ATI RN
ATI RN Custom NURS 120 Psychiatric Nursing FA23 Exam 2 Questions
Extract:
Question 1 of 5
A nurse in an acute care mental health facility is caring for a client who has depression. After 3 days of treatment, the nurse notices that the client suddenly seems cheerful and relaxed and there are no longer signs of a depressive state. Which of the following interventions is appropriate to include in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Monitor the client's whereabouts at all times. This is important because sudden changes in behavior, such as going from depressed to cheerful, may indicate a potential risk for self-harm or harm to others. By monitoring the client's whereabouts, the nurse can ensure the client's safety and intervene promptly if necessary.
Other choices are incorrect:
A: Encouraging the family to take the client out may not address the underlying cause of the sudden change in behavior.
B: Rewarding the client for the change in behavior may reinforce potentially harmful behavior.
C: Asking the client why her behavior has changed may not be effective if the client is not forthcoming or if there are safety concerns.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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