ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in a rehabilitation center is planning care for a newly admitted client who has a history of alcohol use disorder. Which of the following client goals is the highest priority?
Correct Answer: D
Rationale: The correct answer is D: The client's withdrawal from alcohol will be managed without complications. This is the highest priority goal because alcohol withdrawal can be life-threatening, requiring close monitoring and intervention to prevent complications like seizures or delirium tremens. It ensures the client's safety and well-being.
Choice A is important but not the highest priority as the client's physical health takes precedence.
Choice B focuses on long-term goals and can be addressed after managing withdrawal.
Choice C addresses anxiety but doesn't address the immediate risks of alcohol withdrawal. Overall, managing withdrawal without complications is the most critical goal to prioritize in this scenario.
Question 2 of 5
A nurse is teaching about electroconvulsive therapy (ECT) with a newly licensed nurse. The nurse should identify that the newly licensed nurse understands the teaching when she states that ECT treats which of the following disorders?
Correct Answer: B
Rationale: ECT is most commonly used for treatment-resistant major depressive disorder.
Question 3 of 5
A nurse in an acute mental health facility is caring for a client who jumps out of her chair and begins to shout angrily at the clients around her. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Speak to the client calmly, giving simple directions. This is the first action the nurse should take to de-escalate the situation. By speaking calmly and providing simple directions, the nurse can help the client regain control and potentially prevent further escalation of aggression. Calling for assistance to place the client in restraints (
A) should only be considered as a last resort to ensure safety. Escorting the client to an unlocked seclusion room (
B) may escalate the situation and should not be the first action. Offering the client a PRN antianxiety medication (
C) should come after attempting verbal de-escalation.
Question 4 of 5
A nurse is planning care for a client who demonstrates manipulative behavior. Which of the following actions should be included in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Set clear and consistent limits on manipulative behaviors. This is important because setting boundaries helps maintain a therapeutic relationship and ensures the client understands what is acceptable. Allowing manipulation (choice
A) enables the behavior to continue and does not address the underlying issue. Avoiding discussing past behaviors (choice
B) may hinder the client's progress in understanding and changing their behavior. Bargaining with the client (choice
C) can reinforce manipulative behavior and undermine the nurse's authority. Setting clear and consistent limits (choice
D) establishes expectations and promotes accountability, leading to more effective interventions and improved client outcomes.
Question 5 of 5
A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and finds that the client demonstrates constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?
Correct Answer: A
Rationale: The correct answer is A: Decrease anxiety. In the context of OCD, constant repetitive cleaning is a common compulsive behavior aimed at reducing anxiety related to obsessive thoughts. Cleaning provides a sense of control and temporary relief from anxiety.
Choice B is incorrect because cleaning is not typically aimed at preventing aggression or impulsivity.
Choice C is incorrect as cleaning behavior in OCD is not intended to manipulate others.
Choice D is incorrect because the primary goal of cleaning in OCD is not to decrease interaction time but rather to alleviate anxiety.