ATI RN
ATI RN Mental Custom Health Next Gen Questions
Extract:
Question 1 of 5
A mental health worker is caring for a client with escalating aggressive behavior. Which action by the mental health worker warrants immediate intervention by the RN?
Correct Answer: A
Rationale: The correct answer is A because attempting to physically restrain a client with escalating aggressive behavior can escalate the situation further, leading to potential harm to both the client and the mental health worker. Physical restraint should only be used as a last resort and under the guidance of a registered nurse to ensure safety and prevent harm.
Choices B, C, and D are not immediate interventions for managing escalating aggressive behavior. Remaining at a distance of 4 feet, telling the client to go to a quiet area, or using a loud voice are not effective strategies to de-escalate the situation and may not address the root cause of the aggression.
Question 2 of 5
A client who recently experienced the death of a significant other arrives at the mental health center. The client reports loss of interest in usual activities, expresses a wish to be with the deceased significant other, has been eating very little, and has not slept in several days. Which client statement is most important for the RN to explore at this time?
Correct Answer: A
Rationale: The correct answer is A: Not sleeping for several days. This is the most important client statement to explore because it indicates the client may be experiencing severe sleep disturbances, which can have a significant impact on their mental and physical health. Lack of sleep can exacerbate symptoms of depression and increase the risk of self-harm or suicide.
Therefore, the RN should prioritize exploring this issue to assess the client's safety and provide appropriate interventions.
Choices B, C, and D are also important concerns related to grief and depression, but the immediate risk associated with severe sleep deprivation makes option A the most critical to address first. It is essential to address all client statements eventually, but the urgency of the client's sleep disturbances requires immediate attention.
Question 3 of 5
A middle-aged adult with major depressive disorder suffers from psychomotor retardation, hypersomnia, and motivation. Which intervention is likely to be most effective in returning this client to a normal level of functioning?
Correct Answer: B
Rationale: The correct answer is B: Teach the client to develop a plan for daily structured activities. This intervention is most effective because it addresses the symptoms of psychomotor retardation, hypersomnia, and lack of motivation commonly seen in major depressive disorder. Structured activities can help the client regain a sense of routine, purpose, and accomplishment, which can improve mood and motivation. Providing education on sleep methods (
A) may help with hypersomnia but may not address overall functioning. Developing a list of pleasurable activities (
C) can be beneficial, but structured activities are more likely to improve functioning. Encouraging exercise (
D) can be helpful but may be challenging for someone with psychomotor retardation.
Question 4 of 5
When developing a plan of care for a client admitted to the psychiatric unit following aspiration of a caustic material related to a suicide attempt, which nursing problem has the highest priority?
Correct Answer: C
Rationale: The correct answer is C: Ineffective breathing pattern. This is the highest priority because aspiration of a caustic material can lead to respiratory distress or compromise. Ensuring the client has a patent airway and adequate breathing is crucial for immediate stabilization and preventing further complications. Impaired comfort (choice
A) may be a concern but is secondary to ensuring the client can breathe. Risk for injury (choice
B) is important but not as immediate as addressing breathing. Ineffective coping (choice
D) is important for long-term recovery but addressing the client's breathing takes precedence in this acute situation.
Question 5 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 intervention is most appropriate because the client is engaging in potentially harmful behaviors such as vigorous physical activity and verbal aggression. By moving the client to a safe area, the nurse can prevent the client from causing harm to themselves or others. It is essential to prioritize physical safety in situations like this.
Option B, establishing clear and firm limits, may not be effective in the moment when the client is in an agitated state and may not respond well to verbal directives. Option C, offering medication, should not be the first response as it may not address the immediate safety concerns. Option D, speaking calmly, may not be enough to de-escalate the situation when the client is in a heightened state of agitation.
Overall, ensuring the physical safety of the client and others is the priority in this scenario, making option A the most appropriate intervention.