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
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 3 of 5
The school nurse is seeing a 7-year-old child in the clinic and is concerned with behaviors and physical indications that indicate the child is being sexually abused. Which is the priority action by the nurse?
Correct Answer: D
Rationale: As a mandated reporter the nurse must document and report suspected abuse to protect the child. Discussing with parents risks further harm direct questioning may intimidate and consulting a coworker delays action.
Question 4 of 5
A client is manipulative with staff and disruptive in the milieu. Although the client is not demonstrating behaviors that are a threat to self or others they are refusing all medications. Which action by the nurse is most appropriate?
Correct Answer: C
Rationale: When dealing with a client who is manipulative and disruptive but not a threat it is essential for the nurse to set clear and consistent boundaries for behavior. This helps establish a therapeutic environment and maintains safety. Allowing the client to refuse medications respects their autonomy as long as they are not a risk. Involving family without consent may violate privacy discharging is premature and coercive statements are unethical.
Question 5 of 5
The nurse working in an outpatient clinic is performing an intake assessment for a female client. Which priority question will the nurse ask the client as part of the initial assessment?
Correct Answer: B
Rationale: Assessing safety identifies risks like domestic violence a critical priority. Financial substance use and medical care questions are secondary to immediate safety concerns.