ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 of 5
A nurse is caring for a child who is on a clear liquid diet. At lunch the child consumed 1/2 cup of juice 3 oz gelatin 1 oz of an ice pop and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake?
Correct Answer: 260 mL
Rationale:
Step 1: Convert 1/2 cup of juice to mL: 1 cup = 240 mL so 1/2 cup = 120 mL.
Step 2: Convert 3 oz of gelatin to mL: 1 oz = 30 mL so 3 oz = 90 mL.
Step 3: Convert 1 oz of ice pop to mL: 1 oz = 30 mL.
Step 4: Ginger ale is 20 mL.
Step 5: Sum: 120 mL + 90 mL + 30 mL + 20 mL = 260 mL. The nurse should record 260 mL.
Question 2 of 5
The school nurse is seeing a 7-year-old child in the clinic and is concerned with behaviors and physical indications that indicate the child is being sexually abused. Which is the priority action by the nurse?
Correct Answer: D
Rationale: As a mandated reporter the nurse must document and report suspected abuse to protect the child. Discussing with parents risks further harm direct questioning may intimidate and consulting a coworker delays action.
Question 3 of 5
The nurse is caring for several clients on the behavioral health unit. Which client will be assessed as demonstrating aggression?
Correct Answer: B
Rationale: Grabbing a pool cue after stomping away indicates hostility and potential violence defining aggression. Crying verbalizing anger or refusing medication do not involve aggressive actions.
Question 4 of 5
The nurse is working with a client at the battered women's shelter who is in a violent and abusive relationship. The client is considering a separation and asks the nurse 'What do you think about that?' Which is the best response by the nurse?
Correct Answer: C
Rationale: This response is the most supportive and empowering for the client. It acknowledges the client's agency in making decisions and conveys hope that leaving may prompt the partner to realize the need to change their behavior. It avoids fear generalizations or threats fostering a non-judgmental environment.
Question 5 of 5
An alert oriented older adult client has been financially and emotionally abused by their adult children for the past several years but has not reported the abuse to anyone. Which reason does the nurse identify is most likely why the client has not reported the abuse?
Correct Answer: C
Rationale: Emotional closeness and fear of harming family often prevent reporting abuse. Laws protect against family abuse financial barriers are secondary and abuse includes non-physical forms.