ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 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 2 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 3 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.
Question 4 of 5
The nurse is caring for several clients on the behavioral health unit. Which client will be assessed as demonstrating aggression?
Correct Answer: B
Rationale: Grabbing a pool cue after stomping away indicates hostility and potential violence defining aggression. Crying verbalizing anger or refusing medication do not involve aggressive actions.
Question 5 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.