ATI Mental Health Exam II | Nurselytic

Questions 85

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ATI RN Test Bank

ATI Mental Health Exam II Questions

Extract:


Question 1 of 5

A nurse is caring for a client who attacked one of her friends and is admitted to the psychiatric unit. Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: The correct answer is C: Set behavioral limits for the client first. By establishing behavioral limits, the nurse ensures the safety of both the client and others in the unit. This action is crucial in managing the immediate risk of harm and maintaining a therapeutic environment. Exploring the truth of the client's statements (
B) can come later once safety is ensured. Explaining that the behavior was unacceptable (
A) may trigger aggression. Establishing a client relationship (
D) is important but should come after setting behavioral limits.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

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Question 4 of 5

Correct Answer:

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Question 5 of 5

Correct Answer:

Rationale:

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