ATI RN
Mental Health Practice Questions Questions
Question 1 of 5
A client who will be receiving electroconvulsive therapy (ECT) must provide informed consent. Which situation should cause a nurse to question the validity of the informed consent?
Correct Answer: A
Rationale: Informed consent is a crucial component of the healthcare process, ensuring that clients are fully aware of the treatment or procedure they will undergo and have the capacity to make decisions regarding their care. In this scenario, the client being paranoid raises significant concerns about their ability to provide valid informed consent. Paranoia may impact the individual's ability to understand the information presented to them, assess the risks and benefits of ECT, and make a decision based on their own free will. Clients must be able to comprehend the information provided to them, weigh the potential consequences, and communicate their decision without any significant impairments that could affect their judgment. Therefore, a nurse should question the validity of informed consent when a client is paranoid, as it may indicate a lack of capacity to make an informed decision.
Question 2 of 5
The experience of being physically restrained can be traumatic. Which nursing intervention would best help the client deal with this experience?
Correct Answer: B
Rationale: The most appropriate nursing intervention to help a client deal with the traumatic experience of being physically restrained is to talk to the client at brief but regular intervals while they are restrained (Option B). This intervention helps maintain communication and a sense of connection with the client, offering support and reassurance during a potentially distressing situation. By engaging with the client regularly, the nurse can provide comfort, monitor the client's well-being, and assess their needs. It also helps prevent feelings of isolation or abandonment that can exacerbate the trauma associated with being restrained. Administering tranquilizers before applying restraints (Option A) is not the best approach as it can have sedative effects that may not be necessary or beneficial for the client. Leaving the client alone most of the time (Option C) and checking on the client infrequently (Option D) are not recommended as they can increase feelings of distress and helplessness in the client.
Question 3 of 5
An African American youth, growing up in an impoverished neighborhood, presents in the emergency department with bruises to his face, chest, and arms. He appears to be upset, is speaking in a dialect that is difficult for the nurse to understand, and is standing within 6 inches of the nurses personal space. What cultural consideration should a nurse identify as playing a role in this youths behavior?
Correct Answer: D
Rationale: The correct cultural consideration that the nurse should identify as playing a role in this youth's behavior is that some African Americans speak in a dialect that is different from standard English and tend toward smaller personal space than that of the dominant culture. It is important for healthcare providers to recognize and respect cultural differences, such as variations in language and personal space preferences, when interacting with patients from diverse backgrounds. In this case, the youth's use of a dialect the nurse finds difficult to understand and standing within close proximity may be reflective of his cultural norms and should not be misinterpreted as aggression or intimidation. Understanding and acknowledging cultural differences can help build trust and rapport between healthcare providers and patients, leading to more effective and culturally competent care.
Question 4 of 5
A Latino American man refuses to acknowledge responsibility for hitting his wife, stating instead, Its the mans job to keep his wife in line. Which cultural belief may be associated with this clients behavior?
Correct Answer: A
Rationale: The behavior described by the Latino American man of refusing to acknowledge responsibility for hitting his wife and stating that it's the man's job to keep his wife in line is reflective of a cultural belief associated with traditional Latino American families. In many Latino American cultures, there is a strong emphasis on male dominance within the family structure, with clear male-female role distinctions. This belief system can lead some individuals to justify violence or control over their partner as a way of asserting dominance or maintaining traditional gender roles within the family. It is important to recognize and address these cultural beliefs in order to provide effective intervention and support for individuals experiencing domestic violence within Latino American communities.
Question 5 of 5
In what way should a nurse expect a traditional Asian American client to view mental illness?
Correct Answer: A
Rationale: In traditional Asian cultures, mental illness may be viewed as bringing shame and dishonor to the family. Seeking outside help for mental health issues can be seen as weakness and may be stigmatized. This can lead to a reluctance to seek professional help and a preference for keeping mental health issues within the family. Additionally, there may be a belief that mental illness is due to personal weakness or lack of self-control, rather than a medical condition that can be treated. This cultural perception can influence how an Asian American client may approach mental health treatment and may impact their willingness to engage in therapy or accept mental health diagnoses.