ATI RN
ATI RN Mental Health 2023 Exam 2 Questions
Extract:
Question 1 of 5
A nurse is caring for a school-age child who has conduct disorder and is in physical restraints after becoming physically aggressive toward other clients on the unit. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Monitor the child's vital signs every 15 minutes. This action is crucial to ensure the child's safety while in restraints. Monitoring vital signs every 15 minutes allows the nurse to promptly identify any signs of distress or complications related to the restraints, such as changes in blood pressure, heart rate, or respiratory rate. This frequent monitoring ensures early intervention if necessary, promoting the child's well-being.
Choice A (Keep the restraints on for a minimum of 1 hour) is incorrect because there is no specific time frame mentioned in best practice guidelines for keeping restraints on, and it is essential to assess the need for restraints continuously.
Choice C (Ask the provider to renew the prescription for the restraints every 24 hours) is incorrect as it focuses on administrative tasks rather than immediate patient safety monitoring.
Choice D (Arrange an in-person evaluation by the child's provider within 2 hours of initiating restraints) is incorrect as it does not address
Question 2 of 5
A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?
Correct Answer: C
Rationale: The correct answer is C: Ask the client if he intends to harm others. This is the priority action because it directly addresses the safety of other clients. By assessing the client's intent, the nurse can determine the level of risk and take appropriate measures to prevent harm. Option A focuses on anger management, which is not the immediate concern. Option B is helpful but does not address the current aggressive behavior. Option D is also important but does not address the immediate safety issue. It is crucial to prioritize safety in situations involving aggression in a mental health facility.
Question 3 of 5
A nurse is visiting with the partner of a client who recently died. The partner expresses guilt that they did not do more for their partner. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A: "It must be difficult for you to feel this way after losing your partner." This response shows empathy and acknowledges the partner's emotions without invalidating them. It opens up the conversation for further exploration of the partner's feelings. Option B is incorrect as it dismisses the partner's feelings of guilt. Option C, while empathetic, shifts the focus to the nurse's own experience, which may not be helpful in this context. Option D jumps to a solution without first addressing the partner's emotional state.
Question 4 of 5
A nurse is providing teaching about relapse prevention to a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: B
Rationale: The correct answer is B: "I should let my counselor know if I am having trouble sleeping." This statement indicates an understanding of relapse prevention as changes in sleep patterns can be an early sign of relapse in schizophrenia. By communicating this to the counselor, the client can receive appropriate support and interventions.
A: "I should listen carefully to the voices to hear what they're saying." This statement is incorrect as it encourages engaging with auditory hallucinations, which can exacerbate symptoms.
C: "I should avoid being around others if I think I'm having a relapse." This statement is incorrect as social withdrawal can worsen symptoms and isolation is not recommended.
D: "I should avoid watching television when I am hearing voices." This statement is incorrect as it does not address the underlying issue of seeking help from a counselor for symptom management.
Question 5 of 5
A nurse is receiving a change-of-shift report about a group of assigned clients at a mental health facility. Which of the following clients should the nurse assess for risks related to sensory impairments?
Correct Answer: B
Rationale: The correct answer is B: A client who has conversion disorder. Clients with conversion disorder may experience sensory impairments such as blindness or paralysis that cannot be explained by medical conditions. The nurse should assess for risks related to these impairments to ensure the client's safety.
Incorrect choices:
A: A client with narcissistic personality disorder does not typically present with sensory impairments.
C: A client with mild anxiety disorder may have heightened sensory perception but not necessarily sensory impairments.
D: A client with severe obsessive-compulsive disorder may have sensory sensitivities but not impairments like those seen in conversion disorder.