ATI RN
Psychiatric Mental Health Nursing Practice Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A female nurse is caring for a traditional Arab American male client. When planning effective care for this client, the nurse should be aware of which of the following cultural considerations? Select all that apply.
Correct Answer: A
Rationale: Step-by-step rationale for why choice A is correct: 1. In traditional Arab American culture, limited touch is acceptable only between members of the same sex due to modesty and respect for personal boundaries. 2. This cultural consideration is important for the nurse to provide appropriate care that respects the client's cultural beliefs and preferences. 3. Understanding this aspect helps the nurse establish trust and build rapport with the male client while upholding cultural sensitivity and respect. Summary: - Choice B is incorrect as Arab American individuals may stand close and make eye contact during conversations. - Choice C is incorrect as devout Muslim men may opt for not shaking hands with women due to religious beliefs, not solely based on gender. - Choice D is incorrect as gender roles in traditional Arab American culture can vary and may not always follow a strict hierarchical structure.
Question 5 of 5
What is the priority nursing action during the orientation (introductory) phase of the nurseclient relationship?
Correct Answer: B
Rationale: The correct answer is B: Establish rapport and develop treatment goals. During the introductory phase of the nurse-client relationship, establishing rapport is essential to build trust and a therapeutic alliance. Developing treatment goals collaboratively with the client sets the foundation for the care plan. This action promotes client engagement and empowerment. Acknowledging client actions and generating alternative behaviors (A) is more suited for later phases. Attempting to find alternative placement (C) is not appropriate in the introductory phase. Exploring how thoughts and feelings impact care (D) is important but not the priority during the orientation phase.