ATI RN
Mental Health Practice Questions Questions
Question 1 of 5
On an inpatient locked psychiatric unit, a newly admitted client requests to leave against medical advice (AMA). What should be the initial nursing action for this client?
Correct Answer: B
Rationale: The correct initial nursing action for a client wanting to leave against medical advice from an inpatient locked psychiatric unit is to check the client's admission status and discuss the reasons for wanting to leave (Choice B). This approach allows the nurse to assess the client's mental status, risk factors, and reasons for wanting to leave, which are essential for providing appropriate care and interventions. By understanding the client's perspective and concerns, the nurse can work collaboratively with the client to address underlying issues and potentially prevent harm. Choices A, C, and D are incorrect because they do not prioritize understanding the client's reasons for wanting to leave or assessing the client's mental status and risk factors. Choice A dismisses the client's request without exploring the underlying issues. Choice C focuses on punitive measures rather than therapeutic communication. Choice D, placing the client on one-on-one observation, does not address the client's concerns or reasons for wanting to leave.
Question 2 of 5
The unit secretary receives a phone call from the health insurer for a hospitalized patient. The caller seeks information about the patient's projected length of stay. How should the nurse instruct the unit secretary to handle the request?
Correct Answer: C
Rationale: The correct answer is C: Refer the request for information to the patient's case manager. The case manager is responsible for coordinating the patient's care, including length of stay discussions with the health insurer. This ensures that the information is handled appropriately and in accordance with privacy regulations. Incorrect answers: A: Obtaining information from the medical record and relaying it to the caller may violate patient confidentiality and privacy laws. B: While patient information is confidential, it is important to address the health insurer's request through the appropriate channels. D: Referring the request to the health care provider may not be necessary as the case manager is typically the appropriate point of contact for length of stay discussions with the health insurer.
Question 3 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 4 of 5
A patient diagnosed with schizophrenia tells the nurse, "The Central Intelligence Agency is monitoring us through the fluorescent lights in this room. The CIA is everywhere, so be careful what you say." Which response by the nurse is most therapeutic?
Correct Answer: B
Rationale: The correct answer is B because it validates the patient's feelings without directly challenging their delusion. By acknowledging the patient's concern about privacy, the nurse shows empathy and maintains a therapeutic relationship. Choice A avoids addressing the patient's underlying fear and may be dismissive. Choice C provides factual information but does not address the patient's emotional needs. Choice D uses confrontational language and may increase the patient's distress by labeling their belief as a symptom of illness. Overall, option B demonstrates empathy and builds rapport with the patient, which is crucial in providing effective care for individuals with schizophrenia.
Question 5 of 5
A patient who was responding to auditory hallucinations earlier in the morning now approaches the nurse shaking a fist and shouts, 'Back off!' and then goes to the dayroom. While following the patient into the dayroom, the nurse should
Correct Answer: A
Rationale: The correct answer is A, as it prioritizes safety by ensuring physical space between the nurse and the patient, reducing the risk of potential harm. By creating distance, the nurse can prevent escalation and maintain a safe environment for both parties. This approach allows for de-escalation and assessment of the situation without provoking further agitation. Choice B is incorrect as it may trap the patient and limit their options, potentially increasing their distress. Choice C is incorrect as maintaining a fixed distance may not be sufficient if the patient becomes physically aggressive. Choice D is incorrect as immediately engaging in conversation may exacerbate the situation and lead to further agitation.