ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is having difficulty sleeping and is pacing the floor. The client’s head is down, and he is wringing his hands. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Remain with the client. The nurse should stay with the client to provide support and ensure safety. This action shows empathy and allows the nurse to assess the client's needs. Encouraging the client to go back to bed (
A) may not address the underlying issue causing the restlessness. Giving a PRN sleeping medication (
B) may not be appropriate without further assessment. Exploring alternatives to pacing (
D) is a good idea but should come after ensuring immediate support.
Question 2 of 5
A school nurse is speaking to the mother of a 16-year-old male adolescent. The mother has concerns about her son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?
Correct Answer: A
Rationale: A close connection to someone who has died by suicide is a known risk factor for adolescent suicide.
Question 3 of 5
A nurse is providing a community health education class about suicide prevention. Which of the following should the nurse identify as risk factors for suicide? (Select all that apply.)
Correct Answer: A, B, E
Rationale: The correct answer includes substance use disorder (
A), age greater than 45 years old (
B), and schizophrenia (E) as risk factors for suicide. Substance use disorder can lead to impaired judgment and increased impulsivity, increasing the risk of suicidal behavior. Individuals over 45 years old often face life changes such as retirement or health issues that can contribute to feelings of hopelessness. Schizophrenia is a severe mental illness associated with a higher risk of suicide due to symptoms such as hallucinations and delusions.
Choices C and D (female gender and currently married) are incorrect as suicide rates are higher in males and marital status alone does not determine suicide risk.
Question 4 of 5
A nurse in a rehabilitation center is planning care for a newly admitted client who has a history of alcohol use disorder. Which of the following client goals is the highest priority?
Correct Answer: D
Rationale: The correct answer is D: The client's withdrawal from alcohol will be managed without complications. This is the highest priority goal because alcohol withdrawal can be life-threatening, requiring close monitoring and intervention to prevent complications like seizures or delirium tremens. It ensures the client's safety and well-being.
Choice A is important but not the highest priority as the client's physical health takes precedence.
Choice B focuses on long-term goals and can be addressed after managing withdrawal.
Choice C addresses anxiety but doesn't address the immediate risks of alcohol withdrawal. Overall, managing withdrawal without complications is the most critical goal to prioritize in this scenario.
Question 5 of 5
Where should a nurse assign a client experiencing manic behavior?
Correct Answer: B
Rationale: The correct answer is B. A client experiencing manic behavior requires a calm and quiet environment to prevent overstimulation. A private room in a quiet location would help reduce external stimuli and promote relaxation. Placing the client in a semi-private room across from the day room (choice
A) or snack area (choice
C) may lead to increased stimulation, exacerbating manic symptoms. Additionally, a shared room near the nursing station (choice
D) could be disruptive for both the client and other patients.
Therefore, choice B is the most appropriate option for managing manic behavior effectively.