ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is admitting a client who is exhibiting manic behavior. The client reports recent personal stressors including the loss of her mother and a divorce. Which of the following is the priority nursing action?
Correct Answer: D
Rationale: Safety is the priority for clients experiencing manic episodes, as they are at risk for self-harm.
Question 2 of 5
A client commits suicide in an acute mental health facility. Which of the following is the priority intervention for staff following this incident?
Correct Answer: C
Rationale: Identifying warning signs in client behavior helps prevent future suicides and improves staff awareness.
Question 3 of 5
A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?
Correct Answer: D
Rationale: Giving away personal possessions is a warning sign of suicidal intent.
Question 4 of 5
A nurse is assisting a client who has schizophrenia prepare a relapse plan. Which of the following statements should the nurse make?
Correct Answer: C
Rationale: Keeping contact information for healthcare providers ensures timely intervention if symptoms worsen.
Question 5 of 5
A nurse on an inpatient mental health unit is caring for a client who has major depressive disorder and malnutrition. Which of the following actions should the nurse take to improve the client's nutritional status?
Correct Answer: D
Rationale: The correct answer is D: Sit with the client during meals and snacks. This action promotes a therapeutic relationship and provides emotional support, which can help increase the client's motivation to eat. The nurse can also monitor the client's food intake and provide encouragement. Enrolling the client in a nutritional class (
A) may not address the immediate need for support during meals. Weighing the client daily (
B) is important for monitoring progress but does not directly address the client's emotional needs. Consulting with a chaplain (
C) may be beneficial for spiritual support but does not address the client's nutritional needs.