ATI Mental Health Assessment Exam | Nurselytic

Questions 38

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ATI Mental Health Assessment Exam Questions

Extract:


Question 1 of 5

A nurse is caring for a client who has become violent and is threatening self-harm following a crisis. After ensuring enough staff are available, which of the following actions should the nurse take first?

Correct Answer: C

Rationale: The correct answer is C: Acknowledge the client's emotions. This is the first action the nurse should take in this situation because it helps establish a therapeutic relationship and shows empathy towards the client's feelings. Acknowledging the client's emotions can help de-escalate the situation and allow the client to feel heard and understood. Administering a sedative medication (
A) should not be the first action as it may escalate the situation further. Performing a debriefing with staff (
B) is important but should come after ensuring immediate safety. Placing the client in restraints (
D) should be a last resort and only used if all other de-escalation techniques have failed.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

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