ATI RN
ATI RN Mental Health 2023 Exam 3 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: D
Rationale: The ability to follow commands indicates cooperation and reduced risk, justifying restraint removal. Orientation alone isn’t enough, refusal or threats suggest ongoing danger requiring further assessment.
Question 2 of 5
A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?
Correct Answer: C
Rationale: The inability to eat more than once a day is the priority due to its potential to cause nutritional deficiencies and impact physical health, requiring immediate intervention. Anger, guilt, and negative回忆 are part of grieving but less urgent than physical well-being.
Question 3 of 5
A nurse is caring for a group of clients in a mental health facility. Which of the following is a task that can be delegated to assistive personnel?
Correct Answer: B
Rationale: Sitting with a client during mealtimes doesn’t require clinical judgment and can be delegated to assistive personnel, who can provide support and monitor intake. Teaching coping mechanisms, discussing relapse, and administering medication require nursing expertise and cannot be delegated.
Question 4 of 5
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?
Correct Answer: A
Rationale: Initiating social interactions is an appropriate, measurable outcome for autism spectrum disorder, targeting core deficits in communication and social skills. Delusions are unrelated to autism, peer pressure isn’t a specific goal, and meeting needs without manipulation is too broad and not autism-specific.
Question 5 of 5
A nurse is planning care for a client who has borderline personality disorder. Which of the following interventions should the nurse plan to include to assist the client with impaired social interactions with others?
Correct Answer: D
Rationale: Assigning the same staff daily provides stability and trust, aiding social interaction for a client with borderline personality disorder. Avoiding maladaptive behaviors hinders therapy, exploring abandonment is relevant but indirect, and encouraging dependency is counterproductive.