ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 of 5
A nurse observes another nurse acting flirtatiously and bringing small gifts such as candy to a client in the behavioral health unit. Which action is a priority by the observing nurse?
Correct Answer: A
Rationale: Reporting to a supervisor ensures investigation of unprofessional behavior protecting the client. Ignoring risks harm confronting may escalate and discussing with the client is inappropriate.
Question 2 of 5
A client is manipulative with staff and disruptive in the milieu. Although the client is not demonstrating behaviors that are a threat to self or others they are refusing all medications. Which action by the nurse is most appropriate?
Correct Answer: C
Rationale: When dealing with a client who is manipulative and disruptive but not a threat it is essential for the nurse to set clear and consistent boundaries for behavior. This helps establish a therapeutic environment and maintains safety. Allowing the client to refuse medications respects their autonomy as long as they are not a risk. Involving family without consent may violate privacy discharging is premature and coercive statements are unethical.
Question 3 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 4 of 5
The nurse is working with another nurse in the emergency department (ED) when a client comes in stating they have been raped during a date. Which statement made by the other nurse privately requires immediate correction?
Correct Answer: B
Rationale: This statement is highly inappropriate and victim-blaming implying the client’s clothing caused the assault. Nurses must provide empathetic non-judgmental care. The other statements reflect support understanding of consent or client concerns and do not require correction.
Question 5 of 5
The health care provider prescribes haloperidol 10 mg for a client with severe psychosis but the client refuses the medication. Which nursing action is appropriate?
Correct Answer: A
Rationale: Every individual has the right to refuse medical treatment including medications as long as they are competent to make that decision. It is essential to respect the client's autonomy and right to make decisions about their own health care. The nurse should document the refusal inform the healthcare provider and explore the reasons behind the refusal if possible. Discharging for nonadherence using restraints or coercive statements violate ethical principles and patient rights.