Questions 38

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ATI Mental Health Assessment Exam Questions

Extract:


Question 1 of 5

A nurse in an urgent care clinic is caring for a school-age child who has several visible bruises. The child's parent states, 'My partner got fired today and came home angry. I don't think this will happen again.' Which of the following responses should the nurse make?

Correct Answer: D

Rationale: This response allows the nurse to gather more information in a non-confrontational manner, building rapport while assessing the child's safety. Agreeing without investigation (
A) is inappropriate, suggesting charges (
B) is premature, and calling the police (
C) requires a thorough assessment first.

Question 2 of 5

A nurse is preparing to teach a client who has major depressive disorder and is scheduled to undergo electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?

Correct Answer: B

Rationale: ECT is delivered through electrodes attached to the head to induce a brief seizure, which can alleviate severe depressive symptoms. ECT is not contraindicated for psychotic symptoms or suicidal ideation and is performed under general, not regional, anesthesia.

Question 3 of 5

A nurse is caring for a client who has a history of suicide attempts. Which of the following findings places the client at risk for another suicide attempt?

Correct Answer: B,C

Rationale: Depression and delusions, particularly those causing hopelessness, are significant suicide risk factors. Hallucinations, catatonia, and tinnitus are less directly associated without other factors.

Question 4 of 5

A nurse is caring for a client who has become violent and is threatening self-harm following a crisis. After ensuring enough staff are available, which of the following actions should the nurse take first?

Correct Answer: C

Rationale: Acknowledging the client's emotions can de-escalate the situation, reducing immediate risks. Sedatives, debriefing, and restraints are secondary to verbal and emotional support.

Question 5 of 5

A nurse is assessing a client who has delirium as a result of sepsis. Which of the following manifestations should the nurse expect? (Select all that apply.)

Correct Answer: B,C,E

Rationale: Rapid mood changes, hallucinations, and restlessness are common in delirium due to fluctuating cognitive status, sensory misperceptions, and agitation. Slow speech and unaltered consciousness are not typical.

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