ATI PN Mental health DEC 2023

Question 1 of 5

A nurse is caring for a client who has depression and reports only sleeping a few hours each night. Which of the following instructions should the nurse give the client to promote sleep?

A. You should drink a glass of wine 1 hour before you go to bed.'B. You should take a nap after lunch.'C. You should eat a meal just prior to bedtime.'D. You should limit yourself to two caffeinated beverages per day.'

Correct Answer: D

Rationale: Limiting caffeine, a stimulant, improves sleep. A disrupts sleep patterns, B affects nighttime sleep, and C causes discomfort.

Question 2 of 5

A nurse is collecting data from an adult client in an outpatient mental health clinic. The nurse should identify which of the following events as a potential cause of a maturational crisis?

A. Motor-vehicle crashB. A child leaving for collegeC. Loss of jobD. Divorce

Correct Answer: B

Rationale: A child leaving for college is a developmental milestone causing a maturational crisis. A is adventitious, C and D are situational.

Question 3 of 5

A nurse is caring for a client who was placed in four-point restraints by the nursing staff following an episode of violent behavior. Which of the following actions should the nurse take?

A. Document the client’s behavior in the medical record every 1 hrB. Provide range-of-motion exercises to all extremities every 2 hrC. Request the provider renew the prescription in 24 hrD. Keep staff interactions with the client to a minimum

Correct Answer: B

Rationale: Range-of-motion exercises every 2 hours prevent stiffness and maintain circulation in restraints. A is excessive, C misaligns with reassessment needs, and D neglects monitoring.

Question 4 of 5

A nurse is reinforcing teaching with a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A. I can discuss a client’s information with staff who have provided care in the past.'B. The provider must give consent to discuss health information with the client’s family.'C. A client retains the legal right to privacy of health information even after they have died.'D. A provider may speak to a client’s employer regarding a substance use disorder.'

Correct Answer: C

Rationale: Clients retain privacy rights post-death under HIPAA. A violates need-to-know, B misstates consent rules, and D breaches confidentiality.

Question 5 of 5

Which of the following interventions should the nurse include in the client’s care? Select the 3 interventions the nurse should implement.

A. Approach client slowlyB. Alternate nursing staff dailyC. Maintain a low stimulation environmentD. Reorient client to person, place, and time frequentlyE. Provide the client with limited information about the diagnosis

Correct Answer: A,C,D

Rationale: Slow approach reduces anxiety, low stimulation calms agitation, and reorientation aids confusion in delirium. Alternating staff and limiting info increase distress.

ATI PN Mental health DEC 2023 | Nurselytic

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ATI LPN

ATI LPN