ATI RN
ATI N200 Mental Health Exam 3 Questions
Extract:
Question 1 of 5
A client with alcohol dependence is at risk for withdrawal. The nurse should monitor for:
Correct Answer: A
Rationale: Seizures are a critical risk during alcohol withdrawal, requiring close monitoring.
Question 2 of 5
A client tells the nurse,"I feel bad because my mother does not want me to return home after I leave the hospital. Which nursing response is most therapeutic?
Correct Answer: D
Rationale: This response is the most therapeutic because it uses reflective listening to validate the client's feelings. By restating what the client has expressed, the nurse shows empathy and encourages the client to explore their emotions further. This technique helps the client feel heard and understood, which is crucial in therapeutic communication.
Question 3 of 5
A nurse is reviewing assessment data collected from a post-operative patient. What assessment findings would serve as cues that the client may be experiencing hypoactive delirium? Select all that apply.
Correct Answer: A,B,D
Rationale: Slowed activity, impaired attention, and decreased alertness characterize hypoactive delirium.
Question 4 of 5
A nurse notices that a client with paranoid schizophrenia stops in mid-sentence when talking and tilts his head to the side as if to listen. The most appropriate intervention by the nurse would be to:
Correct Answer: A
Rationale: Asking about voices assesses hallucination content, aiding risk evaluation.
Question 5 of 5
The nurse notices a client wandering in the hospital hall giggling,with bizarre behavior that is annoying and frightening other clients. A priority in caring for her is to:
Correct Answer: D
Rationale: Providing a safe environment is the most immediate and crucial priority. The client's behavior is not only distressing to others but could also pose a risk to herself and others. Ensuring the client is in a safe, controlled environment helps to prevent harm and allows for further assessment and appropriate interventions. Safety is always the first priority in managing acute behavioral disturbances.