ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 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 2 of 5
A client is informed by the nurse that they must take their medication and the client kicks the nurse and runs to their room. Which action by the nurse demonstrates that the nurse falsely imprisons the client?
Correct Answer: D
Rationale: False imprisonment involves unlawfully restricting a person’s freedom. Applying restraints and forcing medication without justification violates the client’s rights constituting false imprisonment. Other actions involve communication documentation or assault not restraint.
Question 3 of 5
A nurse auscultates a client's lung sounds and identifies crackles in the left lower lobe. Which of the following interventions should the nurse take?
Correct Answer: A
Rationale: Crackles are abnormal lung sounds that may indicate the presence of fluid or mucus in the lungs. Placing the client on bed rest in a semi-Fowler position helps to improve lung expansion and oxygenation by reducing the pressure on the diaphragm promoting optimal lung ventilation and facilitating drainage of fluid from the affected area of the lung. Fluid restriction is typically for conditions like heart failure not crackles. Antibiotics require evidence of infection and repeating auscultation does not immediately improve oxygenation.
Question 4 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 5 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.