ATI RN
ATI Mental Health Assessment I 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: D
Rationale: The correct answer is D: Request an evaluation of the client within 12 hours of application of restraints. This is important to ensure the client's safety and well-being. The rationale is as follows:
1. Timely evaluation is essential to assess the client's condition and the necessity of continued restraint.
2. This action aligns with best practices for the use of restraints to prevent complications and ensure appropriate care.
3. Regular evaluations help in monitoring the client's response to the restraint and adjusting the plan of care accordingly.
4. It demonstrates the nurse's commitment to providing safe and ethical care by following guidelines for restraint use.
Summary of other choices:
A: Documenting behavior hourly is important but not as critical as evaluating the client's condition.
B: Keeping the client restrained until the prescription expires can lead to potential harm and is not in the client's best interest.
C: Conducting a debriefing is valuable but does not address the immediate need for evaluation and monitoring.
Overall,
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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