ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has physical restraints applied. The nurse determines that the restraints should be removed when which of the following occurs?
Correct Answer: C
Rationale:
Correct
Answer: C
Rationale:
1. When the client can follow commands, it indicates cognitive ability and cooperation.
2. Following commands shows the client's ability to understand and respond appropriately.
3. Removal of restraints should be based on the client's ability to cooperate and follow instructions.
4. This criterion ensures the client's safety while also promoting autonomy and dignity.
Summary:
A: Orientation to person, place, and time is important but not directly related to the need for restraint removal.
B: Client's statement about self-harm requires further assessment and intervention but does not directly indicate restraint removal.
D: Medication refusal is a separate issue and does not determine the need for restraint removal.
Question 2 of 5
A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D. A client reporting eating twice in the past week is a critical finding that should be reported to the provider because it indicates a potential risk of malnutrition, which can have serious health consequences. This finding suggests a lack of self-care and potentially severe neglect of basic needs.
Choices A, B, and C are typical behaviors associated with mania and are concerning but do not directly indicate immediate physical health risks. Reporting inappropriate sexual comments or poor hygiene can be addressed during treatment but do not pose an immediate threat to the client's physical health like severe malnutrition does.
Question 3 of 5
A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer's disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B, C, D, E
Rationale:
Correct
Answer: B, C, D, E
Rationale:
B: Putting locks at the top of doors can prevent the client from wandering at night, reducing the risk of falls.
C: Encouraging physical activity prior to bedtime can help the client feel more tired and improve sleep quality, potentially reducing wandering behavior.
D: Positioning the mattress on the floor can decrease the risk of injury from falls if the client does wander during the night.
E: Installing sensor devices on outside doors can alert the caregiver if the client tries to leave the house, allowing for immediate intervention.
Incorrect
Choices:
A: Placing the client in a reclining chair may not address the underlying issue of wandering and falls, and it may not be a safe or comfortable option for the client.
F:
G:
Question 4 of 5
A nurse is caring for a client who has right-sided hemiplegia following a recent stroke. Which of the following questions should the nurse ask to determine the client's ability to cope?
Correct Answer: A
Rationale:
Rationale: The nurse should ask "A: How has this impacted your life?" to assess the client's coping abilities. This question allows the client to express their feelings and challenges, providing insight into their emotional adjustment.
Choice B is too direct and may not encourage open communication.
Choice C focuses on practical assistance, not coping mechanisms.
Choice D delves into causation, not coping strategies.
Question 5 of 5
A nurse is caring for a client who has bulimia nervosa. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: The correct answer is C: Monitor the client's bathroom trips. This intervention is crucial for clients with bulimia nervosa to prevent purging behaviors. By monitoring bathroom trips, the nurse can assess if the client is engaging in purging after meals. Allowing the client to create their meal schedule (
A) may enable binge-purge cycles. Allowing the client's family to bring food (
B) may not address the underlying issue. Encouraging the client to exercise frequently (
D) can exacerbate compulsive behaviors. Monitoring bathroom trips is essential in managing bulimia nervosa.