ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
The nurse working in an outpatient clinic is performing an intake assessment for a female client. Which priority question will the nurse ask the client as part of the initial assessment?
Correct Answer: B
Rationale: Assessing safety identifies risks like domestic violence a critical priority. Financial substance use and medical care questions are secondary to immediate safety concerns.
Question 4 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 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.