ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is sitting in the day room at an acute care mental health facility with a group of clients who are watching television. Suddenly, one of the clients jumps up screaming and runs out of the room. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Follow the client to determine the cause of the behavior. This is the best course of action as the nurse should ensure the safety and well-being of the client who ran out of the room. By following the client, the nurse can assess the situation, provide support, and prevent any potential harm or escalation of the situation. It also allows the nurse to gather more information about the client's behavior and address any underlying issues.
Choices A, C, and D are incorrect. Asking the group for their thoughts may not address the immediate safety concerns of the client. Ignoring the incident can be dangerous as the client may be in distress. Asking another client to check on the situation is not appropriate as it is the responsibility of the nurse to assess and manage the situation directly.
Question 2 of 5
A nurse is planning care for a client who demonstrates manipulative behavior. Which of the following actions should be included in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Set clear and consistent limits on manipulative behaviors. This is important because setting boundaries helps maintain a therapeutic relationship and ensures the client understands what is acceptable. Allowing manipulation (choice
A) enables the behavior to continue and does not address the underlying issue. Avoiding discussing past behaviors (choice
B) may hinder the client's progress in understanding and changing their behavior. Bargaining with the client (choice
C) can reinforce manipulative behavior and undermine the nurse's authority. Setting clear and consistent limits (choice
D) establishes expectations and promotes accountability, leading to more effective interventions and improved client outcomes.
Question 3 of 5
A nurse is reinforcing teaching about alcohol tolerance with a newly admitted client. Which of the following statements by the client indicates understanding?
Correct Answer: C
Rationale: Rationale for
Choice C being correct: The statement "I will develop a decreased physical response to alcohol" indicates an understanding of alcohol tolerance, where the body requires more alcohol to achieve the same effects. This demonstrates comprehension of the concept.
Summary of why other choices are incorrect:
A: Incorrect. Alcohol tolerance does not produce physical changes when alcohol is not ingested.
B: Incorrect. Alcohol tolerance does not affect the response to opiates.
D: Incorrect. Alcohol tolerance is not a medical emergency and is not solely a result of withdrawal.
Question 4 of 5
A nurse is assessing a client who has a history of alcohol use disorder. Which of the following questions should the nurse include to determine how alcohol use affects the client's psychosocial behaviors?
Correct Answer: A
Rationale:
Rationale: Asking how alcohol use affects work performance helps assess psychosocial impact by identifying functional impairment related to alcohol. This question can reveal issues with productivity, relationships, and financial stability. Other options focus on treatment history, age of onset, and mental health, which are important but not directly related to current psychosocial impact.
Question 5 of 5
A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, “I'm being kept in this prison against my will. Please try to get me out.” Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Reassuring the client while maintaining the reality of the situation helps manage delusional thoughts.