Practice Question
A nurse in an acute care mental health facility is caring for a client who has depression. After 3 days of treatment, the nurse notices that the client suddenly seems cheerful and relaxed and there are no longer signs of a depressive state. Which of the following interventions is appropriate to include in the plan of care?
Answer Choices:
Correct Answer:
Monitor the clients whereabouts at all times.
Rationale:
🔶 A sudden lift in mood after a depressive period can signal that the client has made a plan to commit suicide, giving them a false sense of peace.
🔶 Close observation is critical during this phase to prevent self-harm or suicide attempts.
🔶 The nurse should treat this behavioral shift as a red flag, not a sign of improvement.
🔶 Safety precautions should include removal of harmful objects and continuous monitoring.
🔶 Monitoring supports suicide prevention protocols and demonstrates appropriate risk management.
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This question is from RN ATI Mental Health NPRO200 Exam which contains 41 questions.
More Questions from This Exam
The client presents to the emergency department with a headache in the back of the head, diaphoresis, and neck stiffness. The clients blood pressure measures 180/124 mm Hg and heart rate is 168 beats/min. The spouse says the client is currently prescribed "something for depression" and denies any history of cardiac disease. The nurse should suspect the use of what medication?
Answer Choices:
A. A monoamine oxidase inhibitor (MAOI)
B. A selective serotonin reuptake inhibitor (SSRI)
C. A tricyclic antidepressant (TCA)
D. An atypical antipsychotic
A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lb) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?
Answer Choices:
A. Provide a structured environment for the client.
B. Identity the clients nutritional status.
C. Plan a therapeutic diet for the client.
D. Request a mental health consult.
A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following characteristics are expected findings of OCD? (Select all that apply.)
Answer Choices:
A. Irrational tear of certain objects.
B. Rule-conscious behavior.
C. Difficulty relaxing.
D. Perfectionist behavior.
E. Unaware of compulsions.
A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?
Answer Choices:
A. A child who uses the call light frequently
B. A child whose parents answer questions for the child
C. A child who has a BMI indicating obesity
D. A child who has frequent visitors
Which behavior would first alert the school nurse or teacher to suspect sexual abuse in a 7-year- old child?
Answer Choices:
A. The child has a preference for associating with peers, rather than adults.
B. The child has learning problems and shyness.
C. The child tells sexually explicit stories to peers.
D. The child wears dirty and threadbare clothing.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Mental Health
- Answer Choices: 4