ATI Mental Health Practice B 2023

Correct Answer: D

Rationale: The correct answer is D: "Let's look at some other resources to solve this problem." This response is appropriate because it acknowledges the client's needs while also maintaining professional boundaries. The nurse is offering to explore alternative solutions rather than directly providing the service, which aligns with the nurse's job description. By suggesting to look at other resources, the nurse is promoting independence and empowering the client to find a suitable solution.


Choice A is incorrect because it does not address the client's needs and is unprofessional.
Choice B is incorrect as it violates the nurse's job description.
Choice C is incorrect as it dismisses the client's current needs and does not offer a practical solution.

Correct Answer: B

Rationale: The correct answer is B, "Come with me to an area where we can talk without interruption." This response is most therapeutic because it acknowledges the client's need for privacy and establishes a safe and confidential space for the client to express their feelings. By offering to talk without interruption, the nurse demonstrates active listening and empathy, which can help the client feel supported and understood.


Choice A is incorrect because assuming that all clients benefit from lying down may not be appropriate or therapeutic for everyone experiencing anxiety.
Choice C is incorrect because suggesting relaxation exercises may not address the immediate needs of the client in distress.
Choice D is incorrect because immediately jumping to medication may not be the most therapeutic approach without first exploring other coping strategies or interventions.

Correct Answer: B

Rationale: The correct answer is B: Providing adequate hydration and rest. This intervention is crucial in managing alcohol use disorder as it addresses the physical consequences of excessive alcohol consumption, such as dehydration and exhaustion. Hydration helps prevent complications like electrolyte imbalances and detoxification, while rest supports the body's healing process. Helping the client identify positive personality traits (
A) may be beneficial for self-esteem but is not a priority in the acute care phase. Confronting denial and defense mechanisms (
C) can lead to resistance and hinder the therapeutic relationship. Educating the client about alcohol misuse (
D) is important but may not be effective if the client is not physically stable.

Correct Answer: A

Rationale:
Correct Answer: A. The client can be kept in the hospital after the 72-hour hold is over if they are a danger to themselves or others. This is based on the principle of duty to warn and protect, ensuring the safety of the client and others. This decision is made to prevent harm and provide necessary treatment.

B: This choice is incorrect because unwillingness to accept treatment does not necessarily indicate immediate danger to self or others, which is the primary concern in this scenario.

C: Liking or disliking a neighbor is not a sufficient reason to keep a client in the hospital after the 72-hour hold. It does not address the immediate safety concerns.

D: Planning to move out of state does not indicate imminent danger to self or others, which is the primary factor in determining the need for continued hospitalization.

In summary, choice A is correct because it addresses the immediate safety risk, while the other choices do not directly relate to the client's current threat level.

Correct Answer: A

Rationale: Creating a behavior contract helps set clear expectations and encourages accountability.