NURS 224 Test 1 - ATI PSYCH QUESTIONS
A nurse is discussing the role of a licensed practical nurse (LPN) with a group of newly licensed nurses. Which of the following statements by a newly licensed nurse indicates an understanding of the role of an LPN?
"A LPN can report their observations to an RN."
A nurse is caring for a client who has administered an antianxiety medication 1 hour ago. Which of the following statements by the nurse indicates that the nurse is using the evaluation step of the nursing process?
"How is your anxiety level now?"
A nurse on a behavioral health unit is caring for a newly admitted client who askes, "What is milieu therapy?" Which of the following responses should the nurse make?
"Milieu therapy is focused on creating a safe environment for healing through trauma-informed therapeutic relationships."
A nurse is performing a mental status examination for a newly admitted client. Which of the following questions should the nurse include in the examination?
- "How would you describe your mood today?" - "What is the date today?" - "Can you please show me how to use this pen?"
A nurse is admitting a new client. Which of the following actions should the nurse take during the orientation phase of the nurse-client relationship?
Establish boundaries.
A nurse is participating in an interdisciplinary team meeting for clients on the unit. Which of the following actions should the nurse recommend to improve inclusion among the treatment team?
Include discussion of the clients' spiritual needs in the team meetings.
A nurse is participating in an interdisciplinary team meeting for clients on the unit. Which of the following actions should the nurse recommend to improve diversity among the treatment team?
Integrate clinicians from various cultural backgrounds into the team meeting.
A charge nurse is presenting on the topic of mental health diagnoses during a unit meeting. The charge nurse should identify that the DSM-5 TR classification is used in conjunction or paired with what other classification system?
International Classification of Disease.
A nurse is discussing the purpose of mental status assessments with a newly hired nurse. Which of the following information should the nurse include?
Mental status assessments assess a client's cognitive and behavioral functioning.
A nurse is preparing a poster presentation on the priorities of Healthy People 2030. Which of the following priority goals should the nurse include?
Prevention practices related to cyber-bullying in teens.
A nurse is preparing to discharge a client. Which of the following actions should the nurse plan to take to improve the client's level of functioning beyond the nurse-client relationship?
Provide community resource referrals.
A nurse is participating in an interdisciplinary team meeting for clients on the unit. Which of the following actions should the nurse recommend to improve equity among the clients?
Provide free or low-cost treatment options for all clients.
A nurse is caring for a client and notes that the client has become increasingly restless over the last hour. This is an example of which of the following steps of the Clinical Judgment Action Model (CJAM)?
Recognizing cues.
A nurse is seeking to improve outcomes in mental health care by integrating technology in a local clinic. Which of the following actions should the nurse take to incorporate technology as a part of tertiary prevention interventions?
Refer clients to a support group that meets on social media.
A nurse is using considerations from Leininger's Transcultural Nursing Theory to plan care for a client who is from a different culture than the nurse. Which of the following actions should the nurse plan to take to demonstrate the consideration of cultural preservation?
Request specific meal tray items to support the client's spiritual beliefs.
A nurse is caring for a client. Which of the following actions by the nurse demonstrates the evaluating outcomes step of the Clinical Judgment Action Model (CJAM)?
Revising the plan of care.
A nurse is helping a client develop a plan for successful behavior change. Which of the following interventions should the nurse include in the plan?
Schedule an appointment with a provider who lives within walking distance of the client.
A nurse is screening a client for alcohol and tobacco use. Which of the following types of prevention is the nurse demonstrating?
Secondary
A nurse manager is teaching a newly licensed nurse about ways to provide culturally competent care for clients. Which of the following instructions should the nurse manager include in the teaching?
Seek assistance from an interpreter for language barriers.
A nurse is reflecting on their performance after engaging with a client in an interview. Which of the following actions should the nurse plan to implement to improve receptiveness in their next client interview?
Sit at a slight angle across from the client.
A nurse is working in a neighborhood where the population is culturally diverse. Which of the following actions should the nurse take to ensure the delivery of culturally competent care?
Talk to the residents of the neighborhood about their culture.
A nurse is discussing the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Text Revisions (DSM-5 TR) with a newly licensed practical nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the DSM-5?
The DSM-5 TR assists in planning nursing interventions for clients who have a mental health disorder.
A nurse is reviewing the purpose of the DSM-5 with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
The DSM-5 is a resource that provides information about the clinical manifestations of specific mental health disorders.
A nurse is caring for a client who is at risk for isolation. Which of the following is the best outcome for this client?
The client will attend 3 groups per day by the end of the week.
A nurse is assisting a client to develop a plan to reduce caloric intake. Which of the following interventions should the nurse include in the plan as a measurable goal for this client?
The client will record consuming no more than 1,800 calories per day.
A nurse is caring for a client who reports that they are having a hard time completing their ADLs due to feeling anxious. The client also reports feeling tired, difficulty sleeping and having a poor appetite. The nurse should anticipate they would fall in which end of the mental health continuum?
The client would fall closer towards the mental illness end or struggling.
A nurse is reviewing the chart of a client who has paranoid schizophrenia. The nurse should identify that the Diagnostic and Statistical Manual of Mental Disorders, 5th edition Text Revision (DSM-5 TR) distinguishes the different types of schizophrenia based on which of the following criteria?
The client's full history.
A nurse is discussing the continuum of care with a client. Which of the following information should the nurse include?
The continuum of care includes different clinical settings, such as clinics and hospitals.
A nurse is presenting information on mental health services over the last 50 years to a group of newly licensed nurses. In 1946, the National Mental Health Act was signed into law which resulted in which of the following?
The creation of the National Institute for Mental Health.
A newly licensed nurse is reviewing the American Nurses Association's core professional values of nursing. Which of the following actions by the nurse demonstrates the value of empowerment?
The nurse provides resources to the client who wants to create a living will before they have surgery.
A nurse on a behavioral health unit is discussing the tasks of the Clinical Judgement Action Model (CJAM) with a group of newly licensed nurses. Which of the following information about analyzing cues should the nurse include?
The nurse should use observations, clinical presentation data, and assessment findings to identify the client's mental health alteration.
A nurse is working to build rapport and trust with a new client. Which of the following actions by the nurse could serve as a barrier to building rapport?
The nurse uses clinical terminology to help the client better understand their diagnosis.
A nurse is caring for a newly admitted client who states they are concerned about their privacy and rights while on the psychiatric unit. The nurse should explain to the client that they have which of the following rights?
The right to refuse treatment.
A nurse is seeking to improve outcomes in mental health care by integrating technology in a local clinic. Which of the following actions should the nurse take to incorporate technology as a part of secondary prevention interventions?
Utilize a video conferencing application to perform suicide risk screening.
A nurse is caring for a client who has a care plan goal of having fewer than five panic attacks per week. The client is struggling to meet this goal. Which of the following actions should the nurse take?
Work with the client to adjust the goal.
A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following should the nurse include in the interview to encourage the client to continue sharing feelings and information?
"What are some of the stressors that you have in your life?"
A nurse is preparing to interview a client and is reviewing therapeutic communication techniques. Which of the following statements should the nurse make to affirm the client's behavior change?
"You completed your antibiotic regimen. You are serious about improving your health."
A nurse is reviewing community assessments with a group of newly licensed nurses. Which of the following statements by a newly licensed nurse indicates an understanding of community assessments?
- "Community assessments are used to assess the needs of a particular community or population." - "Community assessments identify conditions and disorders that are prevalent within a community." - "Community assessments highlight areas of strength within a community or population." - "Community assessments are used to consider the services that are being used in the community."
A group of nurses is discussing the effectiveness of nursing interventions among clients who have a mental health diagnosis. Which of the following statements accurately identifies a barrier to effective nursing interventions?
- "Some mental health clients are unaware that they have a mental health condition." - "Some mental health clients experience cognitive deficits and cannot understand their treatment plan." - "Many mental health clients experience the effects of polypharmacy." - "Many mental health clients are not trustworthy." - Many mental health clients experience worsening clinical manifestations."
A nurse on an impatient mental health unit is using the Clinical Judgment Action Model (CJAM) to guide their care of a client. Which of the following tasks should the nurse complete to generate solutions?
- Determine desired outcomes. - Determine the best solution based on evidence. - Determine what resources are needed, including people, equipment and medications.
A group of nurses is discussing implementation of a plan of care for a client who has a mental illness. Which of the following nursing actions should be included when implementing a plan of care?
- Prioritize establishing a therapeutic relationship. - Focus on client-centered, holistic care rather than the client's diagnosis. - Accurately document implementation of the plan of care.
A nurse is using the Clinical Judgment Action Model (CJAM) to guide a client's care. Which of the following tasks is designed to facilitate the analysis of cues?
- Recognizing patterns. - Linking cues. - Determining what is concerning. - Determining the need for additional information.
A nurse is discussing different factors of the determinants of mental health during a staff meeting. Which of the following factors should the nurse include in the discussion?
- unsafe drinking water - exposure to an adverse childhood event - A playground in the neighborhood - National policy addressing cyber-bullying
A nurse is using the Cultural Formulation Interview (CFI) tool while collecting a health history from a client who is from different culture than the nurse. Which of the following statements should the nurse make?
"I am wondering what you believe the cause of the problem is."
A nurse is caring for a client who states, "I really like you. Can we get together socially after I am discharged?" Which of the following responses should the nurse make?
"I appreciate your comment. However, I am your nurse, and it would be inappropriate for us to engage socially outside of treatment."
A nurse is interviewing a client who states they are unsure whether they should continue their medication therapy. Which of the following responses should the nurse make to evoke client motivation?
"On a scale of 0 to 10, how confident are you that you could adhere to your medication regimen if you tried?"
A nurse is interviewing a client who is contemplating a behavior change. Which of the following statements should the nurse make to engage with the client?
"Tell me about the things that are important to you in your life."
A nurse is caring for a client who states, "I don't think medications are for me." Which of the following statements should the nurse make?
"Tell me more about what you feel would work best for you."
A nurse is using the Cultural Formulation Interview (CFI) tool while collecting a health history from a client who is from a culture different than the nurse. Which of the following statements should the nurse make?
"Tell me some of the coping skills that have previously helped you."
A nurse is explaining the purpose of the Family Assessment Device (FAD) to the parents of a child. Which of the following statements by a parent indicates an understanding of the FAD?
"The FAD is used to help assess family functioning, specifically to determine how the roles of the family work in the family dynamics."
A nurse is interviewing a client who states that they are thinking about smoking cessation by using patches. Which of the following responses should the nurse use to focus with the client?
"This might not be the best method for you, but can can discuss some options that others have found to be helpful."
A nurse manager is providing teaching to a group of newly licensed nurses about organizational culture. Which of the following statements by a newly licensed nurse indicates an understanding of organizational culture?
"This organization believes that each client should be at the center of their own care."
A nurse is reviewing the concept of bias with a newly licensed nurse. Which of the following scenarios should the nurse use to demonstrate biased treatment?
A client is not permitted to attend the group therapy activity because they practice the Buddhist faith.
A nurse is providing teaching to a group of newly licensed nursed about stigma. Which of the following client scenarios should the nurse include as an example of self-stigma?
A client refused to pick up their prescription for an antidepressant because they do not want the pharmacist to know that they are on an antidepressant.
A nurse enters the day room, observes the clients, and performs a situational assessment. Which of the following situations should the nurse identify as the priority to address?
A client who is arguing with another client who is backed into a corner.
A nurse is reviewing the medical records of a group of clients. The nurse should identify that which of the following factors places a client at risk for mental illness?
A history of abuse.
A nurse is discussing ethical principles with another nurse. Which of the following should the nurse include as an example of the principal of nonmaleficence?
A nurse evaluated the client's desire for autonomy while considering the personal safety of other clients on the unit.
A nurse is preparing to care for a client who is newly admitted. Which of the following actions should the nurse take immediately?
Address the client's aggressive behavior towards staff.
A nurse wants to improve their therapeutic communication by implementing the use of bias-free language. Which of the following actions should the nurse take to provide bias-free language?
Ask the client how they prefer to be addressed.
A nurse is caring for a client who is newly admitted to the acute psychiatric unit for alcohol use disorder. The client reports growing up in an Amish community. Which of the following actions should the nurse take?
Assess for personal bias related to alcohol use disorder before interacting with the client.
A nurse is caring for a client who is from a different culture than them. Which of the following actions should the nurse take to provide culturally competent care?
Contact an interpreter is the client does not respond to nonverbal communication cues.
A nurse is planning a presentation regarding mental health illness for a local health fair. Which of the following should the nurse include as a characteristic of mental illness?
Difficulty maintaining social relationships.
A nurse is seeking to improve outcomes in mental health by incorporating technology as a part of primary prevention interventions. Which of the following actions should the nurse take?
Distribute a video discussing risk factors for suicide and depression at a local high school.
A nurse is working in a mental health facility in an occupational role. Which of the following activities is a function of the occupational role of the nurse?
Educating a client on risk factors.
A nurse is interviewing a client who is irritable and agitated. Which of the following actions should the nurse take to portray engagement with the client?
Give a slight nod throughout the interview.
A nurse is preparing an in-service for nursing staff on the concept of holistic nursing. Which of the following components should the nurse include in the teaching?
Holistic nursing considers the client's emotional health.
A nurse is explaining what "duty to warn" means to a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding?
If a client threatens to harm another person, health care providers have a responsibility to inform that person.
A nurse is researching methods of incorporating technology in their nursing practice. Which of the following strategies should the nurse use to incorporate technology in nursing care?
Implement a client-centered self-schedule smartphone application.
A nurse is researching methods of incorporating technology in their nursing practice. Which of the following strategies should the nurse use to incorporate technology in nursing care?
Implement a video conferencing policy for clients in rural locations.
