ATI Mental Health assessment | Nurselytic

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ATI Mental Health assessment Questions

Extract:


Question 1 of 5

A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider,which of the following actions should the nurse take?

Correct Answer: C

Rationale:
Correct Answer: C


Rationale: Conducting a debriefing regarding the client with the unit staff is essential in ensuring continuity of care, discussing the client's behavior, potential triggers, and strategies for de-escalation. This promotes a collaborative approach and enhances staff awareness to prevent future aggressive behaviors. It also allows for sharing insights and improving the care plan.

Incorrect Answers:
A: Documenting the client's behavior once every hour is important for monitoring, but it does not address the need for a debriefing or evaluation.
B: Keeping the client in restraints until the prescription expires is not appropriate as restraints should be used for the shortest duration necessary and reevaluated regularly.
D: Requesting an evaluation of the client within 12 hours of restraint application is important, but it does not address the immediate need for debriefing and collaboration with unit staff.

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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