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 client who has major depressive disorder. Which of the following interventions is the nurse’s priority?
Correct Answer: A
Rationale: The correct answer is A: Monitor for risk of self-harm. This is the priority because individuals with major depressive disorder are at an increased risk for suicide. The nurse must ensure the client's safety by closely monitoring for any signs of self-harm or suicidal ideation. Administering antidepressants (
B) may be important for long-term management but ensuring immediate safety takes precedence. Encouraging fluid intake (
C) and assisting with activities of daily living (
D) are important aspects of care but do not address the immediate risk of self-harm.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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