ATI RN
ATI nsg 133 Mental Health Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client three days after admission for treatment of depression. The client leaves her current activity, approaches the nurse, and states, 'There's no reason to go on living. I just want to end it all.' Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct action is choice A: Ask the client if she has a plan to commit suicide. This is important because the client's statement indicates suicidal ideation, which should never be ignored. Asking about a suicide plan helps assess the severity of the situation and the immediate risk to the client's safety. It allows the nurse to determine the necessary interventions, such as involving mental health professionals or activating suicide prevention protocols.
Choices B, C, and D are incorrect because they do not address the seriousness of the client's statement and fail to provide appropriate support or intervention for someone expressing suicidal thoughts. Ignoring or dismissing such statements can have serious consequences.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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