ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 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 2 of 5
A nurse is teaching a newly licensed nurse about reporting suspected child abuse. Which of the following statements indicates an understanding by the newly licensed nurse?
Correct Answer: D
Rationale: The correct answer is D: "If suspicion of abuse exists, then reporting is mandatory." This statement indicates an understanding of the legal and ethical obligations of healthcare workers regarding reporting suspected child abuse. Reporting is required when there is a reasonable suspicion of abuse, even if concrete evidence is lacking. This is to ensure the safety and well-being of the child.
Other choices are incorrect:
A: "Evidence must exist prior to reporting." - Incorrect because waiting for evidence could delay necessary intervention and compromise the child's safety.
B: "If the potential abuser commits to stopping the abuse, health care workers are not required to report it." - Incorrect because the commitment to stop does not negate the need to report and protect the child.
C: "I don't want to defame someone if the report is false." - Incorrect because the priority is the safety of the child, and reporting suspicions is necessary even if there is a possibility of a false report.
Question 3 of 5
A client who has major depressive disorder states to the nurse that he and his family would be better off if he were gone. Which of the following is the nurse’s priority response?
Correct Answer: C
Rationale: The correct answer is C, "Have you thought of harming yourself?" This is the priority response because the client's statement indicates possible suicidal ideation, a serious concern that requires immediate attention to ensure the client's safety. Asking directly about thoughts of self-harm allows for assessment of risk and appropriate intervention.
Choice A is incorrect as it indirectly addresses the issue and does not directly assess for potential harm.
Choice B is also incorrect as it does not address the client's suicidal ideation.
Choice D is incorrect as it focuses on the onset of feelings rather than immediate safety.
Question 4 of 5
A nurse is sitting in the day room at an acute care mental health facility with a group of clients who are watching television. Suddenly, one of the clients jumps up screaming and runs out of the room. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Follow the client to determine the cause of the behavior. This is the best course of action as the nurse should ensure the safety and well-being of the client who ran out of the room. By following the client, the nurse can assess the situation, provide support, and prevent any potential harm or escalation of the situation. It also allows the nurse to gather more information about the client's behavior and address any underlying issues.
Choices A, C, and D are incorrect. Asking the group for their thoughts may not address the immediate safety concerns of the client. Ignoring the incident can be dangerous as the client may be in distress. Asking another client to check on the situation is not appropriate as it is the responsibility of the nurse to assess and manage the situation directly.
Question 5 of 5
A nurse is caring for a hospitalized client who tells lies about other clients. The other clients on the unit frequently complain about the client's disruptive behaviors. Which of the following initial actions should the nurse take?
Correct Answer: B
Rationale: The correct initial action is choice B: Talk to the client and identify the specific limits that are required of the client's behavior. This approach focuses on addressing the disruptive behavior directly with the client, setting clear expectations, and establishing boundaries. By communicating with the client, the nurse can help the client understand the impact of their actions and work towards behavior change.
Choice A: Talking to the nursing staff may not directly address the client's behavior and may not lead to immediate resolution.
Choice C: Discussing the problem in a community meeting with other clients present may embarrass the client and not effectively address the behavior.
Choice D: Escorting the client to her room each time may be seen as punitive and may not address the underlying issue causing the disruptive behavior.
In summary, choice B is the most appropriate initial action as it focuses on addressing the behavior directly with the client and setting clear boundaries.