ATI RN
Mental Health HESI Practice Questions Questions
Question 1 of 5
A client is admitted to an emergency department experiencing memory deficits and decreased motor function. What alteration in brain chemistry should a nurse correlate with the presentation of these solutions?
Correct Answer: D
Rationale: Acetylcholine is a neurotransmitter that plays a key role in memory, learning, and muscle contractions. Decreased levels of acetylcholine have been associated with cognitive impairments, including memory deficits. In the scenario provided, the client is experiencing memory deficits and decreased motor function, which could be correlated with decreased levels of acetylcholine in the brain. It is important for the nurse to consider this alteration in brain chemistry when assessing and planning care for the client.
Question 2 of 5
In response to a students question regarding choosing a psychiatric specialty, a charge nurse states, Mentally ill clients need special care. If I were in that position, Id want a caring nurse also. From which ethical framework is the charge nurse operating?
Correct Answer: A
Rationale: The charge nurse's statement aligns with the principles of Kantianism, which is based on the philosophy of Immanuel Kant. Kantianism emphasizes the importance of treating individuals with respect and dignity, viewing them as ends in themselves rather than means to an end. In this case, the charge nurse is demonstrating a sense of duty and compassion towards mentally ill clients, highlighting the belief that everyone deserves caring and empathetic treatment, regardless of the situation. Kant would support the idea that individuals should be treated with kindness and empathy, based on the principle of treating others as you would want to be treated in a similar situation.
Question 3 of 5
Which statement should a nurse identify as correct regarding a clients right to refuse treatment?
Correct Answer: B
Rationale: Clients have the legal right to refuse any treatment, including pharmacological, psychological, or procedures like electroconvulsive therapy (ECT). This right is essential as it upholds the client's autonomy and right to make decisions about their own healthcare. While healthcare providers may strongly recommend certain treatments based on their professional judgment, they cannot force a client to undergo any treatment against their will, except in cases where the client poses an imminent threat to themselves or others (such as being actively suicidal or homicidal). In those instances, there are specific protocols and legal procedures that must be followed to ensure the safety of all involved.
Question 4 of 5
An inpatient psychiatric physician refuses to treat clients without insurance and prematurely discharges those whose insurance benefits have expired. Which violation of an ethical principle should a nurse recognize in this situation?
Correct Answer: D
Rationale: The violation of an ethical principle in this scenario is justice. Justice in healthcare refers to the fair and equal treatment of individuals. When the inpatient psychiatric physician refuses to treat clients without insurance and prematurely discharges those whose insurance benefits have expired, they are not upholding the principles of justice. This behavior results in unequal treatment based on insurance status, which goes against the ethical principle of justice. All individuals should have access to healthcare services regardless of their insurance status to ensure fairness and equity in healthcare delivery.
Question 5 of 5
A brother calls to speak to his sister who has been admitted to the psychiatric unit. The nurse connects him to the community phone and the sister is summoned. Later the nurse realizes that the brother was not on the clients approved call list. What law has the nurse broken?
Correct Answer: C
Rationale: The nurse in this scenario has potentially violated the Health Insurance Portability and Accountability Act (HIPAA) by disclosing protected health information (the sister's admission to the psychiatric unit and the phone call) to someone not authorized to receive it, which in this case is the brother who was not on the client's approved call list. HIPAA is a federal law that protects the privacy and security of individuals' medical information, and healthcare providers are required to maintain the confidentiality of patient information unless authorized by the patient or required by law to disclose it. The nurse should have verified the brother's authorization to receive such information before connecting the call to ensure compliance with HIPAA regulations.