ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who begins yelling and pacing around the room. Which of the following actions should the nurse take? (Select all that apply)
Correct Answer: D, E
Rationale: Short sentences (
D) and identifying stressors (E) de-escalate safely. Loud voice, direct stance, and restraints escalate without need.
Question 2 of 5
A nurse is reviewing laboratory results of a client who has schizophrenia and is taking risperidone. For which of the following findings should the nurse notify the provider?
Correct Answer: B
Rationale: Hyperglycemia (256 mg/dL) from risperidone needs reporting. WBC, sodium, and platelets are normal.
Question 3 of 5
A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Reality-based focus distracts from hallucinations safely. Sympathy reinforces, denial agitates, and avoiding questions limits insight.
Question 4 of 5
A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?
Correct Answer: B
Rationale: Asking about intent assesses immediate safety risk, the priority in aggression. Other options are secondary, focusing on long-term coping.
Question 5 of 5
A nurse is caring for a client who is prescribed massage therapy to treat panic disorder. The client states, I can't stand to be touched by another person. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Advocating for an alternative respects touch aversion in panic disorder. Assurance dismisses, gloves don’t solve, and why delays action.