ATI Mental Health Proctored Exam 2020 with complete solution Graded A
1. A nurse is planning care for a client who has borderline personality disorder who self-
mutilates. Which of the following test approaches should the nurse plan to take?
a. Restrict participation in group therapy sessions.
The nurse should encourage the client who has borderline personality disorder to participate
in group therapy sessions to encourage appropriate interaction with other clients.
b. Establish consequences for self-mutilation.
The nurse should respond to self-mutilation with a neutral affect and encourage the client to
write down feelings that occurred leading up to the incident.
c. Maintain close observation of the client.
Clients who have borderline personality disorder are at risk for self-harm during times
of increased anxiety. Maintaining close observation reduces the client's risk of injury.
d. Provide an unstructured environment.
Providing an unstructured environment for a client who has borderline personality disorder is
not an effective treatment approach because it does not provide a safe environment to protect
the client from impulsive and self-injurious behavior.
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)
A. "To assess cognitive ability, I should ask the client to count backward by sevens."
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."