ATI LPN
ATI PN Mental health DEC 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a group of clients in a pediatric clinic. Which of the following clients is at the highest risk for physical abuse?
Correct Answer: B
Rationale: A toddler with cystic fibrosis is at higher risk due to caregiving stress from chronic illness. A, C, and D do not inherently increase abuse risk.
Question 2 of 5
A nurse is caring for a client who was placed in four-point restraints by the nursing staff following an episode of violent behavior. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Range-of-motion exercises every 2 hours prevent stiffness and maintain circulation in restraints. A is excessive, C misaligns with reassessment needs, and D neglects monitoring.
Question 3 of 5
A nurse is caring for a client who becomes extremely agitated and asks if they can go to a separate room to be alone for an hour. The nurse should document which of the following de-escalation techniques in the client’s medical record?
Correct Answer: A
Rationale: A timeout allows the client to regain control in a safe space, a de-escalation technique. B and D are restrictive, and C is distraction, not de-escalation.
Question 4 of 5
A nurse is reinforcing teaching with a client who started taking haloperidol decanoate 125 mg IM 1 month ago. Which of the following statements by the client should the nurse address?
Correct Answer: D
Rationale: Spending hours in the sun increases photosensitivity risk, a haloperidol side effect. A, B, and C are appropriate or harmless behaviors.
Question 5 of 5
A nurse is caring for a client who has dementia and is experiencing an increased number of falls. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Placing the client near the nurses’ station allows frequent monitoring to prevent falls. A doesn’t address falls, B is a last resort, and D is unrelated.