ATI RN
Psychiatric Mental Health Nursing Practice Questions Questions
Question 1 of 5
A geriatric client is confused and wandering in and out of every door. Which scenario reflects the least restrictive alternative for this client?
Correct Answer: D
Rationale: The correct answer is D - The client is monitored by an ankle bracelet. This option allows for monitoring and tracking the client's movements without physical restraint, promoting autonomy and freedom of movement. Seclusion (A) is restrictive and isolating. Placing the client in a geriatric chair with tray (B) limits mobility and can be degrading. Soft Posey restraints (C) restrict movement and can lead to physical and psychological harm. An ankle bracelet (D) is the least restrictive option as it allows for monitoring while still allowing the client some independence and mobility.
Question 2 of 5
In the situation presented, which nursing intervention constitutes false imprisonment?
Correct Answer: A
Rationale: The correct answer is A because false imprisonment occurs when a person is unlawfully restrained. In this scenario, the client is restrained without a physician's order, which is considered unlawful. Seeking a physician's order after the client is already restrained does not justify the action. Choice B is incorrect because seclusion is a valid nursing intervention for managing disruptive behavior, as long as it is done in a safe and ethical manner. Choice C is incorrect because the nurse's actions of running after the client and convincing them to return do not constitute false imprisonment. Choice D is incorrect because preventing a client hospitalized as an involuntary admission from leaving with the help of security is a valid intervention to ensure the safety of the client and others.
Question 3 of 5
Which rationale by a nursing instructor best explains why it is challenging to globally classify the Asian American culture?
Correct Answer: D
Rationale: The correct answer is D because the Asian American culture is not monolithic but comprises individuals from diverse Asian countries with unique customs, languages, and traditions. This diversity makes it challenging to globally classify the culture as a whole. Option A is incorrect as emotional expression varies within Asian American communities. Option B is incorrect as there has been cultural research on Asian Americans. Option C is incorrect as the size of the population does not hinder research efforts.
Question 4 of 5
A Native American client is admitted to an emergency department (ED) with an ulcerated toe secondary to uncontrolled diabetes mellitus. The client refuses to talk to a physician unless a shaman is present. Which nursing intervention is most appropriate?
Correct Answer: A
Rationale: Correct Answer: A Rationale: 1. Cultural Competence: In respecting the client's cultural beliefs and practices, it is essential to honor the request for a shaman's presence. 2. Collaboration: By assisting the client in contacting a shaman, the nurse promotes collaboration between traditional healing methods and medical interventions. 3. Trust Building: Respecting the client's request fosters trust and rapport, which are crucial for effective communication and care. 4. Patient-Centered Care: This approach aligns with the principle of patient-centered care, where the client's preferences and values are prioritized. Summary of Other Choices: B: This choice is dismissive and disrespectful of the client's beliefs, potentially causing harm by undermining trust and rapport. C: This choice puts the client on the defensive and does not address the immediate need for a shaman's presence. D: This choice fails to address the client's request and focuses on the right to refuse treatment, which is not the immediate concern in
Question 5 of 5
During the first interview with a man from Syria who has just lost his son in a car accident, in sympathy for the mans loss, the female nurse reaches out and hugs him. Which is an accurate evaluation of the nurses action?
Correct Answer: A
Rationale: The correct answer is A because the nurse's action of hugging the man from Syria who just lost his son in a car accident breaches cultural norms. In many Middle Eastern cultures, physical touch, especially between unrelated individuals of the opposite sex, is considered inappropriate and can be seen as disrespectful. This can cause discomfort and may even offend the individual. In this scenario, the nurse should respect the man's cultural background and find alternative ways to show empathy and support, such as verbal expressions of sympathy or offering a comforting presence. Choice B is incorrect because while the nurse may have intended to show empathy, the method of hugging was culturally inappropriate. Choice C is incorrect as offering self typically involves sharing personal experiences to build rapport, not physical touch. Choice D is also incorrect as the issue lies more with cultural norms rather than poor timing.