ATI RN
ATI Mental Health Quiz Questions
Extract:
Nurses' Notes
1000:
Client became upset in activity room because they lost a card game.
Client yelled at other clients stating. "They always cheat me!”
Client walks to their room and sits on bed.
1015:
Client returns to activity room; posture tense, fists clenched, and yells and uses obscenities toward staff members and other clients.
Asked client to calm down, explained consequences of their inappropriate behavior, and to share what took place. Maintained safe distance and asked client to have seat to talk about their anger.
Client's behavior continues to escalate.
Question 1 of 5
Client's behavior continues to escalate. A nurse is caring for a client in an inpatient psychiatry unit, Drag words from the choices below to fill in each blank in the following sentence ,Which of the following actions should the nurse take first? The nurse should ___ followed by ___.
Correct Answer: C,D
Rationale: Action to Take: Offer the client a physical outlet, Offer the client medication; Potential Condition: Escalating behavior; Parameter to Monitor: Client's behavior, Client's response to offered outlets.
Rationale: When a client's behavior continues to escalate in an inpatient psychiatry unit, the nurse's first action should be to offer the client a physical outlet as a non-restrictive and non-confrontational approach to de-escalate the situation. This allows the client to release built-up tension and energy in a safe manner. Additionally, offering medication can help address any underlying anxiety or agitation contributing to the escalation. By monitoring the client's behavior and response to the offered outlets, the nurse can assess the effectiveness of the interventions and make further adjustments as needed. Placing the client in restraints should be avoided as it can escalate the situation further, and grabbing the client's hand may be perceived as confrontational or threatening, potentially worsening the behavior.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: