Mental Health ATI Chapter 1. Rated A+. Questions and answers with explanations

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Mental Health ATI Chapter 1. Rated A+. Questions and answers with explanations A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statement... s by the newly licensed nurse indicates a need for further teaching? A."To assess cognitive ability, I should ask the client to count backward by 7." 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." - Ans-D.CORRECT: This statement requires further teaching. Asking the client to repeat a list of objects is appropriate to assess immediate, rather than remote, memory. A.INCORRECT: This statement does not require further teaching. Counting backward by 7 is an appropriate technique to assess a client's cognitive ability. B.INCORRECT: This statement does not require further teaching. Observing a client's facial expression is appropriate when assessing affect. C.INCORRECT: This statement does not require further teaching. Writing a sentence is an indication of language ability. A nurse is planning care for a client who has a mental health disorder. Which of the following is appropriate to 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. - Ans-D.CORRECT: Monitoring for adverse effects of medications is an example of a psychobiological intervention.A.INCORRECT: Assisting with systematic desensitization therapy is a cognitive and behavioral, rather than a psychobiological intervention. B.INCORRECT: Teaching appropriate coping mechanisms is a counseling or health teaching, rather than a psychobiological intervention. C.INCORRECT: Assessing for comorbid health conditions is health promotion and maintenance, rather than a psychobiological, intervention. 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 - Ans-B.CORRECT: Assessment is the priority action when taking the nursing process approach to client care. Identifying the client's perception of her mental health status provides important information about the client's psychosocial history. A.INCORRECT: It is appropriate to respect the client's need for personal space. However, it is not the highest priority action when taking the nursing process approach to client care. C.INCORRECT: If the client wishes, it is appropriate to include the client's family in the interview. However, it is not the highest priority action when taking the nursing process approach to client care. D.INCORRECT: It is appropriate to teach the client about her disorder. However, it is not the highest priority action when taking the nursing process approach to client care. 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 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. - Ans-A.CORRECT: A client who is stuporous requires vigorous or painful stimuli to elicit a response [Show More]

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