ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in a psychiatric unit is admitting a client who attacked a neighbor. The nurse should know that the client can be kept in the hospital after the 72-hour hold is over for which of the following conditions?
Correct Answer: A
Rationale:
Correct Answer: A. The client can be kept in the hospital after the 72-hour hold is over if they are a danger to themselves or others. This is based on the principle of duty to warn and protect, ensuring the safety of the client and others. This decision is made to prevent harm and provide necessary treatment.
B: This choice is incorrect because unwillingness to accept treatment does not necessarily indicate immediate danger to self or others, which is the primary concern in this scenario.
C: Liking or disliking a neighbor is not a sufficient reason to keep a client in the hospital after the 72-hour hold. It does not address the immediate safety concerns.
D: Planning to move out of state does not indicate imminent danger to self or others, which is the primary factor in determining the need for continued hospitalization.
In summary, choice A is correct because it addresses the immediate safety risk, while the other choices do not directly relate to the client's current threat level.
Question 2 of 5
A home health care nurse is visiting an older adult client who tells the nurse that she is feeling tired, is unable to shop for groceries, and would like the nurse to shop for her. Shopping and performing personal errands for the client is prohibited in the nurse's job description. Which of the following is an appropriate nursing response?
Correct Answer: D
Rationale: The correct answer is D: "Let's look at some other resources to solve this problem." This response is appropriate because it acknowledges the client's needs while also maintaining professional boundaries. The nurse is offering to explore alternative solutions rather than directly providing the service, which aligns with the nurse's job description. By suggesting to look at other resources, the nurse is promoting independence and empowering the client to find a suitable solution.
Choice A is incorrect because it does not address the client's needs and is unprofessional.
Choice B is incorrect as it violates the nurse's job description.
Choice C is incorrect as it dismisses the client's current needs and does not offer a practical solution.
Question 3 of 5
A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?
Correct Answer: D
Rationale: The correct answer is D: Adopt a neutral attitude when providing care. This approach is appropriate because it helps build trust with a suspicious client by not triggering further distrust. By being neutral, the nurse avoids giving away personal information (
A) which could be perceived as manipulative, respects the client's boundaries by not overwhelming them with frequent interactions (
C), and doesn't passively wait for the client to initiate interaction (
B) which might reinforce their suspicions. Overall, maintaining a neutral attitude demonstrates professionalism, respect, and allows the client to gradually feel more comfortable without feeling pressured or intruded upon.
Question 4 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 5 of 5
A charge nurse is admitting a client who has bipolar disorder and who is in the manic phase. Which of the following room assignments should the nurse give the client?
Correct Answer: B
Rationale: The correct answer is B: A private room in a quiet location on the unit. This choice ensures a calm environment, minimizing stimulation which can exacerbate mania. A private room reduces distractions and promotes rest.
Choices A, C, and D may expose the client to increased stimuli, potentially worsening manic symptoms. It's crucial to provide a peaceful setting to support the client's recovery.