ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 of 5
The health care provider prescribes haloperidol 10 mg for a client with severe psychosis but the client refuses the medication. Which nursing action is appropriate?
Correct Answer: A
Rationale: Every individual has the right to refuse medical treatment including medications as long as they are competent to make that decision. It is essential to respect the client's autonomy and right to make decisions about their own health care. The nurse should document the refusal inform the healthcare provider and explore the reasons behind the refusal if possible. Discharging for nonadherence using restraints or coercive statements violate ethical principles and patient rights.
Question 2 of 5
The nurse is completing a family assessment for a victim of intimate partner violence. Which characteristic of the abuser will the nurse identify when completing the assessment?
Correct Answer: B
Rationale: Abusers often display controlling behavior including possessiveness and neediness limiting the victim’s freedom. Remorse is less common high self-esteem is not universal and encouraging independence contradicts typical abuser behavior.
Question 3 of 5
A nurse in the emergency department is preparing to administer naloxone 0.4 mg IV bolus to a client who has opioid-induced respiratory depression. Available is naloxone injection 0.2 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2 mL
Rationale: Amount to administer =
Total dose required (0.4 mg) ÷ Concentration (0.2 mg/mL) = 2 mL. The nurse should administer 2 mL of naloxone.
Question 4 of 5
The nurse is working with another nurse in the emergency department (ED) when a client comes in stating they have been raped during a date. Which statement made by the other nurse privately requires immediate correction?
Correct Answer: B
Rationale: This statement is highly inappropriate and victim-blaming implying the client’s clothing caused the assault. Nurses must provide empathetic non-judgmental care. The other statements reflect support understanding of consent or client concerns and do not require correction.
Question 5 of 5
The nurse is working with an adolescent client that is argumentative with staff and peers on the behavioral health unit. Which therapeutic response will be most beneficial for the client to decrease acting out behavior?
Correct Answer: D
Rationale: This response demonstrates the use of therapeutic communication specifically offering the client an opportunity to express their feelings and concerns in a non-confrontational manner. By suggesting a private and quiet area to talk to the nurse provides a safe and supportive environment for the client to explore and process their emotions. This approach can help the client feel heard validated and understood which may reduce their need to act out or engage in argumentative behaviors to express their feelings. Threats medication demands or dismissive comments may escalate behavior.