ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 of 5
A client with depression is found to have attempted suicide in the bathroom and sustained injury. There is no documentation that the client was assessed every hour as prescribed. Which issue will the nursing staff and hospital potentially have to defend against?
Correct Answer: A
Rationale: Malpractice refers to a legal claim that can be made against healthcare professionals including nurses and hospitals when they fail to provide the standard of care expected in their profession resulting in harm or injury to a patient. In this case the lack of documentation that the client was assessed every hour as prescribed can be seen as a failure to meet the standard of care for a client with depression at risk for self-harm. This failure may have contributed to the client's suicide attempt constituting malpractice. Battery false imprisonment and assault do not apply as there was no intentional contact restraint or threat.
Question 2 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.
Question 3 of 5
An alert oriented older adult client has been financially and emotionally abused by their adult children for the past several years but has not reported the abuse to anyone. Which reason does the nurse identify is most likely why the client has not reported the abuse?
Correct Answer: C
Rationale: Emotional closeness and fear of harming family often prevent reporting abuse. Laws protect against family abuse financial barriers are secondary and abuse includes non-physical forms.
Question 4 of 5
The nurse is working with an adolescent client that is argumentative with staff and peers on the behavioral health unit. Which therapeutic response will be most beneficial for the client to decrease acting out behavior?
Correct Answer: D
Rationale: This response demonstrates the use of therapeutic communication specifically offering the client an opportunity to express their feelings and concerns in a non-confrontational manner. By suggesting a private and quiet area to talk to the nurse provides a safe and supportive environment for the client to explore and process their emotions. This approach can help the client feel heard validated and understood which may reduce their need to act out or engage in argumentative behaviors to express their feelings. Threats medication demands or dismissive comments may escalate behavior.
Question 5 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.