ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in a mental health facility is interacting with a client who is angry and becoming increasingly aggressive. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Move the client to a private area so the conversation will not be disturbed. This action is important to ensure the safety and privacy of both the client and the nurse. Moving the client to a private area can help de-escalate the situation by reducing external stimuli that may exacerbate the client's aggression. It also allows for a more confidential and therapeutic interaction. In contrast, the other options may not effectively address the client's escalating aggression. Using clarification (
B) may be useful but does not address the immediate safety concern. Speaking authoritatively (
C) may escalate the situation further. Maintaining eye contact (
D) can be perceived as confrontational and may further agitate the client.
Question 2 of 5
A nurse on an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated?
Correct Answer: A
Rationale: The correct answer is A. Seclusion is contraindicated for an adult client following a suicide attempt due to the risk of exacerbating feelings of isolation and hopelessness. Seclusion should not be used as a punitive measure for clients in distress.
Choice B is incorrect because seclusion may be necessary to protect staff from physical harm.
Choice C is incorrect as seclusion could be used as a last resort to prevent harm to other clients.
Choice D is incorrect because seclusion may help calm and provide a safe environment for an older adult client experiencing overstimulation.
Question 3 of 5
A nurse manager is providing staff education about working with clients who have a history of anger and aggression. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A, B, E
Rationale:
Correct Answer: A, B, E
Rationale:
A: Avoid wearing necklaces during client care - This is correct as clients with a history of anger and aggression may use any objects within reach as weapons. Removing jewelry can prevent any potential harm.
B: Know the layout of the facility - Important for quick exit strategies and to navigate the environment efficiently during crisis situations, ensuring staff and client safety.
E: Provide immediate verbal feedback for escalating behavior - Timely feedback can help de-escalate the situation and prevent further aggression by addressing the behavior right away.
Incorrect
Choices:
C: Stand directly in front of the client when talking - This may be perceived as confrontational by clients and can escalate aggression.
D: Bring security with you for all client interactions - While security may be necessary in some cases, it is not always feasible or appropriate for every interaction. This choice is too extreme and does not promote therapeutic communication.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of human immunodeficiency virus (HIV). He states, "I don't care what the doctors say, there is no way I can have HIV, and I don't need treatment for something I don't have." The nurse identifies that the client is experiencing which of the following types of crisis?
Correct Answer: D
Rationale: A situational crisis arises from unexpected events, such as a new medical diagnosis.
Question 5 of 5
A nurse is caring for a client who has been diagnosed with obsessive-compulsive disorder (OCD) and is constantly picking up after others in the day room. The nurse should recognize that the client uses this behavior to do which of the following?
Correct Answer: D
Rationale: The correct answer is D: Decrease anxiety to a tolerable level. In this scenario, the client with OCD is engaging in compulsive behavior (picking up after others) to alleviate their anxiety. This behavior serves as a coping mechanism to reduce the distress caused by obsessive thoughts. By organizing and cleaning, the client feels a temporary sense of relief from their anxiety. Other choices are incorrect because: A would not limit interaction, B doesn't address the anxiety component, and C is more about controlling others instead of self-soothing.