ATI Mental Health PM 2023

Extract:

Question 1 of 5

A mental health nurse on a mental health unit is caring for a client who has generalized anxiety disorder (GAD). The client received a telephone call that was upsetting

A. and now the client is pacing up and down the corridors of the unit. Which of the following actions should the nurse take?B. Walk with the client at a gradually slower pace.C. Have a staff member escort the client to her room.D. Allow the client to pace alone until physically tired.E. Instruct the client to sit down and stop pacing.

Correct Answer: A

Rationale: Walking with the client at a slower pace provides support, regulates breathing, and distracts from anxiety, offering a calming effect without restricting movement.

Question 2 of 5

A nurse is caring for a client who requires a crisis intervention for acute anxiety. Which of the following actions should be the nurse's highest priority?

A. Protecting the client from injuryB. Identifying the client's coping skillsC. Ensuring that the client feels safeD. Determining the cause of the client's anxiety.

Correct Answer: A

Rationale: Protecting the client from injury addresses the imminent risk of harm due to impaired decision-making and physiological agitation in acute anxiety, prioritizing safety above other interventions.

Question 3 of 5

A client with paranoid schizophrenia believes evil spirits are being summoned by a local minister and verbally threatens to bomb a local church. The psychiatric nurse notifies the local minister. The psychiatric nurse has:

A. Released the client's information without proper authorization.B. Avoided charges of malpractice.C. Demonstrated the duty to warn and protect.D. Violated the patient's privacy and confidentiality.

Correct Answer: C

Rationale: Notifying the minister fulfills the duty to warn and protect, a legal and ethical obligation to prevent harm when a credible threat is made, superseding confidentiality.

Question 4 of 5

A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?

A. Planning to give his Xbox console to his best friend.B. Stating that he wants to be with his peers more than with his parents.C. Telling his parents that he doesn't want to talk about the suicide attempt.D. Preferring to eat his meals while watching TV.

Correct Answer: C

Rationale: Refusing to discuss the attempt may indicate unresolved distress or isolation, suggesting ongoing suicidal intent that requires further exploration.

Question 5 of 5

A nurse is planning care for a client who has dementia and exhibits wandering behavior. Which of the following interventions should the nurse include?

A. Restrain the client to prevent wandering.B. Place the client in a room near the nurse’s station.C. Encourage the client to participate in group activities.D. Install an alarm system on doors.

Correct Answer: B,D

Rationale: A room near the nurse’s station allows monitoring, and door alarms enhance safety without restraints, supporting dementia care principles.

ATI Mental Health PM 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN