Questions with 100 CORRECT

ATI RN Mental Health Nursing – Questions with 100% CORRECT ANSWERs (Graded A, Latest Version)

Question : 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?

CORRECT ANSWER : Alert

Question : The client is able to open their eyes and respond

but is drowsy and falls asleep readily. What is the level of consciousness?

CORRECT ANSWER : Lethargic

Question : 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?

CORRECT ANSWER : Stuporous

Question : The client is unconscious and does not respond to

painful stimuli. What is the level of consciousness?

CORRECT ANSWER : Comatose

Question : How to test a client's immediate memory

CORRECT ANSWER : Ask the client to repeat a series of

numbers or a list of objects

Question : How to test a client's recent memory

CORRECT ANSWER : 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

Question : How to test a client's remote memory

CORRECT ANSWER : Ask the client to state a fact from his

past that is verifiable, such as his birth date or his mother's maiden name

Question : How to assess a client's ability to calculate

CORRECT ANSWER : Ask the client to count backward

from 100 in sevens

Question : How to assess a client's ability to think abstractly

CORRECT ANSWER : Ask the client to interpret something

complex such as, "A bird in the hand is worth two in the bush."

Question : Glasgow coma scale

CORRECT ANSWER : 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

Question : Serious mental illness

CORRECT ANSWER : Includes disorders classified as

severe and persistent mental illnesses; clients often have difficulty with ADLs; can be chronic or recurrent

Question : 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)

• "To assess cognitive ability, I should ask the client to

count backward by sevens."

• "To assess affect, I should observe the client's facial

expression."

• "To assess language ability, I should instruct the client to

write a sentence."

• "To assess remote memory, I should have the client repeat

a list of objects."

• "To assess the client's abstract thinking, I should ask the

client to identify our most recent presidents."

CORRECT ANSWER : A. Counting backward by sevens is

an appropriate technique to assess a client's cognitive ability.

• Observing a client's facial expression is appropriate when

assessing affect.

• Writing a sentence is an indication of language ability.

Remote language is tested by asking the client to state a fact