ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 of 5
A nurse is questioning another nurse about whether it is ethical to seclude a client because of loud and intrusive behavior on the unit. Which is the ethical principle that will best guide the nurse's decision on the appropriate use of seclusion?
Correct Answer: C
Rationale: Beneficence is the ethical principle that focuses on doing good and acting in the best interest of the patient. It involves taking actions that promote the well-being of patients and prevent harm. In the context of seclusion beneficence guides the nurse to consider whether secluding the patient will prevent harm to the patient and others thereby promoting overall safety and well-being. Autonomy justice and veracity do not directly address the safety-driven decision for seclusion.
Question 2 of 5
The nurse is working with an adolescent client that is argumentative with staff and peers on the behavioral health unit. Which therapeutic response will be most beneficial for the client to decrease acting out behavior?
Correct Answer: D
Rationale: This response demonstrates the use of therapeutic communication specifically offering the client an opportunity to express their feelings and concerns in a non-confrontational manner. By suggesting a private and quiet area to talk to the nurse provides a safe and supportive environment for the client to explore and process their emotions. This approach can help the client feel heard validated and understood which may reduce their need to act out or engage in argumentative behaviors to express their feelings. Threats medication demands or dismissive comments may escalate behavior.
Question 3 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.
Question 4 of 5
An angry client has just thrown a chair across the room and is racing to pick up another chair to throw. Which is the most appropriate action by the nurse?
Correct Answer: A
Rationale: The client’s violent behavior poses an immediate risk requiring trained personnel to ensure safety. Verbal de-escalation or confrontation may escalate and problem-solving is inappropriate during active aggression.
Question 5 of 5
The nurse is completing a family assessment for a victim of intimate partner violence. Which characteristic of the abuser will the nurse identify when completing the assessment?
Correct Answer: B
Rationale: Abusers often display controlling behavior including possessiveness and neediness limiting the victim’s freedom. Remorse is less common high self-esteem is not universal and encouraging independence contradicts typical abuser behavior.