ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 of 5
A nurse is preparing to administer methylnaltrexone 12 mg subcutaneously to a client who has opioid-induced constipation. Available is methylnaltrexone 8 mg/0.4 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.6 mL
Rationale:
Step 1: Determine dosage per mL: 8 mg ÷ 0.4 mL = 20 mg/mL.
Step 2: Calculate volume for 12 mg: 12 mg ÷ 20 mg/mL = 0.6 mL. The nurse should administer 0.6 mL.
Question 2 of 5
The nurse is working with a client at the battered women's shelter who is in a violent and abusive relationship. The client is considering a separation and asks the nurse 'What do you think about that?' Which is the best response by the nurse?
Correct Answer: C
Rationale: This response is the most supportive and empowering for the client. It acknowledges the client's agency in making decisions and conveys hope that leaving may prompt the partner to realize the need to change their behavior. It avoids fear generalizations or threats fostering a non-judgmental environment.
Question 3 of 5
A client is observed pacing the hall with clenched fists and swearing at others. The nurse intervenes immediately in a calm manner to prevent the client from moving to which phase of the aggression cycle?
Correct Answer: C
Rationale: The client’s behavior indicates escalation with increasing agitation. Calm intervention prevents progression to the crisis phase where violence is likely. Recovery follows crisis and triggering precedes escalation.
Question 4 of 5
A client is informed by the nurse that they must take their medication and the client kicks the nurse and runs to their room. Which action by the nurse demonstrates that the nurse falsely imprisons the client?
Correct Answer: D
Rationale: False imprisonment involves unlawfully restricting a person’s freedom. Applying restraints and forcing medication without justification violates the client’s rights constituting false imprisonment. Other actions involve communication documentation or assault not restraint.
Question 5 of 5
The nurse is meeting with a client who is experiencing complicated grieving from the death of their child to suicide. In order to establish a therapeutic nurse-client relationship what will the nurse do prior to the meeting?
Correct Answer: A
Rationale: Prior to meeting with a client who is experiencing complicated grieving the nurse should engage in self-reflection and examine their own attitudes biases and emotional responses related to loss and grieving. This is important because the nurse's own experiences and beliefs can influence their ability to provide empathetic and nonjudgmental care to the client. Evaluating interventions setting goals unilaterally or sharing personal experiences may not prioritize the client’s needs or maintain professional boundaries.