ATI RN
ATI Mental Health assessment Questions
Extract:
Question 1 of 5
A nurse is discharging a client who was admitted for the treatment of alcohol withdrawal. Which of the following resources should the nurse recommend to the client?
Correct Answer: B
Rationale: The correct answer is B: 12-step program. The nurse should recommend this because it provides ongoing support for individuals recovering from alcohol addiction. It involves admitting powerlessness over alcohol, seeking help from a higher power, making amends, and helping others. Reach to recovery (
A) is for cancer patients, Al-Anon (
C) is for families of alcoholics, and light therapy (
D) is not relevant to alcohol withdrawal.
Therefore, the 12-step program is the most appropriate choice for the client's recovery.
Question 2 of 5
A nurse is planning care for a client who has major depressive disorder and is being admitted following a suicide attempt. Which of the following interventions is the nurse's priority?
Correct Answer: A
Rationale: The correct answer is A: Initiate one-to-one observation. This is the priority intervention because the client who has major depressive disorder and has attempted suicide is at high risk for self-harm. One-to-one observation provides constant monitoring and ensures the client's safety. Encouraging participation in group activities (
B) may be beneficial, but safety comes first. Administering an antidepressant (
C) is important but not the priority immediately upon admission. Setting up individual meetings (
D) can be helpful for therapy but does not address the immediate safety concern.
Question 3 of 5
A nurse in an acute mental health facility receives change-of-shift report on a group of clients. Which of the following clients should the nurse assess first?
Correct Answer: B
Rationale: The correct answer is B. The nurse should assess the client with schizophrenia reporting command hallucinations first as it indicates a high risk of harm to self or others. Command hallucinations are auditory hallucinations that instruct the individual to engage in harmful behaviors. Assessing this client first ensures immediate safety.
Choice A is incorrect because splitting behaviors in borderline personality disorder do not present an immediate risk of harm.
Choice C is incorrect as a fine hand tremor is a common side effect of lithium and can be assessed later.
Choice D is incorrect as dry mouth from nicotine is not urgent compared to potential harm from command hallucinations.
Question 4 of 5
A nurse in a well-child clinic receives a phone call from the parent of an adolescent client. The parent states,"I think my son might try to kill himself. Which of the following statements by the parent is the priority for the nurse to investigate further?
Correct Answer: D
Rationale: The correct answer is D because noticing cutting marks on the adolescent's arms indicates self-harm behavior, which is a significant red flag for suicide risk. The nurse should investigate this further to assess the severity and provide appropriate intervention.
A: Hearing crying at night could indicate emotional distress but is not as direct a sign of potential self-harm.
B: Spending time locked in his room may suggest isolation but does not provide direct evidence of self-harm.
C: Refusing to go out with friends could be a sign of depression but does not directly indicate suicidal ideation.
In summary, the other choices do not present as clear indicators of immediate suicide risk compared to the presence of cutting marks.
Question 5 of 5
A nurse is discharging a client who was admitted for the treatment of alcohol withdrawal. Which of the following resources should the nurse recommend to the client?
Correct Answer: B
Rationale: The correct answer is B: 12-step program. The nurse should recommend this because it provides ongoing support for individuals recovering from alcohol addiction. It involves admitting powerlessness over alcohol, seeking help from a higher power, making amends, and helping others. Reach to recovery (
A) is for cancer patients, Al-Anon (
C) is for families of alcoholics, and light therapy (
D) is not relevant to alcohol withdrawal.
Therefore, the 12-step program is the most appropriate choice for the client's recovery.