ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 of 5
An angry client has just thrown a chair across the room and is racing to pick up another chair to throw. Which is the most appropriate action by the nurse?
Correct Answer: A
Rationale: The client’s violent behavior poses an immediate risk requiring trained personnel to ensure safety. Verbal de-escalation or confrontation may escalate and problem-solving is inappropriate during active aggression.
Question 2 of 5
The client with terminal lung cancer says to the nurse 'I really want to see my first grandchild born before I die. Is that too much to ask?' Which stage of grieving will the nurse document the client is experiencing?
Correct Answer: C
Rationale: The client’s desire to live for a specific event reflects bargaining negotiating with fate to delay death. Anger acceptance and depression do not fit this expression.
Question 3 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.
Question 4 of 5
A nurse is questioning another nurse about whether it is ethical to seclude a client because of loud and intrusive behavior on the unit. Which is the ethical principle that will best guide the nurse's decision on the appropriate use of seclusion?
Correct Answer: C
Rationale: Beneficence is the ethical principle that focuses on doing good and acting in the best interest of the patient. It involves taking actions that promote the well-being of patients and prevent harm. In the context of seclusion beneficence guides the nurse to consider whether secluding the patient will prevent harm to the patient and others thereby promoting overall safety and well-being. Autonomy justice and veracity do not directly address the safety-driven decision for seclusion.
Question 5 of 5
The nurse is meeting with a client who is experiencing complicated grieving from the death of their child to suicide. In order to establish a therapeutic nurse-client relationship what will the nurse do prior to the meeting?
Correct Answer: A
Rationale: Prior to meeting with a client who is experiencing complicated grieving the nurse should engage in self-reflection and examine their own attitudes biases and emotional responses related to loss and grieving. This is important because the nurse's own experiences and beliefs can influence their ability to provide empathetic and nonjudgmental care to the client. Evaluating interventions setting goals unilaterally or sharing personal experiences may not prioritize the client’s needs or maintain professional boundaries.