ATI RN
ATI Mental Health Exam II Questions
Extract:
Question 1 of 5
A nurse in an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated?
Correct Answer: D
Rationale: Seclusion is generally contraindicated for clients who have attempted suicide. Placing them in isolation can worsen feelings of despair and isolation, potentially increasing the risk of self-harm or suicide. These clients require close monitoring, support, and therapeutic interventions to address the underlying issues.
Question 2 of 5
A community health nurse is providing teaching to the family of a client who has dementia. Which of the following manifestations should the nurse tell the family to expect?
Correct Answer: B
Rationale: Forgetfulness that gradually progresses to disorientation is a hallmark of dementia due to progressive cognitive decline.
Question 3 of 5
A nurse is preparing to administer haloperidol 75 mg IM per week. Available is haloperidol decanoate 100 mg/ml for injection. How many ml should the nurse administer per dose? (Round the answer to the nearest hundredth. Use a leading zero if it applies.)
Correct Answer: 0.75
Rationale:
To calculate the volume (mL) of haloperidol decanoate needed, use the formula: Volume (mL) = Dose (mg) / Concentration (mg/mL). Given Dose = 75 mg and Concentration = 100 mg/mL, Volume = 75 mg / 100 mg/mL = 0.75 mL.
Question 4 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a variety of hallucinations. Which of the following hallucinations is the priority for the nurse to address?
Correct Answer: B
Rationale: Command hallucinations involve hearing voices that command the individual to take specific actions, often harmful ones. These types of hallucinations are considered a significant priority because they can lead to dangerous behaviors, self-harm, or harm to others. Addressing and managing command hallucinations promptly is crucial to ensure the safety of the individual and those around them.
Question 5 of 5
A nurse observes that a client who has depression is sitting alone in the room crying. As the nurse approaches, the client states, 'I'm feeling really down and don't want to talk to anyone right now.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: This response shows empathy and support without pushing the client to talk or sharing personal experiences. It respects the client's desire for space and acknowledges their emotions without being intrusive.