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 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 2 of 5
A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?
Correct Answer: C
Rationale: The correct answer is C, supporting the client's wish to refuse prescribed medications, demonstrates the ethical concept of autonomy. Autonomy refers to the client's right to make their own decisions about their care. By supporting the client's wish to refuse medications, the nurse is respecting the client's autonomy and right to make choices about their treatment.
A: Encouraging client feedback about satisfaction with the facility experience relates to client satisfaction but not necessarily autonomy.
B: Explaining unit rules and policies regarding unacceptable behaviors is important for maintaining a safe environment but not directly related to autonomy.
D: Making sure the client understands expectations for participation is important for informed decision-making but not as directly related to autonomy as choice C.
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 observing a newly licensed nurse as she interacts with a client regarding his concerns about his relationship with his partner. Which of the following statements by the newly licensed nurse requires intervention by the nurse?
Correct Answer: B
Rationale: The correct answer is B. This statement implies a biased perspective favoring the partner, potentially invalidating the client's feelings. It is essential for a nurse to remain neutral and empathetic when assisting clients with their concerns, rather than suggesting one viewpoint over another. This could lead to the client feeling unheard or misunderstood. Other options (A, C,
D) demonstrate appropriate therapeutic communication techniques by encouraging the client to express feelings, working collaboratively on a plan, and acknowledging the challenges in relationships.
Question 5 of 5
A nurse is admitting a client who is in the manic phase of bipolar disorder. The nurse should plan to make which of the following room assignments for the client?
Correct Answer: C
Rationale: The correct answer is C: A private room close to the nursing station. This is the best option because it allows for close monitoring and quick access to the client in case of any escalating behaviors. Being close to the nursing station also provides a sense of security and support for the client.
Choice A is incorrect because although a private room is preferred, being in a quiet location on the unit may not allow for immediate monitoring by the nursing staff.
Choice B is incorrect because placing the client with a roommate who has similar symptoms can potentially exacerbate the situation and increase the risk of conflict or escalation.
Choice D is incorrect because seclusion should only be used as a last resort when all other options have been exhausted and when the client poses a danger to themselves or others. It is not appropriate for managing a client in the manic phase of bipolar disorder.