Practice Question
A nurse is caring for a client who has bipolar disorder. The client says to the nurse, "Give me your pen to cut the pain out of my chest." The nurse should identify that the client is at risk for which of the following?
Answer Choices:
Correct Answer:
Self-mutilation
Rationale:
🔷 The client's statement reflects active suicidal or self-harm ideation, indicating an immediate risk of self-mutilation.
🔷 The phrase "cut the pain out" implies intent to harm oneself, which requires prompt safety interventions.
🔷 Clients with bipolar disorder, especially during depressive or mixed episodes, can experience intrusive thoughts of self-harm.
🔷 A suicide risk assessment is the priority, followed by safety measures such as removing sharp objects.
🔷 This behavior reflects maladaptive coping with emotional pain through physical harm.
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This question is from RN ATI Mental Health Exam Fall-2024 which contains 51 questions.
More Questions from This Exam
A nurse is explaining advance care directives, or "living wills," to a client and the client's spouse. Which detail would the nurse include in the description of an advance care directive?
Answer Choices:
A. The document tells what treatment is to be omitted or provided if the client is unable to make the decision.
B. A client is required to sign the "living will" document with an attorney present.
C. An attorney draws up the papers to be given to the client and his or her family.
D. The client's physician must act as a witness when the client signs the document.
A nurse working on a psychiatric unit receives a telephone call from a client's employer. The employer asks for a copy of the client's latest laboratory work and psychological testing results so that the client's medical records in employee health can be updated. Based on the nurse's knowledge of breach of confidentiality, which response would be appropriate?
Answer Choices:
A. "Sure, give me your address, and I will see that the information is sent to you."
B. "I'll have to get the clients signed consent before we can send that information to you."
C. "I'm sorry, we're not allowed to give out that information about our client."
D. "l am unable to acknowledge whether or not your employee is a client on this unit."
While working with an older client, a nurse begins to think of the client as a grandparent and responds to the client as a grandchild. The nurse is developing what type of emotional reaction?
Answer Choices:
A. Countertransference
B. Empathy
C. Transference
D. Modeling
A nurse in a mental health clinic is conducting a staff education session on schizophrenia. Which of the following manifestations should the nurse identify as negative symptoms? (Select all that apply.)
Answer Choices:
A. Anhedonia
B. Hallucinations
C. Poor judgment
D. Delusions
E. Blunt affect
A nurse is providing education to a group of staff members about schizophrenia. Which of the following age groups should the nurse include as the age when schizophrenia is typically diagnosed?
Answer Choices:
A. Preschooler
B. School-age
C. Young adulthood
D. Older adulthood
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Mental Health
- Answer Choices: 4