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 completing a client's history and physical examination. Which of the following information should the nurse consider subjective data?
Correct Answer: C
Rationale: Subjective data refers to information provided by the client that cannot be directly observed or measured by the nurse such as nausea. Objective data like blood pressure cyanosis and petechiae can be observed or measured. Nausea relies on the client’s self-report making it subjective.
Question 3 of 5
A client is observed pacing the hall with clenched fists and swearing at others. The nurse intervenes immediately in a calm manner to prevent the client from moving to which phase of the aggression cycle?
Correct Answer: C
Rationale: The client’s behavior indicates escalation with increasing agitation. Calm intervention prevents progression to the crisis phase where violence is likely. Recovery follows crisis and triggering precedes escalation.
Question 4 of 5
The nurse is caring for a client who has been a victim of abuse since childhood. Which action(s) by the nurse is important so that the client feels safe secure and in control of their own body?
Correct Answer: A , D, E
Rationale: Asking permission respects autonomy monitoring anxiety adjusts care and security enhances safety. Independent care may be impractical and constant dual nurses may feel intrusive.
Question 5 of 5
A nurse is working with a client who has frequent angry outbursts which is disrupting life at home. Which statement by the nurse is most helpful when working with this client?
Correct Answer: D
Rationale: Validating anger as normal and suggesting its use for problem-solving encourages healthy expression. Physical outlets reducing assertiveness or suppression do not address underlying issues constructively.