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
The nurse approaches a client who looks very sad and is sitting alone crying. Which is the best response by the nurse in this situation?
Correct Answer: C
Rationale: This response demonstrates empathy and active listening acknowledging the client’s emotions and encouraging them to share creating a supportive environment. Other options may minimize feelings or fail to prompt expression.
Question 3 of 5
A nurse cared for a terminally ill client for over a month and developed a therapeutic nurse-client relationship. After the client's death feelings of sadness sleeping poorly and feeling mildly depressed were experienced by the nurse. Which is the best action to improve the resolution of grief?
Correct Answer: B
Rationale: The nurse’s symptoms suggest grief impacting well-being. Seeking therapy provides professional support to process emotions addressing potential dysfunctional grief. A leave may be excessive stress reduction is less targeted and informal forums may lack sufficient guidance.
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
A nurse is preparing to administer methylnaltrexone 12 mg subcutaneously to a client who has opioid-induced constipation. Available is methylnaltrexone 8 mg/0.4 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.6 mL
Rationale:
Step 1: Determine dosage per mL: 8 mg ÷ 0.4 mL = 20 mg/mL.
Step 2: Calculate volume for 12 mg: 12 mg ÷ 20 mg/mL = 0.6 mL. The nurse should administer 0.6 mL.