MENTAL HEALTH QUESTIONS - ATI
1- A nurse is caring for a client who has major depressive disorder. Which of the following actions should the nurse take
... [Show More] when developing a
relationship with the client?
● Share personal information to help the client feel comfortable.
● Develop an emotional commitment to the client.
● Set boundaries with the client regarding personal space.
● Tell the client if she reminds the nurse of a personal friend or relative.
2- A nurse is caring for a client who is in the acute manic phase of bipolar disorder. Which of the following activities is appropriate for the
nurse to suggest to the client? (the focus is on safety and maintaining physical health)
● Attending a client's birthday party in the café
● Watching a movie with a group of clients in the day room
● Participating in a basketball game in the gym. (provide outlets for physical activity: punching bags, physical exercise. Do not
involve the client in activities that last a long time or require a high level of concentration or detailed instruction)
● Walking with the nurse on the grounds of the facility. (Decrease stimulation without isolating the client if possible. Be aware of
noise, music, television, and other clients, all of which can lead to an escalation of the client's behavior. In some cases, seclusion
might be the only way to safely decrease stimulation for the client)
3- A nurse is assisting in the care of a client who has schizophrenia and is experiencing a hallucination. Which of the following actions by
the nurse is appropriate?
● Act like the hallucination is real.
● Instruct the client to argue with the voices that are a part of the hallucination.(Symptom management techniques include
strategies such as using music to distract from “voices”, attending activities, walking, talking to a trusted person when
hallucinations are most bothersome, and interacting with an auditory or visual hallucination by telling it to stop or go away)
● Ask the client direct questions about the hallucination.(Ask the client directly about hallucination. The nurse should not argue or
agree with the clients view of the situation, but can offer a comment, such as, ‘’i don't hear anything but you seem to be feeling
frightened”
● Tell the client that the hallucination is not a part of reality.
4- A nurse is caring for a newly admitted client who is suspicious of the nursing staff and other clients. Which of the following actions
should the nurse take to establish a relationship with the client
● Wait for the client to initiate interactions with the nurse.
● Set aside short, frequent times each day to spend with the client.
● Tell the client he reminds the nurse of her father.
● Disclose some personal information to the client.
5- A nurse in an urgent care facility is caring for a client who has traumatic injuries following an assault. The client sits quietly and calmly
and tells the nurse “I'm fine”. The nurse should recognize the client's behavior as which of the following reactions?
● Denial
● Displacement
● Projection
● Undoing
6- A nurse is caring for a child who has autism spectrum disorder. Which of the following findings should the nurse expect? SATA
● Short attention span
● Delayed language development
● Spins a toy repetitively
● Ritualistic behavior
● Consistent limit-testing [Show Less]