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
After an angry outburst a client quickly appears calmer and receptive to input from the nurse. Which is the most helpful response to the client at this time?
Correct Answer: B
Rationale: When a client has an angry outburst and then quickly appears calmer and receptive to input from the nurse it is important for the nurse to address the underlying cause of the outburst and explore the client's feelings and emotions. By asking What happened that got you so upset? the nurse is inviting the client to express their feelings and share what triggered their anger. This can help the nurse understand the client's perspective provide appropriate support and potentially de-escalate any remaining tension. Dismissing focusing on the nurse’s feelings or judging the behavior hinders therapeutic communication.
Question 4 of 5
A nurse in the emergency department is preparing to administer naloxone 0.4 mg IV bolus to a client who has opioid-induced respiratory depression. Available is naloxone injection 0.2 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2 mL
Rationale: Amount to administer =
Total dose required (0.4 mg) ÷ Concentration (0.2 mg/mL) = 2 mL. The nurse should administer 2 mL of naloxone.
Question 5 of 5
The nurse is caring for several clients on the behavioral health unit. Which client will be assessed as demonstrating aggression?
Correct Answer: B
Rationale: Grabbing a pool cue after stomping away indicates hostility and potential violence defining aggression. Crying verbalizing anger or refusing medication do not involve aggressive actions.