ATI Mental Health 1 Learning System RN 3.0 Questions and Answers (100% Verified)

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ATI Mental Health 1 Learning System RN 3.0 1. A nurse is completing an admission assessment for an adolescent client who has depression. Thenurse should identify which of the following findings as th ... e priority?a. The client is confrontational with his parentsb. The client is getting Ds in his classes because he frequently skips school.c. The client states he smokes half a pack of cigarettes per dayd. The client gives his favorite possessions to his friendsANS: D 2. A nurse enters a client's room, and observes that the client is agitated and pacing rapidly. The ptlooks at the nurse and says, "back off. Leave me alone" What statement should the nurse make?a. "I demand that you calm down now. Your behavior is unacceptable."b. "I will close the door to provide privacy, and you can tell me what is bothering you."c. "I will give you some space if you calm down. Tell me what is making you feel so tense."d. "I will leave you alone for a d=few minutes while you try to control yourself."ANS: C (stay at safe distance and remain calm) 3. A nurse is caring for a client who has borderline personality disorder. The nurse enters the client'sroom and finds the client cutting into his flesh with a paper clip. After providing first aid, which of thefollowing actions should the nurse take first?a. Encourage the client to s=discuss feelings about self-injurious behavior during group therapyb. Fill out an incident report for risk management about the client's self-injurious behaviorc. Document the client's self-injurious behavior in his medical recordd. Identify the clients feelings that lead to the self-injurious behaviorANS: D 4. A nurse is caring for a client who has major depressive disorder and recently started taking anantidepressant. The nurse should identify which of the following client statements as the priority?a. "I hate being so helpless. I can't even manage my own finance anymore."b. "At group therapy today I wanted to leave. I didn't feeling like being with other people."c. "I have it all figured out. Everything is going to be ok now."d. "I don't feel like showering. I'd rather just stay in bed today."ANS: C 5. The nurse is caring for a client who reminds her of a negative person in her past. These memoriescause the nurse to unconsciously displace negative feelings towards the client. The nurse shouldrecognize that she is demonstrating which of the following behaviors?a. Suppressionb. Countertransferencec. Transferenced. AssertivenessANS: B 6. A nurse is establishing a therapeutic relationship with a client who has hallucinations. Which of thefollowing actions should the nurse take during the orientation phase?a. Identify the clients perception of the reason for therapyb. Ask the client to provide a detailed description of the hallucinations (working phase)c. Assist the client with the development of problem-solving skills (working phase)d. Explore the client's relationship with family members (working phase)ANS: A 7. A nurse is planning care for a client who has thoughts of suicide. Which of the following goalsshould the nurse include in the client's plan of care?a. The client will identify positive aspects of others.b. The client agrees to notify a staff member of thoughts of self-harm.c. The client will engage in an independent diversional activityd. The client will not verbalize thoughts or feelings related to suicideANS: B 8. A nurse is caring for a client who has a new diagnosis of colon cancer. Shortly after the clientreceives the diagnosis, the nurse enters the client's room and the client begins yelling, "I havereceived terrible care here and no one cares about me." The nurse should recognize that the client isdemonstrating which of the following defense mechanisms?a. Denialb. Displacementc. Reaction formationd. ProjectionANS: B [Show More]

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