ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse on an acute mental health unit is caring for a group of clients. For which of the following clients is seclusion contraindicated?
Correct Answer: A
Rationale: The correct answer is A. Seclusion is contraindicated for an adult client following a suicide attempt due to the risk of exacerbating feelings of isolation and hopelessness. Seclusion should not be used as a punitive measure for clients in distress.
Choice B is incorrect because seclusion may be necessary to protect staff from physical harm.
Choice C is incorrect as seclusion could be used as a last resort to prevent harm to other clients.
Choice D is incorrect because seclusion may help calm and provide a safe environment for an older adult client experiencing overstimulation.
Question 2 of 5
A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Hand tremors are a common early symptom of alcohol withdrawal.
Question 3 of 5
A nurse is caring for a client who has severe manifestations of schizophrenia and is medicated PRN for agitation with haloperidol. The nurse should assess the client for which of the following adverse effects?
Correct Answer: A
Rationale: Haloperidol can cause QT prolongation, increasing the risk of dysrhythmias.
Question 4 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 5 of 5
Which action is most therapeutic for a client with panic-level anxiety?
Correct Answer: B
Rationale: The correct answer is B: Remain with the client. This is most therapeutic because it provides immediate support and reassurance, helping to calm the client and prevent further escalation of panic. Remaining with the client shows empathy and offers a sense of security, which can help the client feel safer and more in control of their anxiety.
Choices A, C, and D do not address the immediate need for support and connection that a client in panic-level anxiety requires. Resting in bed may isolate the client, medication may not address the root cause, and joining a therapy group may not be feasible or helpful in the moment. Thus, choice B is the most appropriate response for managing panic-level anxiety effectively.