ATI RN
ATI nur 222a Mental Health Exam Questions
Extract:
Question 1 of 5
A nurse on a mental health unit is discussing restraints and seclusion with a group of newly hired nurses. At which of the following times should a nurse discuss the restraint and seclusion policy with a client?
Correct Answer: D
Rationale: Discussing the restraint policy upon admission informs the client proactively, reducing anxiety if restraints become necessary. Agitation or active restraint application are poor times due to emotional distress, and debriefing is too late for initial education.
Question 2 of 5
A school nurse is assessing an adolescent client who indicates they have been experiencing depression due to a recent move. Which of the following interventions should the nurse implement?
Correct Answer: B
Rationale: Scheduling an appointment with a school-based counselor provides professional emotional support tailored to the adolescent’s depression, helping them process their feelings and develop coping strategies. A job may add stress, a neurologist isn’t indicated for depression initially, and while exercise is beneficial, it’s not sufficient alone.
Question 3 of 5
A nurse assigned to a mental health hotline receives a call from a nurse who has been working on a Covid-19 unit. The caller states, 'I just don’t think I can be a nurse anymore.' Which of the following types of trauma should the nurse recognize this person is experiencing?
Correct Answer: A
Rationale: Secondary trauma, or vicarious trauma, affects caregivers exposed to others’ trauma, like COVID-19 unit nurses, leading to burnout. Acute, complex, and chronic trauma involve direct or repeated personal trauma.
Question 4 of 5
A nurse is caring for a client who has been diagnosed with acute stress disorder. Which of the following client statements aligns with this diagnosis?
Correct Answer: A
Rationale: Acute stress disorder occurs within a month of trauma, with symptoms like nightmares, as in the recent car crash. Chronic flashbacks suggest PTSD, long-term phobia isn’t ASD, and childhood conflict lacks a specific trauma.
Question 5 of 5
A nurse is caring for an adolescent with an anxiety disorder. Which of the following statements by the adolescent indicates a protective factor in the form of a positive childhood experience?
Correct Answer: D
Rationale: A supportive teacher provides a positive childhood experience, fostering emotional security. Teen pregnancy, military parents, or frequent moves can increase stress, not serve as protective factors.