Questions 38

ATI RN

ATI RN Test Bank

ATI Mental Health Assessment Exam Questions

Question 1 of 5

A nurse is admitting a client who has borderline personality disorder and is at risk for self-mutilation. Which of the following interventions should the nurse incorporate in the plan of care?

Correct Answer: C

Rationale: A verbal no-harm contract engages the client in their safety plan, reducing self-mutilation risk. Excessive attention may reinforce behaviors, restraints are a last resort, and limiting staff ensures consistency but is secondary.

Question 2 of 5

A nurse on a mental health unit is planning a group therapy session about assertiveness training. For which of the following clients should the nurse recommend the training?

Correct Answer: D

Rationale: Clients with somatic symptom disorder often struggle with expressing needs assertively, and assertiveness training can help reduce psychological distress. Depression, hallucinations, and mania require other primary interventions.

Question 3 of 5

A nurse is creating a plan of care for a client who has panic disorder. Which of the following interventions should the nurse include?

Correct Answer: C

Rationale: Using simple, clear language when explaining procedures helps reduce anxiety and prevent misunderstandings that could trigger a panic attack. Group therapy may increase anxiety, choosing activities doesn't directly address symptoms, and avoiding triggers prevents learning to manage them.

Question 4 of 5

A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take?

Correct Answer: C

Rationale: Debriefing with staff ensures a team approach to managing the client's behavior, sharing insights and planning care. Documentation should be more frequent, restraints should be removed as soon as safe, and evaluation is needed sooner than 12 hours.

Question 5 of 5

A nurse is assessing a client who has delirium as a result of sepsis. Which of the following manifestations should the nurse expect? (Select all that apply.)

Correct Answer: B,C,E

Rationale: Rapid mood changes, hallucinations, and restlessness are common in delirium due to fluctuating cognitive status, sensory misperceptions, and agitation. Slow speech and unaltered consciousness are not typical.

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