ATI RN
Mental Health Practice Questions Questions
Question 1 of 5
During a hiring interview, which response by a nursing applicant should indicate that the applicant operates from an ethical egoism framework?
Correct Answer: B
Rationale: The response "This job will pay the bills, and the workload is light enough for me." indicates that the nursing applicant operates from an ethical egoism framework. Ethical egoism is a normative theory that suggests individuals act in their self-interest, seeking to maximize their own well-being. In this response, the applicant's primary concern is their own financial stability and the manageable workload, reflecting a self-interested approach to decision-making. This contrasts with other responses that focus on care for others (A and C) or a sense of duty (D).
Question 2 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 3 of 5
An inpatient client, whom the treatment team has determined to be a danger to self, gives notice of intention to leave the hospital. What information should the nurse recognize as having an impact on the treatment teams next action?
Correct Answer: A
Rationale: State law determines how long a psychiatric facility can hold a client and under what conditions a client may be involuntarily committed for treatment. In this scenario, the inpatient client who is determined to be a danger to self is likely under an involuntary commitment status. If the client gives notice of intention to leave the hospital, the treatment team must abide by state laws regarding the duration of involuntary holds and the process for involuntary commitment. Understanding the legal framework and requirements set by state law is crucial for determining the treatment team's next actions in response to the client's desire to leave the hospital.
Question 4 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 5 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.