As a nurse escorts a patient being discharged after treatment for major depression, the patient gives the nurse a necklace with a heart pendant and says, "Thank you for helping mend my broken heart." Which is the nurse's best response?

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Mental Health ATI Proctored 2023 Questions

Question 1 of 5

As a nurse escorts a patient being discharged after treatment for major depression, the patient gives the nurse a necklace with a heart pendant and says, "Thank you for helping mend my broken heart." Which is the nurse's best response?

Correct Answer: C

Rationale: The correct answer is C because accepting gifts from patients can create a conflict of interest and compromise the nurse's professional boundaries. By politely declining the gift in response to the patient's gratitude, the nurse maintains professionalism and reinforces the therapeutic relationship. This response acknowledges the patient's gratitude while emphasizing the nurse's commitment to ethical practice. Choices A and B are incorrect because they either violate facility policies or fail to address the issue of accepting gifts. Choice D is incorrect as it does not address the ethical dilemma of accepting gifts from patients.

Question 2 of 5

Mr. Dilip is a forty-nine-year-old male who has been out of work for six years due to substance use issues. He wants to rejoin the workforce in his previous career as a woodworker. What type of workforce reentry programs would most directly benefit this client?

Correct Answer: D

Rationale: The correct answer is D: vocational rehabilitation program. This program would directly benefit Mr. Dilip by providing him with the necessary skills, training, and support to re-enter the workforce as a woodworker. Vocational rehabilitation programs are specifically designed to assist individuals with disabilities or barriers to employment, such as substance use issues, in obtaining and maintaining meaningful employment. These programs offer services like career counseling, job training, job placement assistance, and ongoing support to help individuals like Mr. Dilip successfully reintegrate into the workforce. A: Peer support program - While peer support can be beneficial for individuals in recovery, it may not provide the structured training and skills development needed for Mr. Dilip to re-enter his previous career as a woodworker. B: Entrepreneurship program - While entrepreneurship can be a viable option for some individuals, it may not be the most direct path for Mr. Dilip to rejoin the workforce as a woodworker. C: Mental health integration program - While mental health support

Question 3 of 5

The nurse helps a client practice various techniques of assertive communication by giving positive feedback for improvement of passive-aggressive interactions. This intervention would occur in which phase of the nurse-client relationship?

Correct Answer: C

Rationale: In the working phase of the nurse-client relationship, the focus is on implementing interventions to address the client's issues. In this scenario, the nurse is actively helping the client practice assertive communication techniques and providing positive feedback for improvement. This phase involves collaboration and active problem-solving to achieve therapeutic goals. A: Pre-interaction phase is about gathering information before meeting the client. B: Orientation phase is about establishing rapport and setting goals. D: Termination phase is about summarizing progress and preparing for closure. Therefore, the correct answer is C because it aligns with the active intervention and problem-solving nature of the working phase.

Question 4 of 5

Which determines the scope of practice for a registered nurse employed in a psychiatric inpatient facility?

Correct Answer: B

Rationale: The correct answer is B: State law, which may vary from state to state. State laws govern the scope of practice for healthcare professionals, including registered nurses in psychiatric inpatient facilities. Each state has its own Nurse Practice Act outlining the specific duties and responsibilities RNs can perform. National organizations like NAMI, NLN, and federal laws do not dictate the scope of practice for RNs in specific settings. It is crucial for nurses to be aware of and adhere to the regulations set forth by their respective state to ensure safe and legal practice.

Question 5 of 5

A patient is referred to a psychosocial rehabilitation program. When explaining this type of care to the patient, the nurse would emphasize which of the following?

Correct Answer: B

Rationale: The correct answer is B: Services that promote the patient's reintegration into the community. This option is correct because psychosocial rehabilitation programs focus on providing support and services that help individuals with mental health conditions to reintegrate into the community and improve their quality of life. These programs aim to help patients develop skills for independent living, social relationships, and vocational functioning. A: Intensive treatment that prepares the patient to live in the community - This option is not the best answer as psychosocial rehabilitation programs focus more on promoting reintegration rather than intensive treatment. C: Detoxification services for alcohol and drugs in an outpatient setting - This option is incorrect as psychosocial rehabilitation programs do not primarily focus on detoxification services but rather on broader aspects of recovery. D: Frequent monitoring within a therapeutic milieu for relapse prevention - While relapse prevention is important, it is not the primary focus of psychosocial rehabilitation programs, making this option less relevant compared to promoting community reintegration.

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