ATI RN
Mental Health ATI RN Questions
Extract:
Question 1 of 5
The school nurse is seeing a 7-year-old child in the clinic and is concerned with behaviors and physical indications that indicate the child is being sexually abused. Which is the priority action by the nurse?
Correct Answer: D
Rationale: As a mandated reporter the nurse must document and report suspected abuse to protect the child. Discussing with parents risks further harm direct questioning may intimidate and consulting a coworker delays action.
Question 2 of 5
A client with depression is found to have attempted suicide in the bathroom and sustained injury. There is no documentation that the client was assessed every hour as prescribed. Which issue will the nursing staff and hospital potentially have to defend against?
Correct Answer: A
Rationale: Malpractice refers to a legal claim that can be made against healthcare professionals including nurses and hospitals when they fail to provide the standard of care expected in their profession resulting in harm or injury to a patient. In this case the lack of documentation that the client was assessed every hour as prescribed can be seen as a failure to meet the standard of care for a client with depression at risk for self-harm. This failure may have contributed to the client's suicide attempt constituting malpractice. Battery false imprisonment and assault do not apply as there was no intentional contact restraint or threat.
Question 3 of 5
The nurse is caring for a client who has been a victim of abuse since childhood. Which action(s) by the nurse is important so that the client feels safe secure and in control of their own body?
Correct Answer: A , D, E
Rationale: Asking permission respects autonomy monitoring anxiety adjusts care and security enhances safety. Independent care may be impractical and constant dual nurses may feel intrusive.
Question 4 of 5
An alert oriented older adult client has been financially and emotionally abused by their adult children for the past several years but has not reported the abuse to anyone. Which reason does the nurse identify is most likely why the client has not reported the abuse?
Correct Answer: C
Rationale: Emotional closeness and fear of harming family often prevent reporting abuse. Laws protect against family abuse financial barriers are secondary and abuse includes non-physical forms.
Question 5 of 5
A young client tells the nurse that the client's spouse died 3 months ago and the client is feeling alone and vulnerable. Which statement indicates that the client's coping skills are adequate?
Correct Answer: D
Rationale: Seeking a support group shows proactive coping addressing loneliness effectively. Overconfidence abandonment feelings or confusion suggest less adequate coping.