ATI Mental Health Proctored Exam Test Bank (Questions and Answers, 100% Correct) Latest 2023/2024
ATI Mental Health Proctored Exam Test
Bank (Questions
... [Show More] and Answers, 100%
Correct) Latest 2023/2024
The client is responsive and able to fully respond by opening their eyes and
attending to a normal tone of voice and speech. What is the level of consciousness?
Alert
The client is able to open their eyes and respond but is drowsy and falls asleep
readily. What is the level of consciousness?
Lethargic
The client requires vigorous or painful stimuli (pinching a tendon or rubbing the
sternum) to elicit a brief response. They might not be able to respond verbally.
What is the level of consciousness?
Stuporous
The client is unconscious and does not respond to painful stimuli. What is the level
of consciousness?
Comatose
How to test a client's immediate memory
Ask the client to repeat a series of numbers or a list of objects
How to test a client's recent memory
Ask the client to recall recent events, such as visitors from the current day, or the
purpose of the current mental health appointment or admission
How to test a client's remote memory
Ask the client to state a fact from his past that is verifiable, such as his birth date or
his mother's maiden name
How to assess a client's ability to calculate
Ask the client to count backward from 100 in sevens
How to assess a client's ability to think abstractly
Ask the client to interpret something complex such as, "A bird in the hand is worth
two in the bush."
Glasgow coma scale
Used to obtain a baseline assessment of a client's level of consciousness; highest
score is 15 and indicates that the client is awake and responding appropriately; a
score of 7 or less indicates that the client is in a coma
Serious mental illness
Includes disorders classified as severe and persistent mental illnesses; clients often
have difficulty with ADLs; can be chronic or recurrent
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
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 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. Counting backward by sevens is an appropriate technique to assess a client's
cognitive ability.
B. Observing a client's facial expression is appropriate when assessing affect.
C. Writing a sentence is an indication of language ability. Remote language is
tested by asking the client to state a fact from his past that his verifiable (date of
birth). Abstract thinking is tested by asking the client to interpret something.
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.
D. Monitoring for adverse effects of medications is an example of a
psychobiological intervention. Systematic desensitization is cognitive and
behavioral. Teaching coping mechanisms is a counseling or health teaching.
Assessing for comorbid conditions is health promotion and maintenance.
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.
B. Assessment is the priority action. Identifying the client's perception of her
mental health status provides important information about the client's psychosocial
history.
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. A client who is stuporous requires vigorous or painful stimuli to elicit a
response. B & C occur with comatose patients.
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.
B, D, & E.
The DSM-5 establishes diagnostic criteria, assists nurses in planning care, and
identifies expected findings for mental health disorders. The DSM-5 does not
contain client education handouts or recommended pharmacological treatment.
Beneficence
The quality of doing good, can be described as charity
Autonomy
The client's right to make their own decisions
Justice
Fair and equal treatment for all
Fidelity
Loyalty and faithfulness to the client and to one's duty
Veracity
Honesty when dealing with a client
Requirements for restraining a patient
Provider must prescribe the restraint in writing; time limits are based on age, 4 hr
for adults, 2 hr for ages 9-17, 1 hr for age 8 and younger; must be reviewed every
24 hr; documentation must be done every 15-30 min
False imprisonment
Confining a client to a specific area if the reason for such confinement is for the
convenience of the staff
Assault
Making a threat to a client's person
Battery
Touching a client in a harmful or offensive way
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
C. A client who is a current danger to self or others is a candidate for a temporary
emergency admission.
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. Invasion of privacy
B. False imprisonment
C. Assault
D. Battery
B. Secluding a client for the convenience of the staff is false imprisonment.
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 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 hiding 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 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.
C. The information presented by the client is a serious safety issue that the nurse
must report to the health care team, using the ethical principle of veracity.
A nurse is caring for a client who is in mechanical restraints. Which of the
following statements should the nurse include in the documentation? (Select all
that apply)
A. "Client ate most of his breakfast."
B. "Client was offered 8 oz of water every hr."
C. "Client shouted obscenities at assistive personnel."
D. "Client received chlorpromazine 15 mg by mouth at 1000."
E. "Client acted out after lunch."
B, C, & D.
Documentation must include how much water was offered and how often, a
description of the client's verbal communication, and the dosage and time of
medication administration. Intake and behavior should be documented in the
client's medical record.
A nurse hears a newly licensed nurse discussing a client's hallucinations in the
hallway with another nurse. Which of the following actions should the nurse take
first?
A. Notify the nurse manager.
B. Tell the nurse to stop discussing the behavior.
C. Provide an in-service program about confidentiality.
D. Complete an incident report.
B. The greatest risk to this client is invasion of privacy through the sharing of
confidential information in a public place. The first action the nurse should take is
to tell the newly licensed nurse to stop discussing the client's hallucinations in a
public location.
A nurse is caring for the parents of a child who has demonstrated changes in
behavior and mood. When the mother of the child asks the nurse for reassurance
about her son's condition, which of the following responses should the nurse make?
A. "I think your son is getting better. What have you noticed."
B. "I'm sure everything will be okay. It just takes time to heal."
C. "I'm not sure whats wrong. Have you asked the doctor about your concerns?"
D. "I understand you're concerned. Let's discuss what concerns you specifically."
D. This reflects upon and accepts the parents' feelings and allows them to clarify
what they are feeling.
A interjects the nurse's opinion. B provides false reassurance. C avoids addressing
the parent's concerns directly and indicates disinterest.
Altruism
Dealing with anxiety by reaching out to others
Sublimation
Dealing with unacceptable feelings or impulses by unconsciously substituting
acceptable forms of expression
Suppression
Voluntarily denying unpleasant thoughts and feelings
Repression
Unconsciously putting unacceptable ideas, thoughts, and emotions out of
awareness
Regression
Sudden use of childlike or primitive behaviors that do not correlate with the
person's current developmental level
Displacement
Shifting feelings related to an object, person, or situation to another less
threatening object, person, or situation
Reaction formation
Overcompensating or demonstrating the opposite behavior of what is felt
Undoing
Performing an act to make up for prior behavior
Rationalization
Creating reasonable and acceptable explanations for unacceptable behavior
Dissociation
Creating a temporary compartmentalization or lack of connection between the
person's identity, memory, or how they perceive the environment
Denial
Pretending the truth is not reality to manage the anxiety of acknowledging what is
real
Compensation
Emphasizing strengths to make up for weaknesses
Identification
Conscious or unconscious assumption of the characteristics of another individual
or group
Intellectualization
Separation of emotional and logical facts when analyzing or coping with a
situation or event
Conversion
Responding to stress through the unconscious development of physical
manifestations not caused by a physical illness
Splitting
Demonstrating an inability to reconcile negative and positive attributes of self or
others
Projection
Attributing one's unacceptable thoughts and feelings onto another who does not
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