ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 of 5
A client has just had an elective abortion to end an unintended pregnancy. Afterward the client cries because although they wanted to have children in future years this pregnancy was not well timed. Which type of grief is this client most likely to experience?
Correct Answer: A
Rationale: Anticipatory grief involves mourning a loss before it fully occurs fitting the client’s sadness over the aborted pregnancy they wanted later. Disenfranchised grief lacks social validation complicated grief is prolonged and absence of grief contradicts the client’s tears.
Question 2 of 5
A nurse is assessing several clients who have experienced loss. Which client will the nurse identify as experiencing complicated grieving?
Correct Answer: B,C
Rationale: Unresolved conflicts and guilt complicate grief for the adult hating their parent and the parent responsible for a child’s death. Annual visits are normal drunk driving loss lacks grief specifics and frequent grave visits may reflect cultural coping.
Question 3 of 5
A client with depression is found to have attempted suicide in the bathroom and sustained injury. There is no documentation that the client was assessed every hour as prescribed. Which issue will the nursing staff and hospital potentially have to defend against?
Correct Answer: A
Rationale: Malpractice refers to a legal claim that can be made against healthcare professionals including nurses and hospitals when they fail to provide the standard of care expected in their profession resulting in harm or injury to a patient. In this case the lack of documentation that the client was assessed every hour as prescribed can be seen as a failure to meet the standard of care for a client with depression at risk for self-harm. This failure may have contributed to the client's suicide attempt constituting malpractice. Battery false imprisonment and assault do not apply as there was no intentional contact restraint or threat.
Question 4 of 5
After an angry outburst a client quickly appears calmer and receptive to input from the nurse. Which is the most helpful response to the client at this time?
Correct Answer: B
Rationale: When a client has an angry outburst and then quickly appears calmer and receptive to input from the nurse it is important for the nurse to address the underlying cause of the outburst and explore the client's feelings and emotions. By asking What happened that got you so upset? the nurse is inviting the client to express their feelings and share what triggered their anger. This can help the nurse understand the client's perspective provide appropriate support and potentially de-escalate any remaining tension. Dismissing focusing on the nurse’s feelings or judging the behavior hinders therapeutic communication.
Question 5 of 5
A nurse observes another nurse acting flirtatiously and bringing small gifts such as candy to a client in the behavioral health unit. Which action is a priority by the observing nurse?
Correct Answer: A
Rationale: Reporting to a supervisor ensures investigation of unprofessional behavior protecting the client. Ignoring risks harm confronting may escalate and discussing with the client is inappropriate.