ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client who requires a crisis intervention for acute anxiety. Which of the following actions is the highest priority?
Correct Answer: A
Rationale: The correct answer is A: Protecting the client from injury. This is the highest priority because ensuring the client's physical safety is essential during a crisis intervention for acute anxiety. If the client is at risk of harming themselves or others, immediate action must be taken to prevent any harm. Options B, C, and D are important aspects of care but ensuring physical safety takes precedence in this situation. Determining the cause of anxiety, ensuring the client feels safe, and identifying coping skills are important but can be addressed once the immediate risk of harm is addressed.
Question 2 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 3 of 5
A nurse caring for a client who has depression observes the client comes to breakfast freshly bathed, wearing clean clothes, and with combed and styled hair. Which of the following responses by the nurse is therapeutic?
Correct Answer: C
Rationale: A neutral, observational statement acknowledges the client’s effort without assuming improvement.
Question 4 of 5
A nurse is caring for a client who has anorexia nervosa and overexercises to avoid gaining weight. Which of the following nursing actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Ask the client to agree to talk to a nurse whenever she feels the urge to exercise. This action promotes open communication and allows the nurse to provide support and guidance to help the client manage her urge to overexercise. It also helps in monitoring the client's behavior and intervening when necessary to prevent harm.
Choice A is incorrect because praising the client for looking at herself in a mirror may reinforce unhealthy behaviors associated with body image.
Choice C is incorrect as reprimanding the client may increase feelings of shame and guilt, worsening the situation.
Choice D is incorrect because restricting the client from being weighed may not address the underlying issue of overexercising.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder and is in the manic phase. The client says he is bored. Which of the following activities is appropriate for the nurse to suggest to this client?
Correct Answer: B
Rationale: The correct answer is B: Walking with the nurse in the courtyard. Walking provides physical activity, which can help release excess energy often seen in manic phases. It also allows for one-on-one interaction with the nurse, providing a calming and grounding effect. Watching a video (
A) may not engage the client physically. Participating in a basketball game (
C) could be too stimulating and competitive. Joining a group discussion (
D) may be overwhelming due to the fast-paced nature of manic episodes.