ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Focus the client on reality-based activities. This is appropriate as it helps ground the client in reality and distract from the hallucinations. Conveying sympathy (
A) is important but does not address the hallucinations directly. Telling the client her experience is not real (
B) may cause distress or worsen the situation. Avoiding direct questions (
C) may not address the client's needs. Option E, F, and G are not provided.
Question 2 of 5
A nurse is caring for a client who has major depressive disorder and states that he has given away his personal belongings. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: Can you tell me how you have been feeling lately? This open-ended question allows the nurse to gather more information about the client's emotional state and assess the severity of the situation. It shows empathy and encourages the client to express their feelings.
Choice A minimizes the client's emotions.
Choice C may come off as judgmental.
Choice D jumps to a solution without addressing the client's current emotional needs.
Question 3 of 5
A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take a prescribed oral antianxiety medication. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Offer the client the medication at the next scheduled dose time. This option respects the client's autonomy and right to refuse treatment, while also ensuring that the client receives the necessary medication. By offering the medication at the next scheduled time, the nurse can continue to monitor the client's condition and provide support without resorting to coercive measures.
Option B: Implement consequences until the client takes the medication, is incorrect as it goes against the client's right to refuse treatment and may damage the therapeutic relationship.
Option C: Inform the client that he does not have the right to refuse the medication, is incorrect as it disregards the client's autonomy and can lead to further resistance to treatment.
Option D: Administer the medication to the client via IM injection, is incorrect as it violates the client's right to make informed decisions about their treatment. This approach should only be considered in emergency situations where the client's safety is at risk.
Question 4 of 5
A nurse is planning to delegate client care for several clients in a mental health facility. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: A
Rationale: The correct answer is A: Participate in solitary activities with a client who has mania. Assistive personnel can engage in activities that provide social interaction and support for clients with mania. This task does not require specialized nursing knowledge or assessment skills. The other choices involve providing education, obtaining consent, or explaining treatment modalities, which should be done by a licensed nurse due to the complexity and potential risks involved. It is important to delegate tasks that align with the assistive personnel's scope of practice and level of training to ensure safe and effective client care.
Question 5 of 5
A nurse is screening a group of clients for potential mental health conditions. Which of the following questions should the nurse ask to determine a client's risk for self-harm?
Correct Answer: A
Rationale: The correct answer is A: "Have you ever felt you should decrease your consumption of alcohol?" This question assesses the client's potential risk for self-harm by addressing the issue of alcohol consumption, which is a common risk factor for self-harm behaviors. Clients who feel the need to decrease their alcohol intake may be at higher risk for self-harm.
Choice B is incorrect as it focuses on liver damage and not on self-harm risk.
Choice C is irrelevant to self-harm risk assessment.
Choice D addresses family alcohol use but does not directly assess the individual's risk for self-harm. It is important to ask specific questions related to self-harm behaviors to accurately assess the client's risk.