ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 of 5
A client is informed by the nurse that they must take their medication and the client kicks the nurse and runs to their room. Which action by the nurse demonstrates that the nurse falsely imprisons the client?
Correct Answer: D
Rationale: False imprisonment involves unlawfully restricting a person’s freedom. Applying restraints and forcing medication without justification violates the client’s rights constituting false imprisonment. Other actions involve communication documentation or assault not restraint.
Question 2 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 3 of 5
A client with depression is admitted for voluntary treatment. While in the hospital the client makes several comments about leaving the facility and killing themselves with their gun. Which is the most appropriate action by the nurse when the client requests to leave against medical advice?
Correct Answer: D
Rationale: Expressing suicidal ideation with a specific plan raises serious safety concerns. Initiating commitment proceedings allows for legal detention and evaluation to ensure the client’s safety. Calling security may escalate the situation family persuasion may be insufficient and allowing departure ignores the immediate risk.
Question 4 of 5
A nurse auscultates a client's lung sounds and identifies crackles in the left lower lobe. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: Crackles are abnormal lung sounds that may indicate the presence of fluid or mucus in the lungs. Placing the client on bed rest in a semi-Fowler position helps to improve lung expansion and oxygenation by reducing the pressure on the diaphragm promoting optimal lung ventilation and facilitating drainage of fluid from the affected area of the lung. Fluid restriction is typically for conditions like heart failure not crackles. Antibiotics require evidence of infection and repeating auscultation does not immediately improve oxygenation.
Question 5 of 5
A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?
Correct Answer: C
Rationale: Subjective data refers to information provided by the client that cannot be directly observed or measured by the nurse such as nausea. Objective data like blood pressure cyanosis and petechiae can be observed or measured. Nausea relies on the client’s self-report making it subjective.