ATI RN
Mental Health Practice Questions Questions
Question 1 of 5
Which client should a nurse identify as a potential candidate for involuntarily commitment?
Correct Answer: B
Rationale: A client threatening to commit suicide should be identified as a potential candidate for involuntary commitment. Suicidal ideation or threats pose an immediate risk to the client's life, and if they are deemed to be at imminent risk of harm to themselves, involuntary commitment may be necessary to ensure their safety and provide necessary mental health interventions. It is important for healthcare professionals to take such threats seriously and act promptly to prevent harm.
Question 2 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 3 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 4 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.
Question 5 of 5
A Latino American man refuses to acknowledge responsibility for hitting his wife, stating instead, Its the mans job to keep his wife in line. Which cultural belief may be associated with this clients behavior?
Correct Answer: A
Rationale: The behavior described by the Latino American man of refusing to acknowledge responsibility for hitting his wife and stating that it's the man's job to keep his wife in line is reflective of a cultural belief associated with traditional Latino American families. In many Latino American cultures, there is a strong emphasis on male dominance within the family structure, with clear male-female role distinctions. This belief system can lead some individuals to justify violence or control over their partner as a way of asserting dominance or maintaining traditional gender roles within the family. It is important to recognize and address these cultural beliefs in order to provide effective intervention and support for individuals experiencing domestic violence within Latino American communities.