ATI PN Mental Health 2023

Extract:

Question 1 of 5

A nurse is collecting data from an older adult client who was admitted with heart failure. The nurse should report which of the following findings to the provider as an indication of delirium?

A. Family report of gradual memory lossB. Demonstrates obsessive behaviorsC. Fluctuating level of orientationD. Consistent state of depression

Correct Answer: C

Rationale: Fluctuating orientation is a delirium hallmark, unlike gradual memory loss (
A) in dementia, obsessive behaviors (
B) in OCD, or consistent depression (
D).

Question 2 of 5

A nurse is assisting in the care of a client who has bipolar disorder and is experiencing mania. Which of the following actions should the nurse take to promote a therapeutic environment?

A. Encourage the client to spend time with others in the dayroom.B. Allow the client to choose activities for the dayC. Be specific when explaining care to the client.D. Redirect client behavior by initiating physical exercise.

Correct Answer: C

Rationale: Specific explanations provide structure and reduce confusion in mania. Dayroom time (
A) may overstimulate, free choice (
B) risks poor decisions, and exercise (
D) needs control.

Question 3 of 5

A nurse is obtaining a health history from a client who reports a recent suicide attempt. Which of the following responses should the nurse make?

A. I think you are experiencing guilt.'B. You should have asked for help.'C. Everyone gets discouraged sometimes.'D. Let’s talk about how you were feeling.'

Correct Answer: D

Rationale: This open-ended response encourages sharing and support. A assumes, B blames, and C minimizes the client’s experience.

Question 4 of 5

A nurse is reinforcing behavior management techniques with the parent of a school-age child who has conduct disorder. Which of the following statements by the parent indicates an understanding of the redirection technique?

A. I should re-engage my child in an appropriate activity.'B. I should move closer to my child when they are agitated.'C. I should use role-playing to enhance new behavioral skills.'D. I should ignore attention-seeking behaviors.'

Correct Answer: A

Rationale: Re-engaging in an appropriate activity redirects the child from negative behavior, aligning with redirection principles. B comforts, C teaches via role-play, and D ignores behavior, none of which are redirection.

Question 5 of 5

A nurse is caring for a client who becomes extremely agitated. The nurse should document which of the following de-escalation techniques?

A. Therapeutic holdB. RestraintC. DiversionD. Time-out

Correct Answer: C

Rationale: Diversion redirects the client’s attention to reduce agitation, a recognized de-escalation technique. Therapeutic hold (
A) and restraint (
B) are restrictive measures, not de-escalation, and time-out (
D) involves isolation rather than active de-escalation.

ATI PN Mental Health 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN