A charge nurse is discussing mental status examinations with a newly licensed nurse. Which of the following statements by the newly licensed nurse
... [Show More] 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."
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
D. "To assess remote memory, I should have the client repeat a list of objects."
Asking the client to repeat a list of objects is appropriate to assess immediate, rather than remote, memory.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
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.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
D. Monitor the client for adverse effects of medications.
Assisting with systematic desensitization therapy is a cognitive and behavioral.
Teaching appropriate coping mechanisms is a counseling or health teaching.
Assessing for comorbid health conditions is health promotion and maintenance.
D. Monitoring for adverse effects of medications is an example of a psychobiological intervention.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
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.
ATI RN Mental Health Nursing Modules Ch. 1 Application Exercises
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
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
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
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
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.
• This is a serious safety issue that must be reported to the staff. Using the principle of veracity, the student tells this client truthfully what must be done regarding the issue.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
A nurse decides to put a client who has psychosis in seclusion overnight because the unit is very short-staffed, and the client frequently fights with other clients. This is an example of:
A. beneficence.
B. a tort.
C. a facility policy.
D. justice.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
B. a tort.
Beneficence: doing good for a client.
Tort: a civil wrong that violates a client's civil rights.
If a policy, the facility would be in violation of federal and state statute, and the nurse could be held responsible.
Justice: action involving the fair and equal treatment of clients.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
A nurse is caring for a client in restraints. Which of the following statements are appropriate documentation? (SATA)
A. " Client ate most of his breakfast."
B. "Client was offered 8oz of water every hr."
C. "Client shouted at assistive personnel."
D. "Client received chlorpromazine (Thorazine) 15mg by mouth at 1000."
E. "Client acted out after lunch."
B, C, D: Objective data is correct, not subjective.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
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.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
B. Tell the nurse to stop discussing the behavior.
The nurse should notify the nurse manager, provide in-service, and complete an incident report, but these actions are not the first to take.
ATI RN Mental Health Nursing Modules Ch. 2 Application Exercises
A charge nurse is conducting a class on therapeutic communication to a group of newly licensed nurses. Which of the following responses by the newly licensed nurse requires additional teaching regarding nonverbal communication?
A. Personal space
B. Posture
C. Eye contact
D. Intonation
ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises
D. Intonation
Personal space, posture, and eye contact is a part of nonverbal behavior.
• Intonation is the tone of one's voice and can communicate a variety of feelings.
ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises
A nurse is communicating with a client on the acute mental health facility. The client states, "I can't sleep. I stay up all night." The nurse responds, "You are having difficulty sleeping?" Which of the following therapeutic communication techniques is the nurse demonstrating?
A. Offering general leads
B. Summarizing
C. Focusing
D. Restating
ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises
D. Restating
A. Takes direction.
B. Enhances understanding.
C. Concentrates attention to one single point.
D. Restating allows the nurse to repeat the main idea expressed.
ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises
A nurse is communicating with a newly admitted client. Which of the following is a barrier to therapeutic communication?
A. Offering advice
B. Reflecting meaning
C. Listening attentively
D. Giving information
ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises
A. Offering advice
A. Advice tends to interfere with the client's ability to make personal decisions and choices.
B. Reflection encourages client to make choices.
C. Skill of listening is important.
D. Giving information informs client of needed facts.
ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises
A nurse is conducting therapy with several clients and their families. Effective communication with clients and families is based on:
A. discussing in-depth topics with which the client feels comfortable.
B. using silence to avoid unpleasant or difficult topics.
C. attending to verbal and nonverbal behaviors.
D. requiring the client and family to ask for feedback.
ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises
C. attending to verbal and nonverbal behaviors.
A. Often, very brief conversations are most effective.
B. Silence is to allow the client time for reflection or to convey nonverbal support.
C. Attending to verbal and nonverbal behaviors is necessary for effective communication.
D. Not an effective technique.
ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises
When a family asks a nurse for reassurance about a client's condition, which of the following is an appropriate response?
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 what's wrong. Have you asked the doctor about your concerns?"
D. "I understand you're concerned. Let's discuss what concerns you specifically."
ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises
D. "I understand you're concerned. Let's discuss what concerns you specifically."
A, B, C: Interjects nurse's opinion, causing family to withhold their thoughts and feelings.
D. A therapeutic response reflects upon, and accepts, the family's feelings, and it allows the members to clarify what they are feeling.
ATI RN Mental Health Nursing Modules Ch. 3 Application Exercises
A nurse is caring for a client who smokes and has lung cancer. The client reports, "I'm coughing because I have that cold that everyone has been getting. "which of the following defense mechanisms is the client using?
A. Reaction formation
B. Denial
C. Displacement
D. Sublimation
ATI RN Mental Health Nursing Modules Ch. 4 Application Exercises
B. Denial
A. Reaction formation: overcompensating/demonstrating the opposite behavior of what is felt.
B. This is an example of denial, which is pretending the truth is not reality to manage anxiety of acknowledging what is real.
C. Displacement: shifting feelings related to an object, person, or situation to another less threatening object, person, or situation.
D. Sublimation: dealing with unacceptable feelings/impulses by unconsciously substituting acceptable forms of expression.
ATI RN Mental Health Nursing Modules Ch. 4 Application Exercises
A nurse is obtaining informed consent for a client who has just learned she mus have a breat biopsy. The client is perspiring and pale, has a respiratory rate of 30/min, and says, "I don't quite understand what you're trying to tell me." The nurse should assess the client' s anxiety as which of the following?
A. Mild
B. Moderate
C. Sever
D. Panic
ATI RN Mental Health Nursing Modules Ch. 4 Application Exercises
B. Moderate
A. Mild: person's ability to understand information may actually increase.
B. Moderate anxiety decreases problem-solving and may hamper one's ability to understand information. Vital signs may increase somewhat, and the person is visibly anxious.
C. Severe: restlessness, decreased perception, and an inability to take direction.
D. Panic: completely distracted, unable to function, and may lose touch with reality.
ATI RN Mental Health Nursing Modules Ch. 4 Application Exercises
A nurse is caring for a client who is experiencing moderate anxiety. Which of the following is an appropriate nursing intervention when trying to give necessary information to the client?
A. Reassure the client that everything will be okay.
B. Use a low-pitched voice and speak slowly.
C. Ignore the client's anxiety so that she will not be embarrased.
D. Demonstrate a calm manner while using simple and clear language.
ATI RN Mental Health Nursing Modules Ch. 4 Application Exercises
D. Demonstrate a calm manner while using simple and clear language.
A. Not appropriate.
B. For severe - panic.
C. Ignoring is not appropriate.
D. Giving information simply and calmly will help the client grasp essential facts.
ATI RN Mental Health Nursing Modules Ch. 4 Application Exercises
A nurse is talking with a client who is at risk for suicide following the death of his spouse. Which of the following statements by the nurse is appropriate?
A. "I feel very sorry for the loneliness you must be experiencing."
B. "Suicide is not the 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."
ATI RN Mental Health Nursing Modules Ch. 5 Application Exercises
C. "Losing someone close to you must be very upsetting."
A. Nurse's feelings, is sympathetic and not empathetic.
B. Implies judgment, not empathetic/therapeutic.
C. This statement is an empathetic response that attempts to understand the client's feelings.
D. Nurse's experiences.
ATI RN Mental Health Nursing Modules Ch. 5 Application Exercises
A nurse is in the working phase of a therapeutic relationship with a client who has methamphetamine use disorder. Which of the following indicates transference behavior?
A. The client asks the nurse whether she will go out to dinner with him.
B. The client accuses the nurse of telling him what to do just like his ex-girlfriend.
C. The client reminds the nurse of a friend who died from substance overdose.
D. The client becomes angry and threatens harm to himself.
ATI RN Mental Health Nursing Modules Ch. 5 Application Exercises
B. The client accuses the nurse of telling him what to do just like his ex-girlfriend.
A. Need to discuss boundaries.
B. When a client view s the nurse as having chracteristics of another person who has been significant to his personal life, such as his ex-girlfriend, this indicates transference.
C. Countertransference.
D. Need for safety intervention.
ATI RN Mental Health Nursing Modules Ch. 5 Application Exercises
A charge nurse is discussing the characteristics of a nurse-client relationship with a newly licensed nurse. Which of the following are appropriate to include in the discussion? (SATA)
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.
ATI RN Mental Health Nursing Modules Ch. 5 Application Exercises
C, D, E: Therapeutic: Goal-directed, behavioral change encouraged, and a termination date.
A. Supposed to focus on the needs of the client.
B. Emotional commitment = intimate/social relationship instead of therapeutic.
ATI RN Mental Health Nursing Modules Ch. 5 Application Exercises
A nurse is planning care for the termination phase of a nurse-client relationship. Which of the following actions is appropriate to include in the plan of care?
A.
...
A nurse is working in a community mental health facility. Which of the following services are appropriate for clients to receive? (SATA)
A. Educational groups
B. Medication dispensing programs
C. Individual counseling programs
D. Detoxification programs
E. Crisis intervention
ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises
A, B, C:
Detoxification programs → partial hospitalization program.
Crisis intervention → community treatment (ACT) program.
ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises
A nurse is caring for several clients who are attending community-based mental health programs. Which of the following clients should the nurse plan to visit first?
A. A client who recently burned her arm while using a hot iron at home.
B. A client who requests that her antipsychotic medication be changed due to some new side effects.
C. A client who says he is hearing a voice that tells him he is not worthy of living anymore.
D. A client who tells the nurse he experienced symptoms of severe anxiety before and during a job interview.
ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises
C:
Client is at greatest risk for self-harm. Others have needs, but not as high priority.
ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises
A nurse is working on promotion of healthy coping skills with older adult clients who had all previously been hospitalized for severe depression and are now in a residential care facility. The nurse should recognize that this is an example of which of the following?
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Mental status examination
ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises
C:
Primary: preventing initial onset of a mental health problem.
Secondary: early detection of disease.
Tertiary: Prevention of further problems in clients already diagnosed with mental illness.
Mental Status Examination: Not type of prevention.
ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises
A nurse is caring for a group of clients. Which of the following clients should a nurse consider for referral to an assertive community treatment (ACT) 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 his monthly antipsychotic injection for schizophrenia.
C. A client in a day treatment program who says he is becoming more anxious during group therapy.
D. A client in a weekly grief support group who says she still misses her deceased husband who has been dead for 3 months.
ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises
B:
For clients who are noncompliant with traditional therapy.
ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises
A nurse in an acute mental health facility is caring for a client who has a severe mental illness and soon will be ready for discharge but still requires supervision much of the time. The client's wife works all day but is home by late afternoon. Which of the following should the nurse suggest as appropriate follow-up care?
A. Receiving daily care from a home health aide.
B. Having a weekly visit from a nurse case worker.
C. Attending a partial hospitalization program.
D. Visiting a community mental health center on a daily basis.
ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises
C:
Partial hospitalization program can provide adequate care and supervision during the day and allow the patient to be tended to at night at home with a responsible family member.
ATI RN Mental Health Nursing Modules Ch. 6 Application Exercises
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 this therapy for 6 weeks."
B. "The therapists 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."
ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises
B:
Classical psychoanalysis :
- many sessions, months to years.
- focuses on past relationships to identify the cause of the anxiety disorder.
- assesses unconscious thoughts and feelings.
ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises
2. A nurse is discussing free association as a therapeutic tool with a client who has 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 up."
B. "I may begin to associate my therapists with important people in my life."
C. "I can learn to express myself in a nonaggressive manner."
D. "This therapy will address my conscious feelings about stressful experiences."
ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises
D:
Free association is the spontaneous, uncensored verbalization of whatever comes to the client's mind.
ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises
A nurse is preparing to implement cognitive reframing techniques for a client who has an anxiety disorder. Which of the following are appropriate to include in the plan of care? (SATA)
A. Priority restructuring
B. Monitoring thoughts
C. Diaphramatic breathing
D. Journal keeping
E. Meditation
ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises
A, B, D:
Others are behavioral therapy. Surprise: Journal keeping is a cognitive reframing technique.
ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises
A nurse is caring for a client who has a new prescription for disulfiram (Antabuse) for the treatment of his alcohol use disorder. The nurse informs the client that this medication can cause nausea and vomiting if he drinks alcohol This form of treatment is an example of which of the following?
A. Aversion therapy
B. Flooding
C. Biofeedback
D. Dialectical behavior therapy
ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises
A:
Aversion therapy pairs a maladaptive behavior with unpleasant stimuli to promote a change in behavior.
Flooding: planned exposure to an undesirable stimulus in an attempt to turn off the anxiety response.
Biofeedback is a behavioral therapy to control pain, tension, and anxiety.
Dialectical behavior therapy is a cognitive-behavioral therapy for clients who have a personality disorder and exhibit self-injurious behavior.
ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises
A nurse is assisting with systematic desensitization for a client who has an extreme fear of elevators. Which of the following is appropriate when implementing this form of therapy?
A. Demonstrate riding in an elevator, and then ask the client to imitate the behavior.
B. Advise the client to say "stop" out loud every time he begins 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 his anxiety response diminishes.
ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises
C:
A=modeling
B=thought stopping
D=flooding
ATI RN Mental Health Nursing Modules Ch. 7 Application Exercises
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.
ATI RN Mental Health Nursing Modules Ch. 8 Notes
C:
Laissez-faire: allows the group process to progress without any attempt by the leader to control the direction of the group.
Autocratic leadership: controls the direction of the group.
Democratic leadership: supports group interaction and decision making to solve problems.
ATI RN Mental Health Nursing Modules Ch. 8 Notes
A nurse is planning group therapy for clients dealing with bereavement. Which of the following should the nurse include in the initial phase? (SATA)
A. Encourage the group to work toward goals.
B. Define the purpose of the group.
C. Discuss termination of the group.
D. Identify informal roles of members within the group.
E. Establish an expectation of confidentiality within the group.
ATI RN Mental Health Nursing Modules Ch. 8 Notes
B, C, E:
Working phase: work toward goals, identify informal roles
ATI RN Mental Health Nursing Modules Ch. 8 Notes
A nurse is working on an acute mental health unit forms a group to focus on self-management of medications. At each of the meetings, two of the members use the opportunity to discuss their common interest in gambling on sports. This is an example of which of the following?
A. Triangulation
B. Group process
C. Subgroup
D. Hidden agenda
ATI RN Mental Health Nursing Modules Ch. 8 Notes
D:
Triangulation: third party is drawn into a relationship with two members whose relationship is unstable.
Group process: the verbal and nonverbal communication that occurs within the group during group sessions.
Subgroup: a small number of people within a larger group who function separately from that group.
Hidden agenda: when some group members have a different goal than the stated group goals. The hidden agenda is often disruptive to the effective functioning of the group.
ATI RN Mental Health Nursing Modules Ch. 8 Notes
A nurse is conducting a family therapy session. The adolescent son tells the nurse that he plans ways to make his sister look bad so his parents will think he's the better sibling, which he believes will give him more privileges. The nurse should identify this dysfunctional behavior as which of the following?
A. Placation
B. Manipulation
C. Blaming
D. Distraction
ATI RN Mental Health Nursing Modules Ch. 8 Notes
B:
Placation: the dysfunctional behavior of taking responsibility for problems to keep peace among family members.
Manipulation: the dysfunctional behavior of using dishonesty to support an individual agenda.
Blaming: the dysfunctional behavior of blaming others to shift focus away from the individual's own inadequacies.
Distraction: the dysfunctional behavior of inserting irrelevant information during attempts at problem solving.
ATI RN Mental Health Nursing Modules Ch. 8 Notes
A nurse is working with an established group and identifies various member roles. Which of the following should the nurse identify as an individual role?
A. A member who praises input from other members.
B. A member who follows the direction of other members.
C. A member who brags about accomplishments.
D. A mbmer who evaluates the group's performance toward a standard.
ATI RN Mental Health Nursing Modules Ch. 8 Notes
C:
Maintenance role: individual who praises the input of others / is a follower.
Task role: individual who evaluates the group's performance.
ATI RN Mental Health Nursing Modules Ch. 8 Notes
A nurse is preparing to provide an educational seminar on stress to other nursing staff. Which of the following is appropriate to include in the discussion?
A. Excessive stressors cause the client to experience distress.
B. The body's initial adaptive response to stress is denial.
C. The absence of stressors results in homeostasis.
D. Negative, rather than positive, stressors produce a biological response.
ATI RN Mental Health Nursing Modules Ch. 9 Notes
A:
Distress: the result of excessive or damaging stressors, such as anxiety or anger.
Fight-or-flight mechanism: the body's initial adaptive response to stress.
The pressence of some stressors provide interest and purpose to life.
Positive and negative stressors produce biological response in the body.
ATI RN Mental Health Nursing Modules Ch. 9 Notes
A nurse is discussing acute vs. prolonged stress with a client. Which of the following should the nurse identify as an acute stress response? (SATA)
A. Decreased appetite
B. Depressed immune system
C. Increased blood pressure
D. Panic attacks
E. Unhappiness
ATI RN Mental Health Nursing Modules Ch. 9 Notes
A, B, C, E:
Panic attacks indicate a prolonged or maladaptive stress response.
ATI RN Mental Health Nursing Modules Ch. 9 Notes
A nurse is teaching a client about stress-reduction techniques. Which of the following client statements indicates understanding of the teaching?
A. "Cognitive reframing will help me change my irrational thoughts to something positive."
B. "Progressive muscle relaxation uses a mechanical device to help me gain control over my pulse rate."
C. "Biofeedback causes my body to release endorphins so that I feel less stress and anxiety."
D. "Mindfulness allows me to prioritize the stressors that I have in my life so that I have less anxiety."
A:
Cognitive reframing helps the client look at irrational cognitions (thoughts) in a more realistic light and to restructure those thoughts in a more positive way.
Biofeedback, rather than progress muscle training, uses a mechanical device to promote voluntary control over autonomic functions.
Physical exercise, rather than biofeedback, causes a release of endophins that lower anxiety and reduce stress.
Priority restructuring, rather than mindfulness, teaches the client to prioritize differently to reduce the number of stressors.
ATI RN Mental Health Nursing Modules Ch. 9 Notes
A client says she is experiencing increased stress because her significant other is "pressuring me and my kids to go live with him. I love him, but I'm not ready to do that." She also states that her significant other "keeps nagging at my oldest son, which makes me mad, since he's my son, not his." Which of the following should the nurse recommend to promote a change in the client's situation?
A. Learn to practice mindfulness.
B. Use assertiveness techniques.
C. Exercise regularly.
D. Rely on the support of a close friend.
ATI RN Mental Health Nursing Modules Ch. 9 Notes
B:
Mindfulness, regular exercise, and social support are appropriate to decrease the client's stress. However, it does not change the client's situation.
Assertive communication allows the client to assert her feelings and then make a change in the situation.
ATI RN Mental Health Nursing Modules Ch. 9 Notes
A nurse is caring for a client who states, "I'm so stressed at work because of my coworker. He expects me to finish his work because he's too lazy!" When discussing appropriate communication, which of the following statements by the client to his coworker indicates client understanding?
A. "You really should complete your own work. I don't think it's right to expect me to complete your responsibitilies."
B. "Why do you expect me to finish your work? You must realize that I have my own responsibilities."
C. "It is not fair to expect me to complete your work. If you continue, then I will report your behavior to our supervisor."
D. " when I have to pick up extra work, I feel very overwhelmed. I need to focus on my own responsibilities.
ATI RN Mental Health Nursing Modules Ch. 9 Notes
D:
Disapproving/disagreeing, "why" question, and aggressive/threatening statements can prompt a defensive reaction.
This response demonstrates *assertive communication, which allows the client to state her feelings about the behavior and then promote a change.
ATI RN Mental Health Nursing Modules Ch. 9 Notes
A nurse is providing teaching for a client who is scheduled to receive electroconvulsive therapy (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 will have seizures lasting 1 1/2 to 2 minutes during ECT."
D. "I will receive a muscle relaxant to protect me from injury during ECT."
ATI RN Mental Health Nursing Modules Ch. 10 Notes
D:
ECT: for major depressive disorder not responsive to meds, ↓ incidence and relapse of depression, causes seizures of 25-60 seconds.
A muscle relaxant, such as succinylcholine (Anectine), is administered to reduce the risk of injury during induced seizure activity.
ATI RN Mental Health Nursing Modules Ch. 10 Notes
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
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 [Show Less]