ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A psychiatric-mental health nurse is working on an inpatient unit that uses a privilege system. The nurse understands that this intervention integrates which group of theories?
Correct Answer: D
Rationale: Privilege systems rely on behavioral theories, using reinforcement to shape behavior. Developmental theories address life stages, humanistic focus on growth, and cognitive on thoughts, not reward-based systems.
Question 2 of 5
A nurse is caring for a client who has bipolar disorder. The client says to the nurse, 'Give me your pen to cut the pain out of my chest.' The nurse should identify that the client is at risk for which of the following?
Correct Answer: D
Rationale: The client's statement, 'Give me your pen to cut the pain out of my chest,' explicitly indicates a desire to self-harm, pointing to a risk for self-mutilation. An illusion involves misinterpreting real stimuli, a hallucination involves false sensory perceptions, and attention-seeking behavior seeks attention without intent to harm. Self-mutilation aligns with the intent to alleviate emotional distress through physical harm.
Question 3 of 5
A newly licensed nurse is applying prescribed wrist restraints on a client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Quick-release ties prioritize safety for emergency removal. Checking every 2 hours, securing to the bed frame, and ensuring two-finger space are correct practices, not the alternatives.
Question 4 of 5
During group therapy, the nurse observes that a client is pacing, agitated, and presenting with aggressive gestures. The client's speech pattern is rapid, and affect is belligerent. Based on the observations, the nurse's immediate priority of care is to:
Correct Answer: B
Rationale: Safety is the priority given the client’s aggression, protecting both the client and others. Controlled environments or de-escalation follow, and comfort is secondary to preventing harm.
Question 5 of 5
When communicating with a client, which would a nurse use to convey positive body language?
Correct Answer: A
Rationale: Eye-level sitting shows respect and engagement, fostering trust. Crossed arms seem defensive, erect posture may feel formal, and crossed legs appear casual, potentially undermining rapport.