ATI RN
ATI Mental Health assessment 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: The correct answer is D: "I'd like to know more about what happened. Let's sit and talk." This response shows the nurse's commitment to gathering more information before taking any action. It demonstrates empathy towards the parent's situation while also prioritizing the child's safety. By engaging in a conversation, the nurse can assess the severity of the situation, provide support, and offer appropriate resources.
Choice A (I agree with you I'm sure this will never happen again) lacks critical thinking and may overlook the seriousness of the situation.
Choice B (This is awful. You should file charges against your partner) immediately suggests legal action without understanding the full context.
Choice C (This is clearly child endangerment. I will have to call the police) jumps to conclusions and may escalate the situation unnecessarily.
Question 2 of 5
A nurse is caring for a client who is receiving haloperidol 2 mg IM every 6 hr. Available is haloperidol 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.4
Rationale: The correct answer is 0.4 mL.
To calculate this, we use the formula: Volume (mL) = Dose (mg) / Concentration (mg/mL). In this case, Dose = 2 mg and Concentration = 5 mg/mL.
Therefore, Volume = 2 mg / 5 mg/mL = 0.4 mL. The nurse should administer 0.4 mL of haloperidol.
Explanation for other choices:
- A, B, C, D, E, F, G: These choices are incorrect as they do not follow the correct calculation based on the given dose and concentration of the medication. The correct answer is 0.4 mL, which is derived from the precise calculation using the formula.
Question 3 of 5
A nurse is discussing discipline techniques with the parent of a preschooler. Which of the following statements by the parent indicates an understanding of time-out as a form of discipline?
Correct Answer: D
Rationale: The correct answer is D because using a kitchen timer to mark the end of the time-out period is a crucial aspect of implementing time-out effectively. This shows that the parent understands the importance of setting a specific duration for the time-out, which helps the child learn from the consequence of their behavior without feeling abandoned or isolated.
A: This choice does not specify the duration of the time-out, which is essential for consistency and effectiveness.
B: Sending the child to their room does not necessarily indicate a structured time-out process.
C: Giving warnings before using time-out may undermine the effectiveness of the technique as it provides opportunities for the child to continue misbehaving.
Summary: The other choices lack the specificity and structure required for an effective time-out strategy.
Question 4 of 5
A nurse is caring for a client who reports a history of frequent alcohol consumption. Which of the following questions should the nurse ask when screening for alcohol use disorder?
Correct Answer: A
Rationale: The correct answer is A: "Has a family member indicated that you should cut down on your drinking?" This question is relevant for screening alcohol use disorder as it assesses the impact of the client's drinking on their relationships and social interactions. It also indirectly explores the client's level of alcohol consumption and its consequences. It is important in screening for alcohol use disorder to consider the influence of family members as they often observe changes in behavior related to alcohol abuse.
Choice B: "Have you had a glass of wine in the last week?" is too specific and does not provide insight into the pattern or consequences of alcohol consumption.
Choice C: "Do you drink alcohol with your friends?" focuses on social aspects rather than assessing for problematic drinking behaviors.
Choice D: "Do you enjoy drinking alcohol?" is subjective and does not directly address the potential presence of alcohol use disorder.
Question 5 of 5
A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?
Correct Answer: D
Rationale: The correct answer is D: "Let's discuss how to get you the help you need." This response demonstrates therapeutic communication by acknowledging the client's concerns, expressing willingness to help, and initiating a collaborative discussion to address the client's needs effectively.
Option A is incorrect as suggesting medication without further assessment is not therapeutic. Option B is dismissive and minimizes the client's feelings. Option C implies the client should rely on family rather than addressing the issue directly.
In summary, option D is the best choice as it shows empathy, offers support, and encourages open communication to address the client's needs effectively.