ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse in the emergency department is creating a plan of care for a client experiencing alcohol intoxication. Which of the following interventions should the nurse plan to include? (Select all that apply.)
Correct Answer: A, B, C, D
Rationale: The correct interventions for a client experiencing alcohol intoxication are A, B, C, and D. A blood sample is needed to assess alcohol levels and other potential issues. A CT scan may be necessary to rule out head trauma or other brain-related injuries. Checking pupil reactivity helps assess neurological status, and obtaining a urine specimen is crucial for drug screening and kidney function evaluation. Options E and F are incorrect as they are not directly related to managing alcohol intoxication. Option F is left blank intentionally as it does not apply to this scenario.
Question 2 of 5
A nurse in an acute mental health unit is admitting a client who has bipolar disorder. Which of the following findings supports the admitting diagnosis of acute mania?
Correct Answer: C
Rationale: Disorganized speech is a common symptom of acute mania, reflecting rapid and pressured speech patterns.
Question 3 of 5
A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, 'I don't know what I will do if they find I have cancer.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct response is D: "I'm hearing that you are concerned that it might turn out that you have cancer." This answer demonstrates active listening, empathy, and acknowledgment of the client's feelings without dismissing or invalidating them. By paraphrasing the client's concerns, the nurse shows understanding and provides an opportunity for the client to express their fears further.
Choice A is incorrect because it challenges the client's perception rather than validating their feelings.
Choice B is dismissive and does not address the client's emotional needs.
Choice C shifts the responsibility to the provider and misses the opportunity for the nurse to offer support.
In summary, choice D is the most appropriate response as it acknowledges the client's emotions, fosters open communication, and demonstrates empathy, which are essential in providing holistic care.
Question 4 of 5
A nurse is assessing a client who has post-traumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?
Correct Answer: C
Rationale: Avoidance of discussing the traumatic event is a key symptom of PTSD.
Question 5 of 5
A nurse enters the room of a client who becomes verbally abusive. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Speaking calmly helps de-escalate aggression.