ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 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 because it focuses on de-escalating the situation and ensuring the safety of the client and others. By speaking calmly and giving simple directions, the nurse can help the client regain control and potentially prevent further escalation. Calling for assistance to place the client in restraints (
A) should only be used as a last resort for safety reasons. Escorting the client to an unlocked seclusion room (
B) may escalate the situation further. Offering a PRN antianxiety medication (
C) should only be considered after assessing the client and obtaining an order from a healthcare provider.
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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