ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients in a mental health facility. Which of the following is a task that can be delegated to assistive personnel?
Correct Answer: B
Rationale: Sitting with a client during mealtimes doesn’t require clinical judgment and can be delegated to assistive personnel, who can provide support and monitor intake. Teaching coping mechanisms, discussing relapse, and administering medication require nursing expertise and cannot be delegated.
Question 2 of 5
A nurse in an acute care facility is planning care for a client with a history of alcohol use disorder who is admitted while intoxicated. Which of the following interventions should the nurse implement?
Correct Answer: A
Rationale: Implementing seizure precautions is critical for a client with alcohol use disorder admitted while intoxicated. Alcohol withdrawal can lead to seizures, a life-threatening risk, requiring a safe environment and emergency readiness. Orthostatic hypotension monitoring is useful but secondary; methadone is for opioid withdrawal, not alcohol; and acidifying urine is irrelevant to alcohol management.
Question 3 of 5
For which of the following clients is a nurse considered a mandated reporter to the appropriate agency?
Correct Answer: D
Rationale: This choice clearly involves child abuse, which is a reportable offense. Nurses are mandated reporters for any suspected child abuse or neglect. Tying a child to a bed as punishment can cause physical and emotional harm, and it is the nurse's duty to report this to the appropriate agency to ensure the child's safety. A client lying about suicidal ideation does not require mandatory reporting unless there is evidence of harm. Smoking marijuana or theft, while potentially illegal, do not typically fall under nursing mandatory reporting unless they directly affect patient care or involve minors.
Question 4 of 5
A nurse is caring for a client with depression. Which intervention should be prioritized? (Hypothetical based on context)
Correct Answer: A
Rationale: Monitoring for suicidal ideation is the priority in depression care due to the high risk of self-harm, ensuring safety before other interventions. Isolation worsens depression, sedatives may mask symptoms, and relaxation is secondary to safety.
Question 5 of 5
A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Validating the client’s fear with empathy builds trust and supports discussion of delusions without reinforcing them. Logical rebuttals (A,
B) or probing the delusion (
D) may increase distress or entrench false beliefs.