ATI RN
ATI Mental Health Assessment I 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: A verbal contract, where the client agrees to communicate before self-harming, promotes safety and trust. Excessive attention may reinforce negative behaviors, restraints are unethical preemptively, and limiting staff is secondary.
Question 2 of 5
A charge nurse is planning an in-service for newly licensed nurses on tort law in mental health care. Which of the following scenarios should the charge nurse provide as an example of an unintentional tort?
Correct Answer: A
Rationale: An unintentional tort, like negligence, occurs without intent to harm. Failing to clarify a prescription leading to a medication error is negligence. Posting private information, unauthorized restraints, and threats are intentional torts (breach of confidentiality, false imprisonment, and assault, respectively).
Question 3 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: A verbal contract, where the client agrees to communicate before self-harming, promotes safety and trust. Excessive attention may reinforce negative behaviors, restraints are unethical preemptively, and limiting staff is secondary.
Question 4 of 5
A nurse is assessing a client who takes diazepam for anxiety and hydromorphone for severe pain. Which of the following is the priority finding that the nurse should report to the provider?
Correct Answer: D
Rationale: Bradypnea, or slow breathing, is a life-threatening side effect of diazepam and hydromorphone due to central nervous system depression. It requires immediate attention to prevent respiratory failure. Urinary retention, blurred vision, and headache, while concerning, are not as urgent.
Question 5 of 5
A nurse on a mental health unit is planning a group therapy session about assertiveness training. For which of the following clients should the nurse recommend the training?
Correct Answer: D
Rationale: A client with somatic symptom disorder experiences excessive focus on physical symptoms. Assertiveness training can help them express needs effectively, reducing symptom focus. Delirium requires treating the underlying cause, not assertiveness training. Auditory hallucinations indicate psychosis, where symptom management is prioritized. Mania involves impulsivity, making training ineffective during acute episodes.