ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is teaching a newly licensed nurse about appropriate actions to take when a client threatens to harm a specific individual. Which of the following statements by the newly licensed nurse indicates understanding?
Correct Answer: A
Rationale: The correct answer is A because warning the potential victim is crucial to ensuring their safety. By alerting the potential victim, appropriate measures can be taken to prevent harm.
Choice B is incorrect because in cases of harm to others, confidentiality can be breached to protect the safety of the potential victim.
Choice C is incorrect because immediate action is necessary, and waiting for a court order may delay intervention.
Choice D is incorrect because reporting to the psychiatrist may not be sufficient to prevent harm to the potential victim.
Question 2 of 5
A nurse is caring for an adolescent female who has an eating disorder. The client is 162.6 cm (64 in) tall and weighs 38.56 kg (85 lb). Upon assessment, which of the following manifestations should the nurse expect? (Select all that apply.)
Correct Answer: A, C, D, E
Rationale: Anorexia nervosa is often associated with amenorrhea, distorted body image, excessive activity, and bradycardia due to malnutrition.
Question 3 of 5
A nurse is caring for a client who has major depressive disorder and attempted suicide. The client tells the nurse, "I should have died because I am totally worthless." Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Reflecting the client’s emotions helps encourage further discussion.
Question 4 of 5
A charge nurse is discussing suicide interventions with nursing staff. Which of the following should the nurse identify as an example of secondary intervention?
Correct Answer: D
Rationale: Secondary intervention involves direct care during a suicide crisis, such as life-saving measures.
Question 5 of 5
A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?
Correct Answer: D
Rationale: Giving away personal possessions is a warning sign of suicidal intent.