ATI RN MENTAL HEALTH PROCTORED EXAM 100% Verified

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ATI RN MENTAL HEALTH PROCTORED EXAM A charge nurse is discussing mental status exams with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understan... ding 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 client's facial expression." C. "To assess language ability, I should instruct the client to write a sentence." D. "To assess remote memory, I should have the client repeat a list of objects." E. "To assess the client's abstract thinking, I should ask the client to identify our most recent presidents." 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 the medications. 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 her mental health status. C. Include the client's family in the interview. D. Teach the client about her current mental health disorder. A nurse is told during change of shift report that a client is stuporous. When assessing the client, which of the following findings should the nurse expect? A. The client arouses briefly in response to a sternal rub. 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. A nurse is planning a peer group discussion about the 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 nurses in planning care for client's who have mental health disorders. E. The DSM-5 indicates expected assessment findings of mental health disorders. 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 himself 1. 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 nurse's actions are an example of which of the following torts? A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? C. “I should practice limit‐setting to help prevent client manipulation.” 2. A nurse is caring for a client who has avoidant personality disorder. Which of the following statements is expected from a client who has this type of personality disorder? A. “I’m scared that you’re going to leave me.” Clients who have avoidant personality disorder often have a fear of abandonment. this type of statement is expected. 3. A nurse is caring for a client who has borderline personality disorder. the client says, “The nurse on the evening shift is always nice! You are the meanest nurse ever!” the nurse should recognize the client’s statement as an example of which of the following defense mechanisms? B. splitting occurs when a person is unable to see both positive and negative qualities at the same time. The client who has borderline personality disorder tends to see a person as all bad one time and all good another time. 4. A nurse is assisting with a court‐ordered evaluation of a client who has antisocial personality disorder. Which of the following findings should the nurseexpect? (select all that apply.) C. attempts to convince other clients to give him their belongings. exploitation and manipulation of others is an expected finding of antisocial personality disorder. E. Blames others for his past and current problems. Failure to accept personal responsibility is an expected finding of clients who have antisocial personality disorder. 5. A charge nurse is preparing a staff education session on personality disorders. Which of the following personality characteristics associated with all of the personality disorders should the charge nurse include in the teaching? (select all that apply.) A. Difficulty in getting along with other members of a group C. Display of defense mechanisms when routines are changed. Maladaptive response to stress is a personality characteristic that can be seen with all personality disorder types. E. Difficulty understanding whyit is inappropriate to have a personal relationship with staff. Difficulty understanding personal boundaries is a personality characteristic that can be seen with all personality disorder types. 6.A nurse is caring for a client who has early stage Alzheimer’s disease and a new prescription for donepezil. the nurse should include which of the following statements when teaching the client about the medication? B. “You can expect theprogression of cognitive decline to slow with donepezil.” 7.A nurse in a long‐term care facilityis caring for a client who hasmajor neurocognitive disorderand attempts to wander out of the building. the client states, “I have to get home.” Which of the following statements should the nurse make? D. “I am your nurse. Let’s walk together to your room.” 8.A home health nurse is making avisit to a client who has Alzheimer’s disease to assess the home for safety. Which of the following suggestions should the nurse make to decrease the client’s risk for injury? A. Install childproof door locks. D. Place the client’s mattress on the floor. E. install light fixtures above stairs. Stairs should have adequate lighting to reduce the risk for falls. 1.) 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? a. “It is common to treat depression with ECT before trying medications.” b. “I can have my depression cured if I receive a series of ECT treatments.” c. “I should receive ECT once a week for 6 weeks.” d. “I will receive a muscle relaxant to protect me from injury during ECT.” 2.) A charge nurse is discussing TMS with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. “TMS is indicated for clients who have schizophrenia spectrum disorders.” b. “I will provide postanesthesia care following TMS.” c. “TMS treatments usually last 5 to 10 minutes.” d. “I will schedule the client for daily TMS treatments for the first several weeks.” 3.) A nurse is assessing a client immediately following an ECT procedure. Which of the following findings should the nurse expect? (Select all that apply.) a. Hypotension. b. Paralytic ileus. c. Memory loss. d. Nausea. e. Confusion. 4.) A nurse is leading a peer group discussion about the indications for ECT. Which of the following indications should the nurse include in the discussion? a. Borderline personality disorder. b. Acute withdrawal related to a substance use disorder. c. Bipolar disorder with rapid cycling. d. Dysphoric disorder. 5.) A nurse is planning care for a client following surgical implantation of a VNS device. The nurse should plan to monitor for which of the following adverse effects? (Select all that apply.) a. Voice changes. b. Seizure activity. c. Disorientation. d. Dysphagia. e. Neck pain. Chapter 16 Personality Disorders 1.) A nurse manager is discussing the care of a client who has a personality disorder with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. “I can promote my client’s sense of control by establishing a schedule.” b. “I should encourage clients who have a schizoid personality disorder to increase socialization.” c. “I should practice limit-setting to help prevent client manipulation.” d. “I should implement assertiveness training with clients who have antisocial personality disorder.” 2.) A nurse is caring for a client who has avoidant personality disorder. Which of the following statements is expected from a client who has this type of personality disorder? a. “I’m scared that you’re going to leave me.” b. “I’ll go to group therapy if you’ll let me smoke.” c. “I need to feel that everyone admires me.” d. “I sometimes feel better if I cut myself.” 3.) A nurse is caring for a client who has borderline personality disorder. The client says, “The nurse on the evening shift is always nice! You are the meanest nurse ever!” The nurse should recognize the client’s statement as an example of which of the following defense mechanisms? a. Regression. b. Splitting. c. Undoing. d. Identification. [Show More]

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