ATI RN
ATI RN Mental Health 2023 III Questions
Question 1 of 5
A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Ask the client if he intends to harm others. This is the priority action because it directly addresses the safety of other clients. By asking about the client's intentions, the nurse can assess the level of risk and take appropriate measures to prevent harm. The other choices are less critical in this situation. A (suggest making a list of things that make him angry) and D (assist in exploring techniques to reduce stress) are important in managing aggression but do not address immediate safety concerns. C (role modeling healthy ways to express anger) may be helpful in the long term but does not address the current risk of harm to others.
Question 2 of 5
A nurse is receiving change-of-shift report about a group of assigned clients at a mental health facility. Which of the following clients should the nurse assess for risks related to sensory impairments?
Correct Answer: D
Rationale: The correct answer is D because clients with conversion disorder may present with sensory impairments, such as blindness or paralysis, without a clear medical cause. The nurse should assess for these impairments to provide appropriate care.
Choices A, B, and C do not necessarily require specific assessments related to sensory impairments.
Choice A is associated with self-centeredness, choice B with excessive worry, and choice C with compulsive behaviors.
Therefore, the nurse should focus on assessing client D for sensory impairments to address their unique needs.
Question 3 of 5
A nurse is obtaining a history from a client who has been taking olanzapine to treat schizophrenia. Which of the following questions should the nurse ask the client?
Correct Answer: A
Rationale:
Correct
Answer: A - Have you noticed an increase in thirst?
Rationale: Olanzapine, an antipsychotic medication, can cause side effects such as increased thirst due to its anticholinergic properties. Asking the client about increased thirst can help monitor for potential side effects.
Summary:
B: Unintentional weight loss is not a common side effect of olanzapine, so it is not a priority question.
C: Ringing in the ears is not typically associated with olanzapine use, so this question is not relevant.
D: Decreased taste is not a common side effect of olanzapine, making this question less important than asking about increased thirst.
Question 4 of 5
A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in the plan of care?
Correct Answer: B
Rationale: The correct answer is B. Implementing measures to prevent intentional self-inflicted injury is the priority for a client with borderline personality disorder as it addresses the immediate safety concern. Self-harm is common in this population, so ensuring the client's safety is paramount. Encouraging the client to attend support group meetings (
Choice
A) may be beneficial but does not address the immediate safety issue. Assisting the client to maintain awareness of thoughts and feelings (
Choice
C) and discussing assertive behavior (
Choice
D) are important but addressing safety comes first.
Question 5 of 5
A nurse is caring for a client who begins yelling and pacing around the room. Which of the following actions should the nurse take? (Select all that apply)
Correct Answer: D, E
Rationale:
Correct
Answer: D, E
Rationale:
1. Talking to the client using short, simple sentences helps in calming the client down as complex information may escalate the situation.
2. Identifying the client's stressors allows the nurse to address the underlying causes of the behavior and provide appropriate support.
Summary:
A: Speaking loudly can escalate the situation further.
B: Standing directly in front may be perceived as confrontational, worsening the behavior.
C: Involving security guards may increase agitation and escalate the situation.
D: Talking using short, simple sentences can help de-escalate and communicate effectively.
E: Identifying stressors helps address root causes and provide appropriate support.