ATI RN
ATI RN Mental health 2019 NGN II Questions
Extract:
Question 1 of 5
A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?
Correct Answer: D
Rationale: Assessing intent to harm ensures immediate safety guiding further interventions to protect others.
Question 2 of 5
A nurse in a provider's office is assessing a school-age child who has a spiral fracture. The parent of the child provides different accounts of the cause of the injury. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Assessing immediate safety ensures the child's protection before further investigation or reporting.
Question 3 of 5
A nurse is assessing a patient with bipolar disorder. Which of the following aspects of the assessment should the nurse consider as part of the physical assessment? Select all that apply.
Correct Answer: A,B,C,D,E
Rationale: All listed aspects address physical and cognitive impacts of bipolar disorder ensuring comprehensive care.
Question 4 of 5
A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted another client. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Provider assessment within 1 hour ensures the necessity and safety of restraints post-assault.
Question 5 of 5
A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Documenting refusal respects autonomy and informs the care team maintaining ethical standards.