ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in an emergency department is caring for a client who is experiencing acute alcohol withdrawal. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Implement seizure precautions. This is the first action the nurse should take because acute alcohol withdrawal can lead to seizures, which are life-threatening. Implementing seizure precautions involves ensuring a safe environment, such as padding the client's bed rails and removing any potentially harmful objects. This intervention takes priority over the other options because it addresses the immediate risk to the client's safety.
Inserting an IV access site (choice
B) and obtaining a blood specimen (choice
C) may be necessary interventions but should not take precedence over ensuring the client's safety from potential seizures. It is important to address the most critical issue first in emergency situations.
Question 2 of 5
A charge nurse is discussing suicide interventions with nursing staff. Which of the following should the nurse identify as an example of secondary intervention?
Correct Answer: D
Rationale: Secondary intervention involves direct care during a suicide crisis, such as life-saving measures.
Question 3 of 5
A nurse is discussing obsessive-compulsive disorder (OCD) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the underlying reason clients with OCD perform ritualistic behaviors?
Correct Answer: C
Rationale: OCD rituals are performed to reduce anxiety, even if they are illogical or excessive.
Question 4 of 5
A nurse caring for a client who has depression observes the client comes to breakfast freshly bathed, wearing clean clothes, and with combed and styled hair. Which of the following responses by the nurse is therapeutic?
Correct Answer: C
Rationale: A neutral, observational statement acknowledges the client’s effort without assuming improvement.
Question 5 of 5
A nurse is assessing a client who has a history of alcohol use disorder. Which of the following questions should the nurse include to determine how alcohol use affects the client's psychosocial behaviors?
Correct Answer: A
Rationale:
Rationale: Asking how alcohol use affects work performance helps assess psychosocial impact by identifying functional impairment related to alcohol. This question can reveal issues with productivity, relationships, and financial stability. Other options focus on treatment history, age of onset, and mental health, which are important but not directly related to current psychosocial impact.