ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing a crisis related to anxiety. Which of the following actions should the nurse take? (Select all that apply).
Correct Answer: A,B,C,D
Rationale: Flexible plans adapt to needs, identifying causes targets interventions, validating feelings builds trust, and rapport fosters communication. Avoiding eye contact may seem disengaged, potentially worsening anxiety.
Question 2 of 5
A nurse is caring for a client who is hospitalized for a mental disorder. The nurse is legally obligated to breach the client's confidentiality if the client makes which statement?
Correct Answer: D
Rationale: The threat to harm a neighbor triggers a duty to warn, overriding confidentiality to prevent harm. Delusions, anger, or attraction don’t indicate imminent danger, so confidentiality holds.
Question 3 of 5
A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?
Correct Answer: A
Rationale: This statement offers hope, noting treatment improves quality of life despite persistent symptoms. Questioning value is confrontational, claiming full symptom elimination is misleading, and suggesting a group home is discouraging.
Question 4 of 5
A nurse is caring for a client who has bipolar disorder. The client says to the nurse, 'Give me your pen to cut the pain out of my chest.' The nurse should identify that the client is at risk for which of the following?
Correct Answer: D
Rationale: The client's statement, 'Give me your pen to cut the pain out of my chest,' explicitly indicates a desire to self-harm, pointing to a risk for self-mutilation. An illusion involves misinterpreting real stimuli, a hallucination involves false sensory perceptions, and attention-seeking behavior seeks attention without intent to harm. Self-mutilation aligns with the intent to alleviate emotional distress through physical harm.
Question 5 of 5
A nurse is developing a plan of care for a newly admitted client who has schizophrenia and experiences frequent hallucinations and paranoid delusions. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Limiting questions reduces overwhelm and paranoia, aiding assessment. Seclusion is extreme, touch may be misinterpreted, and confronting delusions risks distress, all less therapeutic.