ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The client tells the nurse that she wants to try nontraditional treatments first. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Exploring the client’s concerns helps build trust and encourages shared decision-making.
Question 2 of 5
A client becomes very dejected and states, "No one really cares what happens to me. Life isn't worth living anymore." Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the client's feelings, expresses care, and shows concern, which can help the client feel supported and understood. Option A deflects the client's feelings by focusing on the family. Option B may come off as confrontational. Option C is open-ended and may not provide immediate support. Options E, F, G are not provided in the question.
Question 3 of 5
A nurse in an acute mental health facility is caring for a client who jumps out of her chair and begins to shout angrily at the clients around her. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Speak to the client calmly, giving simple directions. This is the first action the nurse should take to de-escalate the situation. By speaking calmly and providing simple directions, the nurse can help the client regain control and potentially prevent further escalation of aggression. Calling for assistance to place the client in restraints (
A) should only be considered as a last resort to ensure safety. Escorting the client to an unlocked seclusion room (
B) may escalate the situation and should not be the first action. Offering the client a PRN antianxiety medication (
C) should come after attempting verbal de-escalation.
Question 4 of 5
A nurse is caring for a client who requires a crisis intervention for acute anxiety. Which of the following actions is the highest priority?
Correct Answer: A
Rationale: The correct answer is A: Protecting the client from injury. This is the highest priority because ensuring the client's physical safety is essential during a crisis intervention for acute anxiety. If the client is at risk of harming themselves or others, immediate action must be taken to prevent any harm. Options B, C, and D are important aspects of care but ensuring physical safety takes precedence in this situation. Determining the cause of anxiety, ensuring the client feels safe, and identifying coping skills are important but can be addressed once the immediate risk of harm is addressed.
Question 5 of 5
A nurse is speaking with a client experiencing anxiety. Which of the following responses is most therapeutic?
Correct Answer: B
Rationale: The correct answer is B, "Come with me to an area where we can talk without interruption." This response is most therapeutic because it acknowledges the client's need for privacy and establishes a safe and confidential space for the client to express their feelings. By offering to talk without interruption, the nurse demonstrates active listening and empathy, which can help the client feel supported and understood.
Choice A is incorrect because assuming that all clients benefit from lying down may not be appropriate or therapeutic for everyone experiencing anxiety.
Choice C is incorrect because suggesting relaxation exercises may not address the immediate needs of the client in distress.
Choice D is incorrect because immediately jumping to medication may not be the most therapeutic approach without first exploring other coping strategies or interventions.