ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 of 5
A client who has been physically aggressive arrives at the emergency department for a psychiatric assessment. Which approach would be best for the nurse to use?
Correct Answer: A
Rationale: Brief statements and questions keep communication clear and nonthreatening maintaining safety with an aggressive client. Close contact risks escalation humor may be misinterpreted and open-ended questions may overwhelm.
Question 2 of 5
The nurse is caring for a client who has been a victim of abuse since childhood. Which action(s) by the nurse is important so that the client feels safe secure and in control of their own body?
Correct Answer: A , D, E
Rationale: Asking permission respects autonomy monitoring anxiety adjusts care and security enhances safety. Independent care may be impractical and constant dual nurses may feel intrusive.
Question 3 of 5
A client is observed pacing the hall with clenched fists and swearing at others. The nurse intervenes immediately in a calm manner to prevent the client from moving to which phase of the aggression cycle?
Correct Answer: C
Rationale: The client’s behavior indicates escalation with increasing agitation. Calm intervention prevents progression to the crisis phase where violence is likely. Recovery follows crisis and triggering precedes escalation.
Question 4 of 5
A nurse is questioning another nurse about whether it is ethical to seclude a client because of loud and intrusive behavior on the unit. Which is the ethical principle that will best guide the nurse's decision on the appropriate use of seclusion?
Correct Answer: C
Rationale: Beneficence is the ethical principle that focuses on doing good and acting in the best interest of the patient. It involves taking actions that promote the well-being of patients and prevent harm. In the context of seclusion beneficence guides the nurse to consider whether secluding the patient will prevent harm to the patient and others thereby promoting overall safety and well-being. Autonomy justice and veracity do not directly address the safety-driven decision for seclusion.
Question 5 of 5
A nurse is caring for a child who is on a clear liquid diet. At lunch the child consumed 1/2 cup of juice 3 oz gelatin 1 oz of an ice pop and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake?
Correct Answer: 260 mL
Rationale:
Step 1: Convert 1/2 cup of juice to mL: 1 cup = 240 mL so 1/2 cup = 120 mL.
Step 2: Convert 3 oz of gelatin to mL: 1 oz = 30 mL so 3 oz = 90 mL.
Step 3: Convert 1 oz of ice pop to mL: 1 oz = 30 mL.
Step 4: Ginger ale is 20 mL.
Step 5: Sum: 120 mL + 90 mL + 30 mL + 20 mL = 260 mL. The nurse should record 260 mL.