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Practice Question

A nurse on an acute care mental health unit is examining the belongings of a client who is being admitted following a suicide attempt. Which of the following belongings should the nurse ask the client’s partner to take back home?

Answer Choices:

Correct Answer:

Necklace.

Rationale:

🔴 A necklace poses a ligature risk, especially for clients admitted following a suicide attempt.

🔴 The priority is removing all potentially harmful personal items that can be used for self-strangulation or hanging.

🔴 Items like belts, shoelaces, and jewelry must be evaluated for safety upon admission.

🔴 The nurse should educate the family on the reason for this precaution and ensure the client feels safe and respected.

🔴 This action supports environmental safety and suicide prevention.

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This question is from RN ATI Custom Nur316-Fall 2023(Module 4 Units 1-5) which contains 29 questions.

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A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?

Answer Choices:

A. Ask the client about the lethality of their plan.
B. Encourage the client to focus on the positive aspects of life.
C. Reassure the client that everything is going to work out.
D. Allow the client time alone to self-reflect.
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A nurse is educating a client about possible causes of their depressed mood. Which of the following client statements indicates an understanding of the teaching?

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A. "The stress from my new job could be the cause of my depressed mood"
B. "My high blood pressure could be the cause of my depressed mood."
C. "My elevated heart rate could be the cause of my depressed mood."
D. "My renal dysfunction could be the cause of my depressed mood."
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A charge nurse in a mental health facility is teaching a newly licensed nurse how to perform an Abnormal Involuntary Movement Scale (AIMS) assessment on a client. The charge nurse should identify that the AIMS assessment is used for which of the following conditions?

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A. Opiate withdrawal.
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A nurse on an inpatient mental health unit is caring for a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?

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A. Shakiness
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A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?

Answer Choices:

A. Ask the client about the lethality of their plan.
B. Encourage the client to focus on the positive aspects of life.
C. Reassure the client that everything is going to work out.
D. Allow the client time alone to self-reflect.
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View All 29 Questions
From Exam
RN ATI Custom Nur316-Fall 2023(Module 4 Units 1-5)

29 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Mental Health
  • Answer Choices: 4
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