ATI Mental Health PM 2023

Extract:

Question 1 of 5

A nurse asks a client who is suicidal to make a safety contract

A. but the client declines. Which of the following actions should the nurse identify as the priority? B. Lock the doors to the unit and secure windows so they cannot be opened. C. Remove any objects from the client's environment that could be used for self-harm. D. Assign a staff member to stay with the client at all times. E. Provide the client with plastic eating utensils for meals.

Correct Answer: C

Rationale: Assigning a staff member for constant supervision prioritizes safety, monitors behavior, and provides support, addressing the immediate risk of self-harm effectively.

Question 2 of 5

A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?

A. I check any room I enter because the enemy is still after me and could be hiding anywhere. B. I killed four enemy soldiers with my bare hands and saved my entire battalion. C. In my dreams, all I can see are the wounded reaching out and trying to grab me. D. My child was born with a birth defect due to an exposure I had overseas.

Correct Answer: C

Rationale: Recurring nightmares about trauma, like seeing the wounded in dreams, are a hallmark PTSD symptom, reflecting re-experiencing of the event.

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 mental health nurse is planning care for a client who has a new prescription for clonazepam. For which of the following adverse effects should the nurse plan to monitor?

A. Manifestations of seizure activity. B. Decreased urine output. C. Inability to recall events. D. Increase in white blood cell count.

Correct Answer: C

Rationale: Clonazepam, a benzodiazepine, commonly causes amnesia or inability to recall events due to its effects on memory, making it a key adverse effect to monitor.

Question 5 of 5

A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states

A. I don't know what I will do if they find I have cancer. Which of the following responses should the nurse make? B. Why do you think you might have cancer when your diagnosis is a benign condition? C. I'm hearing that you are concerned that it might turn out that you have cancer. D. I'm looking at your chart here and I don't see any reason for you to worry about that. E. I think that's something you need to discuss with your provider.

Correct Answer: B

Rationale: Reflecting 'I’m hearing that you are concerned' shows empathy, validates the client’s fear, and encourages further discussion, building trust.

ATI Mental Health PM 2023 | Nurselytic

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ATI LPN

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