ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a child who is on a clear liquid diet. At lunch the child consumed 1/2 cup of juice 3 oz gelatin 1 oz of an ice pop and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake?
Correct Answer: 260 mL
Rationale:
Step 1: Convert 1/2 cup of juice to mL: 1 cup = 240 mL so 1/2 cup = 120 mL.
Step 2: Convert 3 oz of gelatin to mL: 1 oz = 30 mL so 3 oz = 90 mL.
Step 3: Convert 1 oz of ice pop to mL: 1 oz = 30 mL.
Step 4: Ginger ale is 20 mL.
Step 5: Sum: 120 mL + 90 mL + 30 mL + 20 mL = 260 mL. The nurse should record 260 mL.
Question 3 of 5
A nurse is assessing several clients who have experienced loss. Which client will the nurse identify as experiencing complicated grieving?
Correct Answer: B,C
Rationale: Unresolved conflicts and guilt complicate grief for the adult hating their parent and the parent responsible for a child’s death. Annual visits are normal drunk driving loss lacks grief specifics and frequent grave visits may reflect cultural coping.
Question 4 of 5
An alert oriented older adult client has been financially and emotionally abused by their adult children for the past several years but has not reported the abuse to anyone. Which reason does the nurse identify is most likely why the client has not reported the abuse?
Correct Answer: C
Rationale: Emotional closeness and fear of harming family often prevent reporting abuse. Laws protect against family abuse financial barriers are secondary and abuse includes non-physical forms.
Question 5 of 5
The nurse working in an outpatient clinic is performing an intake assessment for a female client. Which priority question will the nurse ask the client as part of the initial assessment?
Correct Answer: B
Rationale: Assessing safety identifies risks like domestic violence a critical priority. Financial substance use and medical care questions are secondary to immediate safety concerns.