ATI RN
Mental Health ATI Quizlet Questions
Question 1 of 5
A client has been placed in seclusion because the client has been deemed a danger to others. Which is the priority nursing intervention for this client?
Correct Answer: C
Rationale: The correct answer is C because maintaining contact and assuring the client that seclusion will maintain their safety is the priority nursing intervention for a client deemed a danger to others. This intervention helps build trust, reduce anxiety, and promote a therapeutic relationship. A: Having little contact with the client may increase feelings of isolation and exacerbate the client's distress. B: Providing privacy is important, but in this case, ensuring the client's safety is the priority over maintaining confidentiality. D: Teaching relaxation techniques and coping strategies is beneficial, but it is not the immediate priority when the client is in seclusion due to being a danger to others.
Question 2 of 5
An advanced practice nurse observes a novice nurse expressing irritability regarding a patient with a long history of alcoholism and suspects the new nurse is experiencing countertransference. Which comment by the new nurse confirms this suspicion?
Correct Answer: B
Rationale: The correct answer is B because it indicates a personal connection and emotional reaction from the nurse due to her past experiences with alcoholic parents, suggesting countertransference. Choice A focuses on the patient's denial, not the nurse's reaction. Choice C pertains to the patient's lack of goals, not the nurse's feelings. Choice D relates to the patient's comment about the nurse, not the nurse's emotional response. In summary, B is correct as it directly reflects the nurse's personal history impacting her feelings towards the patient, while the other choices do not address the nurse's emotional reaction.
Question 3 of 5
A patient with a history of anger and impulsivity was hospitalized after an accident resulting in multiple injuries. The patient loudly scolds nursing staff, 'I'm in pain all the time but you don't give me medicine until YOU think it's time.' Which nursing intervention would best address this problem?
Correct Answer: B
Rationale: The correct answer is B because switching from prn (as-needed) pain medication to patient-controlled analgesia empowers the patient to manage their pain effectively, addressing the issue of feeling powerless and dependent on nursing staff for pain relief. This intervention also aligns with the patient's impulsivity and need for immediate gratification. Choice A is incorrect because teaching coping strategies may not address the immediate pain relief the patient desires. Choice C is incorrect as it focuses on addressing the behavior without addressing the underlying issue of pain management. Choice D is incorrect because it does not provide a solution to the immediate problem of pain control and may not be relevant to the patient's current behavior.
Question 4 of 5
The nurse is working as part of the interdisciplinary staff of a psychiatric inpatient facility who are developing discharge plans for a patient who requires alternative housing arrangements. The patient will be referred to a personal care home. When explaining this housing arrangement to the patient, which of the following would the nurse include?
Correct Answer: D
Rationale: The correct answer is D because personal care homes typically house a small number of residents (6-10 people) and provide 24-hour supervision by health care attendants. This option aligns with the concept of personal care homes offering a more intimate and personalized level of care compared to larger facilities. Choice A is incorrect because personal care homes are not typically run by families, and the level of supervision provided is more formal and professional. Choice B is incorrect as personal care homes do not usually involve residents living in apartments with roommates. Choice C is incorrect because personal care homes typically do not house 50 people together and provide more personalized care in smaller groups.
Question 5 of 5
During the stabilization phase of drug therapy for a patient who is hospitalized with a psychiatric disorder, which action would be most appropriate?
Correct Answer: D
Rationale: The correct answer is D because during the stabilization phase, assessing the patient for target symptoms and side effects is crucial to ensure the medication is working effectively without causing harm. This step allows healthcare providers to monitor the patient's progress, adjust the medication dosage if needed, and address any emerging side effects promptly. A: Discussing the timing of tapering the medication is premature during the stabilization phase as the focus should be on monitoring the patient's response to the current medication regimen. B: Instructing the patient about relapse prevention is important but more relevant during the maintenance phase rather than the stabilization phase. C: Determining if the medication is losing its effect can be part of the assessment but is not the most appropriate action during the stabilization phase where the primary focus is on monitoring symptoms and side effects.