ATI RN
ATI Mental Health assessment Questions
Extract:
Question 1 of 5
A nurse in an acute care facility is assessing a client who has schizophrenia. The client states,Walk tall broom short dag bell. The nurse should document the client's speech as which of the following speech patterns?
Correct Answer: B
Rationale: Word salad refers to incoherent random word combinations as seen in the client's speech typical in schizophrenia.
Question 2 of 5
A nurse is conducting an admission assessment for a client who is experiencing a manic episode of bipolar disorder. Which of the following behaviors should the nurse expect? (Select all that apply.)
Correct Answer: A,B,D
Rationale: Grandiosity flight of ideas and hyperactivity are typical in mania.
Question 3 of 5
A nurse is planning care for a client who requires close observation. Which of the following rights should the nurse identify that the client has forfeited due to the potential for safety hazards?
Correct Answer: D
Rationale: Close observation for safety temporarily limits privacy.
Question 4 of 5
A nurse is caring for a client who has become violent and is threatening self-harm following a crisis. After ensuring enough staff are available,which of the following actions should the nurse take first?
Correct Answer: C
Rationale: Acknowledging emotions can de-escalate the situation.
Question 5 of 5
A nurse is using de-escalation techniques with a client who has become verbally aggressive with a staff member. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Understanding the cause aids de-escalation.