ATI RN
ATI Mental Health Assessment Exam Questions
Extract:
Question 1 of 5
A nurse is admitting a client who has borderline personality disorder and is at risk for self-mutilation. Which of the following interventions should the nurse incorporate in the plan of care?
Correct Answer: C
Rationale: The correct answer is C: Obtain a verbal contract from the client. This intervention involves the client agreeing not to engage in self-mutilation. It promotes client autonomy and responsibility for their actions, fostering a sense of empowerment. Verbal contracts can enhance communication and trust between the nurse and client, providing an opportunity for open dialogue about coping strategies and alternatives to self-harm. This intervention also encourages the client to actively participate in their own care and treatment plan.
Regarding the other choices:
A: Providing additional attention may reinforce maladaptive behaviors and can lead to dependency.
B: Applying mechanical restraints is a restrictive and potentially traumatic intervention that should only be used as a last resort for safety concerns.
D: Limiting staff members may impede the client's access to necessary support and therapeutic interactions.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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