ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is caring for a client whose partner is requesting to bring the client food from home that is not allowed in the client's dietary plan. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Encouraging inclusion of preferred foods within dietary restrictions promotes cooperation and adherence.
Question 2 of 5
A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which of the following actions should the nurse identify as the priority?
Correct Answer: D
Rationale: A client who refuses a safety contract is at high risk, requiring constant supervision to ensure safety.
Question 3 of 5
A nurse is caring for a client who is extremely suspicious of the nursing staff and other clients. Which of the following nursing approaches is appropriate when establishing a therapeutic relationship with this client?
Correct Answer: D
Rationale: The correct answer is D: Adopt a neutral attitude when providing care. This approach is appropriate because it helps build trust with a suspicious client by not triggering further distrust. By being neutral, the nurse avoids giving away personal information (
A) which could be perceived as manipulative, respects the client's boundaries by not overwhelming them with frequent interactions (
C), and doesn't passively wait for the client to initiate interaction (
B) which might reinforce their suspicions. Overall, maintaining a neutral attitude demonstrates professionalism, respect, and allows the client to gradually feel more comfortable without feeling pressured or intruded upon.
Question 4 of 5
A nurse in an acute mental health facility is caring for a client who jumps out of her chair and begins to shout angrily at the clients around her. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Speak to the client calmly, giving simple directions. This is the first action the nurse should take to de-escalate the situation. By speaking calmly and providing simple directions, the nurse can help the client regain control and potentially prevent further escalation of aggression. Calling for assistance to place the client in restraints (
A) should only be considered as a last resort to ensure safety. Escorting the client to an unlocked seclusion room (
B) may escalate the situation and should not be the first action. Offering the client a PRN antianxiety medication (
C) should come after attempting verbal de-escalation.
Question 5 of 5
A nurse is caring for a group of clients. The nurse should recognize that which of the following clients is at risk for a vitamin B deficiency?
Correct Answer: C
Rationale: Chronic alcohol use disorder depletes vitamin B stores, particularly thiamine, leading to neurological complications.