ATI RN
ATI Mental Health Book Questions
Question 1 of 5
A psychiatric nurse documents in a client's chart:"Seems to have no regard for legal or ethical standards. A problem client who needs constant limit setting." Which response by the nurse manager reflects the potential liability related to this entry?
Correct Answer: C
Rationale: The correct answer is C: "Documenting this puts you at risk for defamation of character." This is because the nurse's statement could harm the client's reputation by implying they have no regard for legal or ethical standards. Defamation of character involves making false statements that harm someone's reputation. The nurse's documentation could be seen as libel if it's in writing.
A: "Documenting this breaches the client's right to confidentiality."
This is incorrect because the issue is not about breaching confidentiality but rather about potentially harming the client's reputation.
B: "Documenting this puts you at risk for malpractice."
This is incorrect because malpractice typically involves a failure to meet the standard of care, not necessarily defamation of character.
D: "Documenting this breaches the client's right to informed consent."
This is incorrect as informed consent relates to the client's understanding and agreement to treatment, not to the nurse's documentation of behavior.
Question 2 of 5
What does the anti-psychiatry movement want to reform in psychiatric practices?
Correct Answer: B
Rationale: The correct answer is B because the anti-psychiatry movement aims to enhance transparency and client involvement in treatment decisions. This aligns with their belief in empowering individuals and prioritizing their autonomy in their own mental health care. By involving clients in treatment decisions and promoting transparency, the movement seeks to challenge traditional hierarchical structures in psychiatry.
Choice A is incorrect as the anti-psychiatry movement generally opposes involuntary treatments due to ethical concerns.
Choice C is incorrect as the movement actually emphasizes the importance of social determinants of mental health and advocates for addressing these factors.
Choice D is incorrect as the movement does not aim to eliminate all medications, but rather questions the overreliance on medication as the primary form of treatment.
Question 3 of 5
What neurotransmitter is implicated in the neurobiology of schizophrenia?
Correct Answer: B
Rationale: The correct answer is B: glutamate. Glutamate is the primary excitatory neurotransmitter in the brain and plays a crucial role in the pathophysiology of schizophrenia. Research has shown abnormalities in glutamatergic neurotransmission in individuals with schizophrenia, including NMDA receptor hypofunction. GABA (
A) is an inhibitory neurotransmitter and is not directly implicated in schizophrenia. Norepinephrine (
C) and acetylcholine (
D) are not the primary neurotransmitters associated with schizophrenia.
Question 4 of 5
A client is admitted to the hospital with dementia related to Parkinson's disease. The client is being treated for a fractured tibia from a recent fall. The nurse should assess the client's history for use of which type of medication?
Correct Answer: A
Rationale: The correct answer is A: Anticholinergics. In Parkinson's disease, anticholinergics are commonly used to manage symptoms by blocking the action of acetylcholine, which is an excitatory neurotransmitter. These medications can worsen cognitive impairment in patients with dementia. Assessing for anticholinergic use in the client's history is crucial to prevent exacerbating cognitive decline.
Summary of incorrect choices:
B: Dopamine agonists are used to treat Parkinson's disease and would not be directly related to worsening cognitive impairment in this scenario.
C: Anxiolytics are used to treat anxiety and would not directly impact cognitive impairment related to Parkinson's disease.
D: Benzodiazepines are used to treat anxiety and insomnia, but they are not typically associated with worsening cognitive impairment in Parkinson's disease.
Question 5 of 5
An individual is seeking employment as a nurse in a crisis center. The interviewer asks the person what he would ask someone who called the crisis hotline to determine whether the caller was experiencing a crisis. Which response would be most appropriate?
Correct Answer: B
Rationale: The correct answer is B: "Tell me about what you are experiencing and what it means to you." This response is appropriate because it allows the caller to describe their own experience and feelings, providing insight into their current situation and emotional state. By listening to the caller's story and understanding their perspective, the nurse can assess the severity of the crisis and provide appropriate support.
Choice A is incorrect as it focuses on the extent of involvement rather than understanding the caller's experience.
Choice C is incorrect because a numerical rating doesn't provide a comprehensive understanding of the caller's situation.
Choice D is incorrect as it assumes the caller knows why they are in a crisis rather than allowing them to express their feelings and experiences.