ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a 9-year-old boy who has a new diagnosis of diabetes mellitus and is eager to return to school and participate in social events. The mother tells the nurse she is afraid to let him take part in physical activities at school. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "Tell me more about how you are feeling about your son's activities!" This response is appropriate as it shows empathy and allows the mother to express her concerns openly. By actively listening and encouraging her to share her feelings, the nurse can better understand her perspective and provide tailored support and education. It also helps build a trusting relationship between the nurse and the mother.
Choices B, C, and D are incorrect. B suggests an extreme solution of homeschooling without addressing the mother's concerns. C dismisses the mother's fears and does not address her emotional needs. D could potentially alienate the mother by labeling her as overprotective without exploring the underlying reasons for her concerns.
Question 2 of 5
A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?
Correct Answer: C
Rationale: The correct answer is C, supporting the client's wish to refuse prescribed medications, demonstrates the ethical concept of autonomy. Autonomy refers to the client's right to make their own decisions about their care. By supporting the client's wish to refuse medications, the nurse is respecting the client's autonomy and right to make choices about their treatment.
A: Encouraging client feedback about satisfaction with the facility experience relates to client satisfaction but not necessarily autonomy.
B: Explaining unit rules and policies regarding unacceptable behaviors is important for maintaining a safe environment but not directly related to autonomy.
D: Making sure the client understands expectations for participation is important for informed decision-making but not as directly related to autonomy as choice C.
Question 3 of 5
A nurse is caring for a client following a recent suicide attempt. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Inspect the client's personal belongings. This is important to ensure the client's safety by removing any potentially harmful items. Placing metal utensils (
A) could pose a danger. Assigning to a private room (
B) may increase isolation. Tucking bedcovers (
D) may restrict movement.
Question 4 of 5
A nurse in an emergency department is caring for a client who is experiencing acute alcohol withdrawal. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: The correct answer is A: Implement seizure precautions. This is the first action the nurse should take because acute alcohol withdrawal can lead to seizures, which are life-threatening. Implementing seizure precautions involves ensuring a safe environment, such as padding the client's bed rails and removing any potentially harmful objects. This intervention takes priority over the other options because it addresses the immediate risk to the client's safety.
Inserting an IV access site (choice
B) and obtaining a blood specimen (choice
C) may be necessary interventions but should not take precedence over ensuring the client's safety from potential seizures. It is important to address the most critical issue first in emergency situations.
Question 5 of 5
A nurse in an emergency department is assessing a client who has been taking haloperidol for 3 months. The client has a temperature of 39.5° C (103.4° F), blood pressure of 150/110 mm Hg, and muscle rigidity. Which of the following complications should the nurse suspect?
Correct Answer: D
Rationale: The correct answer is D: Neuroleptic malignant syndrome (NMS). NMS is a rare but life-threatening side effect of antipsychotic medications like haloperidol. The client's symptoms of high fever, elevated blood pressure, and muscle rigidity are classic signs of NMS. The nurse should suspect NMS due to the acute onset of these symptoms in a client taking haloperidol.
A) Agranulocytosis is a potential side effect of antipsychotic medications but does not present with the same symptoms as NMS.
B) Akathisia is characterized by restlessness and does not typically involve fever or muscle rigidity.
C) Tardive dyskinesia is a movement disorder that develops with long-term antipsychotic use and does not present acutely with fever and elevated blood pressure.
Therefore, the correct choice is D as it aligns with the client's presentation and medication history.