ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is under observation for suicidal ideations and has verbalized a suicide plan. The client demands privacy and to be left alone. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "We are concerned about you and need to keep you safe." This response is appropriate because it acknowledges the client's demand for privacy while also emphasizing the nurse's primary responsibility to ensure the client's safety. It addresses the client's feelings of being cared for and understood, which can help build trust.
Choice A is incorrect because it does not address the client's request for privacy and may come across as dismissive.
Choice B is incorrect as it suggests compliance with the treatment plan as a condition for privacy, which may not be appropriate in this situation.
Choice C is incorrect as safety contracts are not considered effective in preventing suicide and may provide a false sense of security.
Question 2 of 5
A nurse is performing screening assessments for active older adult clients at a community clinic. Which of the following tests should the nurse include in the screening?
Correct Answer: A
Rationale: The correct answer is A: Geriatric Depression Scale. This screening tool is essential for assessing depression in older adults, as it helps identify symptoms that may be overlooked. Depression is common in the elderly and can have significant impacts on their overall health and well-being. The Geriatric Depression Scale is specifically designed to assess depression in older adults, making it a crucial test for the nurse to include in their screening assessments.
The other choices are incorrect because:
B: Pain Assessment in Advanced Dementia Scale - This tool is not relevant for screening active older adult clients for general health assessments.
C: CAGE Questionnaire - This tool is used for assessing alcohol abuse, which may not be the primary focus of screening for active older adults.
D: Denver II Developmental Screening Test - This test is designed for children, not older adults, and is not suitable for screening in this population.
Question 3 of 5
A nurse is preparing to administer haloperidol 7 mg IM to a client who is severely agitated. Available is haloperidol injection 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1.4
Rationale: The correct answer is 1.4 mL.
To calculate this, you divide the desired dose by the concentration of the drug. In this case, 7 mg ÷ 5 mg/mL = 1.4 mL. This ensures the client receives the correct dosage.
Choice A (2.5 mL) is incorrect as it would result in administering more than the prescribed dose.
Choice B (0.5 mL) is incorrect as it would not provide the full 7 mg dose needed for the client's condition.
Choice C (3 mL) is incorrect as it would exceed the prescribed dosage, potentially leading to adverse effects.
Choice D, E, F, and G are not valid options as they are not within a reasonable range based on the calculation.
Question 4 of 5
A nurse is caring for a client who states, 'I am too embarrassed to tell anyone what I did last night.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: Let's discuss what you feel embarrassed about. This response demonstrates active listening and empathy, encouraging the client to open up about their feelings without judgment. It shows support and willingness to help address the underlying issue.
Choice B is incorrect as it may pressure the client to disclose information prematurely.
Choice C is dismissive and does not validate the client's feelings.
Choice D generalizes and does not address the client's specific situation.
Question 5 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan?
Correct Answer: C
Rationale:
Rationale:
Choice C is correct because improving communication of needs is a key therapeutic goal for clients with borderline personality disorder. Effective communication can help reduce impulsive behaviors and enhance interpersonal relationships. Verbalizing improved mood (
A) may not address the underlying emotional dysregulation. Attending to personal hygiene (
B) is important but may not directly address the core issues of the disorder. Reporting a decrease in hallucinations (
D) is more relevant to psychotic disorders. Other choices are not provided, but focusing on communication skills is crucial for managing this disorder effectively.