ATI RN
ATI Mental Health Exam II Questions
Extract:
Question 1 of 5
A nurse is caring for an adolescent who has a history of violent behavior and has asked the nurse to keep confidential information about he desire to kill several classmates and a school teacher. Which of the following responses by the nurse is appropriate to give?
Correct Answer: D
Rationale: The client's statement about having a desire to harm others, especially classmates and a school teacher, raises significant concerns about the safety and well-being of not only the client but also the potential victims. In cases where the client poses a risk of harm to themselves or others, the nurse has a duty to breach confidentiality to ensure the safety of all involved parties.
Question 2 of 5
A community health nurse is providing teaching to the family of a client who has dementia. Which of the following manifestations should the nurse tell the family to expect?
Correct Answer: B
Rationale: Forgetfulness that gradually progresses to disorientation is a hallmark of dementia due to progressive cognitive decline.
Question 3 of 5
A nurse is preparing to minister amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)
Correct Answer: 7
Rationale:
To calculate the volume (mL) of amoxicillin needed, use the formula: Volume (mL) = Dose (mg) / Concentration (mg/mL). The dose is 350 mg, and the concentration is 250 mg/5 mL = 50 mg/mL. Thus, Volume = 350 mg / 50 mg/mL = 7 mL.
Question 4 of 5
A nurse is admitting a client who has multiple injuries following a motor vehicle crash. Shortly after admission, the client's partner arrives. He is distraught and blames himself for the accident. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: This response is empathetic and encourages the partner to express their emotions. It shows that the nurse is actively listening and is willing to provide a safe space for the partner to share their feelings.
Question 5 of 5
A nurse is performing an admission assessment for a client who is receiving treatment following a situational crisis. Which of the following assessments by the nurse is the highest priority?
Correct Answer: A
Rationale: The highest priority assessment in this situation is to determine if the client has psychotic thinking. Psychotic thinking can indicate a severe mental health condition that requires immediate attention and intervention. If the client is experiencing psychotic symptoms, they might be at risk of harming themselves or others.