ATI RN
ATI RN Mental Health Asn 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 the desire to kill several classmates and a school teacher. Which of the following responses by the nurse is appropriate to give?
Correct Answer: B
Rationale: Duty to warn applies when a client expresses intent to harm others, requiring disclosure to the care team.
Question 2 of 5
A nurse is caring for a client who has schizophrenia and is experiencing a hallucination. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Ask the client direct questions about the hallucination. This approach helps the nurse understand the client's experience without dismissing or reinforcing the hallucination. It also promotes therapeutic communication and builds trust.
Choice A would not be appropriate as it validates the hallucination.
Choice B could escalate the situation and increase distress.
Choice D may cause the client to become defensive or feel invalidated. Asking direct questions (
Choice
C) allows the nurse to gather information to provide appropriate care and support.
Question 3 of 5
A nurse is caring for an adolescent client who has a new diagnosis of schizophrenia. The client's parents are tearful and express feelings of guilt. Which of the following statements should the nurse make?
Correct Answer: A
Rationale: Encouraging the parents to discuss their feelings helps with emotional processing and coping.
Question 4 of 5
A nurse is caring for a new client who exhibits manifestations of a major depressive episode. The provider states that she wants to rule out medical conditions that could also be linked to the findings. The nurse should expect diagnostic testing for which of the following medical conditions?
Correct Answer: D
Rationale: The correct answer is D: Hypothyroidism. Major depressive episodes can be a symptom of hypothyroidism. Thyroid function tests can help diagnose this condition. Pancreatitis (
A), cholecystitis (
B), and tuberculosis (
C) are not typically associated with major depressive episodes. The nurse should focus on ruling out medical conditions that are more likely to cause mood disturbances.
Therefore, hypothyroidism is the most appropriate condition to investigate in this scenario.
Question 5 of 5
A nurse is caring for a client following a recent suicide attempt. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Inspect the client's personal belongings. This is important to ensure the client's safety by removing any potentially harmful items. Placing metal utensils (
A) could pose a danger. Assigning to a private room (
B) may increase isolation. Tucking bedcovers (
D) may restrict movement.