ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A female client on a psychiatric unit is sweating profusely while she vigorously does push-ups and then runs the length of the corridor several times before crashing into furniture in the sitting room. Picking herself up, she begins to verbally attack other clients. What intervention is most appropriate for the RN to use to manage the client’s behavior?
Correct Answer: A
Rationale: The correct answer is A: Assist the client to a safe area to avoid injury. This is the most appropriate intervention because the client is engaging in potentially harmful behaviors such as vigorous exercise and crashing into furniture. By moving the client to a safe area, the nurse can prevent any physical harm that may result from the client's actions.
Choice B: Establish clear and firm limits with the client may not be effective in this situation as the client may not be receptive to verbal communication due to their current behavior.
Choice C: Offer medication to help calm the client down may not be appropriate as it is important to address the immediate safety concerns first before considering medication.
Choice D: Speak with the client in a calm, non-threatening manner may not be effective in this situation as the client is not in a state to engage in a calm conversation.
In summary, choice A is the most appropriate intervention to ensure the client's safety in the current situation.
Question 2 of 5
April, a 10-year-old admitted to inpatient pediatric care, has been getting more and more wound up and is losing self-control in the day room. Time-out does not appear to be an effective tool for April to engage in self-reflection. April’s mother admits to putting her in time-out up to 20 times a day. The nurse recognizes that:
Correct Answer: B
Rationale: The correct answer is B because the scenario indicates that April is getting more wound up and losing self-control despite being put in time-out multiple times a day. This suggests that time-out is no longer effective in helping April self-reflect or manage her behavior. Continuing to use an ineffective tool can be detrimental to April's well-being and may lead to escalating behavior issues.
Choices A, C, and D are incorrect because they do not address the fact that time-out is no longer effective in this situation. A suggests that time-out is still important, C assumes April enjoys time-out, and D jumps to a more extreme measure without exploring other alternatives.
Question 3 of 5
You have been working closely with a patient for the past month. Today he tells you he is looking forward to meeting with his new psychiatrist but frowns and avoids eye contact while reporting this to you. Which of the following responses would most likely be therapeutic?
Correct Answer: B
Rationale: The correct response is B because it reflects active listening and empathy by acknowledging the patient's non-verbal cues. By pointing out the discrepancy between the patient's words and body language, it encourages further exploration of the patient's feelings.
Choice A dismisses the patient's non-verbal cues and provides a superficial reassurance.
Choice C jumps to conclusions without exploring the underlying emotions.
Choice D imposes assumptions on the patient without allowing them to express themselves.
Question 4 of 5
The RN on the evening shift receives report that a client is scheduled for electroconvulsive treatment (ECT) in the morning. Which intervention should the RN implement the evening before the scheduled ECT?
Correct Answer: B
Rationale: The correct answer is B: Keep the client NPO after midnight. This intervention is essential to prevent aspiration during ECT, as anesthesia is typically administered during the procedure. Holding all bedtime medications (choice
A) may not be necessary and can have adverse effects. Implementing elopement precautions (choice
C) is irrelevant to ECT. Giving the client an enema at bedtime (choice
D) is unnecessary and not related to ECT. Keeping the client NPO after midnight is crucial for safety and aligns with standard pre-procedure guidelines.
Question 5 of 5
The mental health team is determining treatment options for a male patient who is experiencing psychotic symptoms. Which question(s) should the team answer to determine whether a community outpatient or inpatient setting is most appropriate? Select all that apply.
Correct Answer: C
Rationale: The correct answer is C: Does the patient have experiences with either community or inpatient mental healthcare facilities? This question is vital in determining the most appropriate treatment setting because the patient's past experiences can influence their comfort, adherence, and response to treatment. If the patient has had positive experiences with either setting, it may guide the team in selecting the most effective option.
A: Is the patient expressing suicidal thoughts? - While this is an important consideration for safety, it does not directly determine the treatment setting.
B: Does the patient have intact judgment and insight into his situation? - This question is important for assessing the patient's capacity for decision-making, but it does not specifically relate to the choice between outpatient or inpatient settings.
D: Does the patient require a therapeutic environment to support the management of psychotic symptoms? - This question is relevant but does not address the patient's past experiences with treatment settings, which is crucial in determining the most suitable option.