ATI PN Mental Health 2023

Extract:

Question 1 of 5

A client is becoming increasingly agitated, anxious, and tense. The nurse notes a clenched jaw and a change in the pitch of the client’s voice. Which of the following interventions should the nurse implement first?

A. Place the client in restraintsB. Obtain a prescription for haloperidol.C. Take the client to the seclusion room.D. Verbally de-escalate the client.

Correct Answer: D

Rationale: Verbal de-escalation is the least restrictive first step to manage agitation safely. Restraints (
A), medication (
B), and seclusion (
C) escalate intervention levels.

Question 2 of 5

A nurse is reviewing the medical record of a client who is to receive electroconvulsive therapy. The nurse should notify the provider for which of the following findings?

A. Renal colicB. Cardiac arrhythmiaC. AsthmaD. Crohn’s disease

Correct Answer: B

Rationale: Cardiac arrhythmia increases ECT risks due to seizure-induced heart stress. Renal colic (
A), asthma (
C), and Crohn’s (
D) require management but aren’t direct contraindications.

Question 3 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. A provider may speak to a client’s employer regarding a substance use disorder.'B. A client retains the legal right to privacy of health information even after they have died.'C. The provider must give consent to discuss health information with the client’s family.'D. I can discuss a client’s information with staff who have provided care in the past.'

Correct Answer: B

Rationale: Under HIPAA, privacy persists 50 years post-death, showing understanding. A violates consent rules, C misstates client consent requirements, and D breaches need-to-know principles.

Question 4 of 5

A nurse is collecting data from a client who has antisocial personality disorder. Which of the following findings should the nurse expect? (Select all that apply)

A. Lack of empathyB. Manipulative behaviorsC. SplittingD. Preoccupation with detailsE. Impulsiveness

Correct Answer: A,B,C,E

Rationale: Lack of empathy (
A), manipulative behaviors (
B), splitting (
C), and impulsiveness (E) align with antisocial personality disorder traits like disregard for others and impulsivity. Preoccupation with details (
D) is more typical of obsessive-compulsive personality disorder.

Question 5 of 5

A nurse is assisting in the care of a client who is in restraints following an episode of violence. Which of the following information should the nurse document in the client’s medical record? (Select all that apply)

A. Observing range of motion of client’s extremitiesB. Providing opportunities for nutrition and toiletingC. Attempts at less restrictive interventionsD. Observation of the client once per hourE. Names of staff members caring for the client

Correct Answer: A,B,C,D,E

Rationale: All are required: range of motion (
A) prevents harm, nutrition/toileting (
B) meets needs, less restrictive attempts (
C) show justification, hourly observation (
D) ensures safety, and staff names (E) ensure accountability.

ATI PN Mental Health 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN