ATI RN Mental Health 2023 Exam 2 | Nurselytic

Correct Answer: C

Rationale: The correct answer is C: Provide environmental cues. Delirium can be triggered by environmental factors. Providing familiar cues, such as a clock or calendar, can help orient the client and decrease confusion, promoting safety. A: Promoting decision making may overwhelm the client. B: Discouraging visits can worsen feelings of disorientation. D: Physical restraints should be avoided as they can increase agitation and risk of injury.

Correct Answer: C

Rationale: The correct answer is C: Ask the client if he intends to harm others. This is the priority action because it directly addresses the safety of other clients. By assessing the client's intent, the nurse can determine the level of risk and take appropriate measures to prevent harm. Option A focuses on anger management, which is not the immediate concern. Option B is helpful but does not address the current aggressive behavior. Option D is also important but does not address the immediate safety issue. It is crucial to prioritize safety in situations involving aggression in a mental health facility.

Correct Answer: B

Rationale: The correct answer is B. The nurse should explain to the client that the duration of grief is highly variable and can last for years. This is important because grief is a complex and individual process that can take a significant amount of time to work through. By providing this information, the nurse can help the client understand that feeling depressed after 9 months is not uncommon and that it is okay to take the time needed to heal.


Choice A is incorrect because recommending more solitary activities may further isolate the client, exacerbating feelings of depression.
Choice C is incorrect as avoiding discussing the events surrounding the sibling's death may hinder the client's ability to process their grief.
Choice D is incorrect as cautioning the client against feeling angry at the sibling may invalidate the client's emotions.

Correct Answer: B

Rationale: The correct answer is B: A client who has conversion disorder. Clients with conversion disorder may experience sensory impairments such as blindness or paralysis that cannot be explained by medical conditions. The nurse should assess for risks related to these impairments to ensure the client's safety.
Incorrect choices:
A: A client with narcissistic personality disorder does not typically present with sensory impairments.
C: A client with mild anxiety disorder may have heightened sensory perception but not necessarily sensory impairments.
D: A client with severe obsessive-compulsive disorder may have sensory sensitivities but not impairments like those seen in conversion disorder.

Correct Answer: A

Rationale: The correct answer is A: Let's discuss what you feel embarrassed about. This response demonstrates active listening and empathy, encouraging the client to open up about their feelings without judgment. It shows support and willingness to help address the underlying issue.
Choice B is incorrect as it may pressure the client to disclose information prematurely.
Choice C is dismissive and does not validate the client's feelings.
Choice D generalizes and does not address the client's specific situation.