ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 of 5
A nurse is working with a client who has frequent angry outbursts which is disrupting life at home. Which statement by the nurse is most helpful when working with this client?
Correct Answer: D
Rationale: Validating anger as normal and suggesting its use for problem-solving encourages healthy expression. Physical outlets reducing assertiveness or suppression do not address underlying issues constructively.
Question 2 of 5
The client with terminal lung cancer says to the nurse 'I really want to see my first grandchild born before I die. Is that too much to ask?' Which stage of grieving will the nurse document the client is experiencing?
Correct Answer: C
Rationale: The client’s desire to live for a specific event reflects bargaining negotiating with fate to delay death. Anger acceptance and depression do not fit this expression.
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
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 5 of 5
A client with depression is admitted for voluntary treatment. While in the hospital the client makes several comments about leaving the facility and killing themselves with their gun. Which is the most appropriate action by the nurse when the client requests to leave against medical advice?
Correct Answer: D
Rationale: Expressing suicidal ideation with a specific plan raises serious safety concerns. Initiating commitment proceedings allows for legal detention and evaluation to ensure the client’s safety. Calling security may escalate the situation family persuasion may be insufficient and allowing departure ignores the immediate risk.