ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has bipolar disorder. The client says to the nurse, 'Give me your pen to cut the pain out of my chest.' The nurse should identify that the client is at risk for which of the following?
Correct Answer: D
Rationale: The client's statement, 'Give me your pen to cut the pain out of my chest,' explicitly indicates a desire to self-harm, pointing to a risk for self-mutilation. An illusion involves misinterpreting real stimuli, a hallucination involves false sensory perceptions, and attention-seeking behavior seeks attention without intent to harm. Self-mutilation aligns with the intent to alleviate emotional distress through physical harm.
Question 2 of 5
A client receives a court order for commitment. Which concept exemplifies a 'least restrictive environment'?
Correct Answer: C
Rationale: Outpatient commitment allows treatment with greater independence, embodying the least restrictive environment. Inpatient units, padded rooms, and sedation are more restrictive.
Question 3 of 5
A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Quick-release ties prioritize safety for emergency removal. Checking every 2 hours, securing to the bed frame, and ensuring two-finger space are correct practices, not the alternatives.
Question 4 of 5
A psychiatric-mental health nurse is working on an inpatient unit that uses a privilege system. The nurse understands that this intervention integrates which group of theories?
Correct Answer: D
Rationale: Privilege systems use behavioral theories, reinforcing desired behaviors with rewards (operant conditioning). Developmental theories focus on growth stages, humanistic on self-actualization, and cognitive on thought processes, none central to privilege systems.
Question 5 of 5
While working with an older client, a nurse begins to think of the client as a grandparent and responds to the client as a grandchild. The nurse is developing what type of emotional reaction?
Correct Answer: A
Rationale: Countertransference involves the nurse projecting personal feelings, here seeing the client as a grandparent. Empathy shares feelings without projection, transference is client-driven, and modeling involves behavior demonstration, not emotional projection.