ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in a drug and alcohol detoxification center is planning care for a client who has alcohol use disorder. Which of the following interventions should the nurse identify as the priority?
Correct Answer: B
Rationale: The correct answer is B: Providing for adequate hydration and rest. This is the priority because alcohol detoxification can lead to dehydration and withdrawal symptoms that can be life-threatening. Hydration and rest are essential to stabilize the client's physical condition.
Choice A is incorrect because focusing on positive personality traits is important but not the priority in the acute phase of detoxification.
Choice C is incorrect because confronting denial and defense mechanisms may be necessary but should be approached cautiously and not as the immediate priority.
Choice D is incorrect because educating the client about consequences is important for long-term recovery but not the priority during the acute phase of detoxification.
Question 2 of 5
A nurse is assessing a family as a system. Which of the following factors should the nurse include when assessing sociocultural context?
Correct Answer: D
Rationale: The correct answer is D: The family's religious practices. When assessing sociocultural context, understanding the family's religious practices is crucial as it influences beliefs, values, and behaviors within the family system. Religion can impact decision-making, coping mechanisms, and interactions among family members. It provides insight into rituals, traditions, and community connections.
Choices A, B, and C focus more on individual and family dynamics rather than sociocultural context. Option A pertains to personal identity, not sociocultural influences. Option B relates to future aspirations, not immediate sociocultural factors. Option C addresses family structure and roles, but not specifically related to sociocultural context.
Question 3 of 5
A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which of the following actions should the nurse identify as the priority?
Correct Answer: D
Rationale: A client who refuses a safety contract is at high risk, requiring constant supervision to ensure safety.
Question 4 of 5
A nurse enters the room of a client who becomes verbally abusive. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Speaking calmly helps de-escalate aggression.
Question 5 of 5
A nurse is caring for a client who is hospitalized for the treatment of severe depression. Which of the following nursing approaches is therapeutic to include in the client's plan of care?
Correct Answer: D
Rationale: The correct answer is D: Spending time sitting with the client. This approach promotes therapeutic communication and provides emotional support, showing the client they are not alone. It allows the nurse to actively listen, build rapport, and establish trust. Sitting with the client creates a safe space for them to express their feelings and concerns. Encouraging decision-making (
A) may be overwhelming for someone with severe depression. Playing a game of chess (
B) may not be suitable for someone who is not in the right mindset. Giving choices of activities (
C) may add unnecessary pressure.