ATI Mental Health Proctored 2020 QUESTIONS WITH RATIONALED ANSWERS

ATI Mental Health Proctored 2020 QUESTIONS WITH RATIONALED ANSWERS A nurse is caring for a client in a mental health facility and overhears the client discussing plans to harm her father-in-law physically when she is discharged. Which of the following interventions should the nurse take? A. Ask the client to sign a contract agreeing not to harm others B. Notify the provider of the client's threat C. Keep the client's discussion confidential D. Place the client in individual observation: Notify the provider of the client's threat *It is the nurse's duty to notify the provider of the client's threat. It will then be the provider's responsibility to warn the the intended victim or the police of the client's threat 5 / 140 9. A nurse is preparing to meet with a client who has borderline personality disorder. Which of the following actions should the nurse plan to take during the working phase of the therapeutic relationship? A. Introduce the concept of client confidentiality B. Establish goals with the client C. Define the roles of the nurse and the client D. Facilitate change in the client's behavior: Facilitate change in the client's behavior 6 / 140 *The nurse should facilitate change in the client's behavior during the working phase of the therapeutic relationship. 10. A nurse is contributing to the plan of care for a client who has suicidal ideation and is being transferred to the mental health unit. Which of the following interventions should the nurse recommend? A. Search the client and his belongings upon arrival B. Assign the client to a private room near the nurse's station C. Instruct assistive personnel to check on the client every 15 m in D. Keep the door to the client's room closed: Search the client and his belong- ings upon arrival *The nurse should plan to search the client and all of his belongings upon arrival to the unit. This search is conducted for the client's safety so that the nurse can identify and remove any objects that increase the client's risk of injury or suicide. Potentially harmfully objects include razors, shoelaces, hygiene products, and tweezers 11. A nurse is talking with a client about his admission to a mental health unit. The client states, "I just don't know if I should be here. What will my family think?" Which of the following responses by the nurse uses the therapeutic communication technique of reflection? A. "It sounds like you are concerned about your family's reaction." B. "What your family thinks isn't important; you need to be concerned about getting well." C. "I suspect your family doesn't seem to understand you. D. "Many clients are concerned about the reaction of their families.": "It sounds like you are concerned about your family's reaction." *In a reflective response, the nurse directs feelings and statements back to the client, allowing the client to think about personal feelings