ATI RN
ATI Final Mental Health Questions
Question 1 of 5
Which elements are included in the nurse-client contract?
Correct Answer: B
Rationale: The correct answer is B because during the orientation phase of the nurse-client relationship, the purpose and goals of the interaction are established, setting the foundation for the therapeutic relationship. In contrast, choice A refers to the pre-interaction phase where the roles of both parties are clarified, not the contract itself. Choice C involves the working phase, which focuses on achieving the established goals, not termination conditions. Choice D pertains to the termination phase where the relationship is concluded, not where discharge criteria are set. Therefore, B is correct as it directly relates to the establishment of the purpose of the interaction in the nurse-client contract.
Question 2 of 5
Which of the following situations may put a nurse on an inpatient unit in legal jeopardy for battery? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: A client is injured while being forcibly placed in four-point restraints because of low staffing. Rationale: 1. Battery is the intentional harmful or offensive touching of another without consent. 2. Forcibly placing a client in restraints without proper justification or consent can be considered harmful touching, potentially leading to legal jeopardy for battery. 3. Low staffing does not justify improper use of restraints, as it is the responsibility of the nurse to ensure safe and appropriate care for the client. Summary of Incorrect Choices: A. Threatening a client with bodily harm is intimidation and coercion, not physical touching, which is required for battery. C. Giving excess medication due to an error is a medication error, not battery. Reporting and addressing the error is crucial to prevent harm. D. Holding a client against their will due to nonadherence may be related to ethical or legal issues, but it does not involve direct physical touching that constitutes battery.
Question 3 of 5
A psychiatric nurse who works with forensic clients is describing the roles and responsibilities to a group of nursing students. Which of the following would the nurse emphasize as critical before initiating medication therapy for a forensic client?
Correct Answer: C
Rationale: Rationale: C: Informed consent is critical before initiating medication therapy for a forensic client to ensure the client understands the treatment, risks, and alternatives. Without informed consent, the client's autonomy and rights may be violated. It is essential for ethical and legal reasons. A: Court order for medication is not necessary for initiating medication therapy, and it does not ensure the client's understanding or consent. B: Determination of not guilty by reason of insanity is related to legal proceedings and does not directly impact the initiation of medication therapy. D: Identification of history for aggression is important for treatment planning but does not address the immediate need for informed consent before medication therapy.
Question 4 of 5
The case manager plans to discuss the treatment plan with a patient's family. Select the case manager's first action.
Correct Answer: C
Rationale: The correct answer is C: Obtain the patient's permission for the exchange of information. This is the case manager's first action because it ensures the patient's autonomy and right to privacy are respected. It is crucial to obtain the patient's permission before discussing their treatment plan with the family to maintain trust and confidentiality. Without the patient's consent, sharing sensitive information with the family could breach ethical and legal boundaries. In contrast: A: Determining an appropriate location is important but not the first step. B: Supporting the discussion with examples of the patient's behavior is relevant but not as critical as obtaining consent. D: Deciding which family members should participate is premature without the patient's approval.
Question 5 of 5
Which elements are included in the nurse-client contract?
Correct Answer: B
Rationale: The correct answer is B because during the orientation phase of the nurse-client relationship, the purpose and goals of the interaction are established, setting the foundation for the therapeutic relationship. In contrast, choice A refers to the pre-interaction phase where the roles of both parties are clarified, not the contract itself. Choice C involves the working phase, which focuses on achieving the established goals, not termination conditions. Choice D pertains to the termination phase where the relationship is concluded, not where discharge criteria are set. Therefore, B is correct as it directly relates to the establishment of the purpose of the interaction in the nurse-client contract.