ATI RN Abuse, Aggression, and Violence Assessment Test with Answers
Rated A
A nurse on a mental health unit is caring for a client.
The nurse should first address the client's Auditory hallucinations
followed by the client's Restlessness with pacing
.
A nurse on an inpatient mental health unit is caring for a
client.
Select the three findings that require immediate interven-
tion.
a) Aggressive behavior.
b) Heart rate
a) Aggressive behavior
e) Blood pressure
b) Heart rate
c) Respiratory rate
d) Blood pressure
e) Urine output
A nurse on a mental health unit is reviewing a client's
medical record. Determine if the client has a history of violence - Assess-
Click to identify if each action is performed during the ment
assessment or intervention phase of the nursing process. Communicate with the client using simple terms - Inter-
vention
Determine if the client has a history of violence Administer an anxiolytic medication - Intervention
Communicate with the client using simple terms Place the client in a low stimulation environment - Inter-
Administer an anxiolytic medication vention
Place the client in a low stimulation environment Check the client for delusional thoughts - Assessment
Check the client for delusional thoughts
A nurse is providing care to a client who has a history of
violent behavior. The nurse should identify which of the
following client statements as a risk factor for potential a) "I don't really have a lot to be proud of."
(future) violent behavior? (Select all that apply.) c) "I drink a half gallon of vodka every day."
d) "I occasionally use cocaine."
a) "I don't really have a lot to be proud of."
b) "When I get mad, I make myself count to 10 and take
, ATI RN Abuse, Aggression, and Violence Assessment Test with Answers
Rated A
deep breaths."
c) "I drink a half gallon of vodka every day."
e) "I have been arrested two times for a domestic distur-
d) "I occasionally use cocaine."
bance."
e) "I have been arrested two times for a domestic distur-
e) "Sometimes I yell at people who cut me ott when I'm
bance."
driving."
e) "Sometimes I yell at people who cut me ott when I'm
driving."
A nurse is presenting an in-service on the cycle of violence
to nursing statt. The nurse should include that the per- d) Respite
petrator becomes attectionate at which of the following
phases? The nurse should include that respite is phase 3 of the
cycle of violence. During this phase, the violence or abuse
a) Acute battering is no longer considered an acute stressor. It has been
b) Build-up forgotten about by the perpetrator and the violence has
c) Displacement stopped. This is also known as the "honeymoon" phase.
d) Respite
A nurse is reviewing manifestations of nonsuicidal self
harm (NSSH). Which of the following findings should the
nurse identify as a warning sign that a client might be
engaging in self-harm behavior?
b) A client is wearing long-sleeve shirts in hot weather
a) A client is talking to a friend about a recent job loss
b) A client is wearing long-sleeve shirts in hot weather
c) A client reports meditating when feeling upset
d) A client who takes an aerobics class to decrease stress
A nurse is evaluating a client whose partner is concerned
about their episode of recurrent anger. Which of the fol-
lowing statements should the nurse make when explain- a) The client gets a rush of adrenaline when expressing
ing potential reasons for the client's anger? (Select all that anger.
apply.)
Rated A
A nurse on a mental health unit is caring for a client.
The nurse should first address the client's Auditory hallucinations
followed by the client's Restlessness with pacing
.
A nurse on an inpatient mental health unit is caring for a
client.
Select the three findings that require immediate interven-
tion.
a) Aggressive behavior.
b) Heart rate
a) Aggressive behavior
e) Blood pressure
b) Heart rate
c) Respiratory rate
d) Blood pressure
e) Urine output
A nurse on a mental health unit is reviewing a client's
medical record. Determine if the client has a history of violence - Assess-
Click to identify if each action is performed during the ment
assessment or intervention phase of the nursing process. Communicate with the client using simple terms - Inter-
vention
Determine if the client has a history of violence Administer an anxiolytic medication - Intervention
Communicate with the client using simple terms Place the client in a low stimulation environment - Inter-
Administer an anxiolytic medication vention
Place the client in a low stimulation environment Check the client for delusional thoughts - Assessment
Check the client for delusional thoughts
A nurse is providing care to a client who has a history of
violent behavior. The nurse should identify which of the
following client statements as a risk factor for potential a) "I don't really have a lot to be proud of."
(future) violent behavior? (Select all that apply.) c) "I drink a half gallon of vodka every day."
d) "I occasionally use cocaine."
a) "I don't really have a lot to be proud of."
b) "When I get mad, I make myself count to 10 and take
, ATI RN Abuse, Aggression, and Violence Assessment Test with Answers
Rated A
deep breaths."
c) "I drink a half gallon of vodka every day."
e) "I have been arrested two times for a domestic distur-
d) "I occasionally use cocaine."
bance."
e) "I have been arrested two times for a domestic distur-
e) "Sometimes I yell at people who cut me ott when I'm
bance."
driving."
e) "Sometimes I yell at people who cut me ott when I'm
driving."
A nurse is presenting an in-service on the cycle of violence
to nursing statt. The nurse should include that the per- d) Respite
petrator becomes attectionate at which of the following
phases? The nurse should include that respite is phase 3 of the
cycle of violence. During this phase, the violence or abuse
a) Acute battering is no longer considered an acute stressor. It has been
b) Build-up forgotten about by the perpetrator and the violence has
c) Displacement stopped. This is also known as the "honeymoon" phase.
d) Respite
A nurse is reviewing manifestations of nonsuicidal self
harm (NSSH). Which of the following findings should the
nurse identify as a warning sign that a client might be
engaging in self-harm behavior?
b) A client is wearing long-sleeve shirts in hot weather
a) A client is talking to a friend about a recent job loss
b) A client is wearing long-sleeve shirts in hot weather
c) A client reports meditating when feeling upset
d) A client who takes an aerobics class to decrease stress
A nurse is evaluating a client whose partner is concerned
about their episode of recurrent anger. Which of the fol-
lowing statements should the nurse make when explain- a) The client gets a rush of adrenaline when expressing
ing potential reasons for the client's anger? (Select all that anger.
apply.)
