ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 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 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 teaching a newly licensed nurse about appropriate actions to take when a client threatens to harm a specific individual. Which of the following statements by the newly licensed nurse indicates understanding?
Correct Answer: A
Rationale: The correct answer is A because warning the potential victim is crucial to ensuring their safety. By alerting the potential victim, appropriate measures can be taken to prevent harm.
Choice B is incorrect because in cases of harm to others, confidentiality can be breached to protect the safety of the potential victim.
Choice C is incorrect because immediate action is necessary, and waiting for a court order may delay intervention.
Choice D is incorrect because reporting to the psychiatrist may not be sufficient to prevent harm to the potential victim.
Question 4 of 5
A nurse is caring for an adolescent client who has a new diagnosis of schizophrenia. The client's parents are tearful and express feelings of guilt. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Encouraging the parents to discuss their feelings helps with emotional processing and coping.
Question 5 of 5
A nurse is caring for a client who is dying. The client says, "My mother died in the hospital, but I did not get there before she died." Which of the following statements should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: "I wonder if you are fearful of dying alone." This response shows empathy and understanding towards the client's emotional state. It acknowledges the client's feelings of fear and addresses the underlying concern regarding dying alone. It opens up a conversation for the client to express their emotions and concerns.
Incorrect choices:
A: "We will call your family in time for them to get here." - This choice focuses on logistics rather than addressing the client's emotional needs.
C: "I will make sure a staff member is in your room at all times." - This choice addresses physical safety but does not address the emotional aspect of the client's statement.
D: "I will tell your family of your concern so that they can be here." - This choice does not directly address the client's feelings and may not provide the emotional support needed.