Questions 54

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ATI RN Mental Health 2023 Exam 2 Questions

Extract:


Question 1 of 5

A nurse in an acute care mental health facility is caring for a client who has been placed in seclusion following an acute violent episode. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Obtaining a prescription within 30 minutes ensures legal/ethical justification. Documentation should be more frequent, 6 hours exceeds limits, and vital signs need closer monitoring.

Question 2 of 5

A nurse is caring for a client who has a substance use disorder. The client states, 'The state took my child away after my overdose. I don’t want to go on living without them.' Which of the following therapeutic responses should the nurse make?

Correct Answer: C

Rationale: Asking about self-harm assesses suicide risk, the priority. Counseling promises are false, sedatives avoid the issue, custody is premature.

Question 3 of 5

A nurse is creating a plan of care for a client who has schizophrenia and is experiencing command hallucinations. Which of the following interventions should the nurse include in the plan?

Correct Answer: A

Rationale: Low stimuli reduce hallucination intensity and agitation. Eye contact builds trust, socialization may overwhelm, and touch could be misinterpreted.

Question 4 of 5

A nurse in a rehabilitation center is caring for a client who has bipolar disorder. Which of the following actions by the client indicates mania?

Correct Answer: A

Rationale: Constant talking (pressured speech) indicates mania’s high energy. Inferiority and hypersomnia suggest depression, memory loss isn’t mania-specific.

Question 5 of 5

A nurse is preparing to teach a client who has moderate anxiety about what to expect after their upcoming cardiac catheterization. Which of the following actions should the nurse plan to take?

Correct Answer: A

Rationale: Short, simple sentences aid comprehension for anxious clients. Videos or details may overwhelm, avoiding questions limits engagement.

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