerns? D. I understand you're concerned. Let's discuss what concerns you specifically โโD A nurse is talking with a client who is at risk for suicide following their partners death. Which of the following statements should the nurse make? A. I feel very sorry for the loneliness you must be experiencing B. Suicide is not appropriate way to cope with loss C. Losing someone close to you must be very upsetting D. I know how difficult it is to lose a loved one โโC
A charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse. Which of the following characteristics should the nurse include in the discussion? (Select all) A. The needs of both participants are met B. An emotional commitment exists between the participants C. It is goal directed D. Behavioral change is encouraged E. A termination date is established โโC, D, E A nurse in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. Which of the following actions indicates transference behavior? A. The client asks the nurse if they will go out to dinner together B. The client accuses the nurse of being controlling just like an ex-partner C. The client reminds the nurse of a friend who died from substance toxicity D. The client becomes angry and threatens to engage self harm โโB A nurse is planning care for the termination phase if a nurse-client relationship. Which of the following actions should the nurse include in the plan of care? A. Discussing ways to use new behaviors B. Practicing new problem solving skills C. Developing goals D. Establishing boundaries โโA A nurse is orienting a new client to a mental health unit. When explaining the units community meetings which of the following statements should the nurse make? A. You and a group of other clients will meet to discuss treatment plans B. Community meetings have a specific agenda that is established by staff C. You and the other clients will meet with staff to discuss common problems D. Community meetings are an excellent opportunity to explore your personal mental health issues โโC
A nurse is caring for a group of clients. Which of the following clients should a nurse consider for a referral to an assertive community treatment group? A. A client in an acute care mental health facility who has fallen several times while running down the hallway B. A client who lives at home and keeps forgetting to come in for a scheduled monthly antipsychotic injection for schizophrenia C. A client in a day treatment program who reports increasing anxiety during group therapy D. A client in a weekly grief support group who reports still missing a deceased partner who has been dead for 3 months โโB A nurse is teaching a client who has an anxiety disorder and is scheduled to begin classical psychoanalysis. Which of the following client statements indicates an understanding of this form of therapy? A. Even if my anxiety improves I will need to continue therapy for 6 weeks B. The therapist will focus on my past relationships during our sessions C. Psychoanalysis will help me reduce my anxiety by changing my behaviors D. This therapy will address my conscious feelings about stressful experiences โโB A nurse is discussing free association as a therapeutic tool with a client who has a major depressive disorder. Which of the following client statements indicates understanding of this technique? A. I will write down my dreams as soon as I wake B. I might begin to associate my therapist with important people in my life C. I can learn to express myself in a non aggressive manner D. I should say the first thing that comes to my mind โโD A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety disorder. Which of the following techniques should the nurse include in the plan of care? (Select all) A. Priority restructuring B. Monitoring thoughts C. Diaphragmatic breathing
D. Journal keeping E. Meditation โโ A nurse is caring for a client who has a new prescription for disulfiram for treatment of alcohol use disorder. The nurse informs the client that medication can cause nausea and vomiting when alcohol is consumed. Which of the following types of treatment is this method an example? A. Aversion therapy B. Flooding C. Biofeedback D. Dialectical behavior therapy โโA A nurse is assisting with systemic desensitization for a client who has an extreme fear of elevators. Which of the following actions should the nurse implement with this form of therapy? A. Demonstrate rising in an elevator and then ask the client to imitate the behavior B. Advise the client to say "stop" out loud every time they begin to feel an anxiety response related to an elevator C. Gradually expose the client to an elevator while practicing relaxation techniques D. Stay with the client in an elevator until the anxiety response diminishes โโC 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 she demonstrates which of the following actions? A. Observes group techniques without interfering with the group process B. Discusses a technique and then directs members to practice the technique C. Asks for group suggestions of techniques and then supports discussion D. Suggests techniques and asks group members to reflect on their use โโC A nurse is planning group therapy for clients dealing with bereavement. Which of the following activities should the nurse include in the initial phase? (Select all) A. Encourage the group to work towards goals B. Define the purpose of the group