ATI RN
ATI Mental Health Assessment I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a history of suicide attempts. Which of the following findings places the client at risk for another suicide attempt? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Hallucinations, depression, delusions, and catatonia increase suicide risk due to distress, low mood, distorted thinking, or severe psychomotor issues. Tinnitus, while bothersome, is not a direct risk factor.
Question 2 of 5
A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder (OCD). Which of the following interventions should the nurse include?
Correct Answer: C
Rationale: A structured schedule helps clients with OCD manage time and reduce compulsive behaviors by promoting routine. Detailed explanations are secondary, stimulating environments increase anxiety, and limiting ritual time is impractical without behavioral therapy.
Question 3 of 5
A charge nurse is providing education to a group of newly licensed nurses about the rights of clients who are involuntarily admitted. Which of the following responses indicates understanding of the teaching?
Correct Answer: C
Rationale: Involuntarily admitted clients retain the right to vote, a fundamental right. They can receive packages (not a right), participate in research with consent, and refuse medications unless court-ordered.
Question 4 of 5
A nurse is admitting a client who has borderline personality disorder and is at risk for self-mutilation. Which of the following interventions should the nurse incorporate in the plan of care?
Correct Answer: C
Rationale: A verbal contract, where the client agrees to communicate before self-harming, promotes safety and trust. Excessive attention may reinforce negative behaviors, restraints are unethical preemptively, and limiting staff is secondary.
Question 5 of 5
A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take?
Correct Answer: D
Rationale: Requesting an evaluation within 12 hours ensures the client’s condition is reassessed, and restraint necessity is reviewed. Documentation is ongoing, prolonged restraint use is inappropriate, and debriefing is secondary.