ATI RN
ATI Mental Health Practice Questions Questions
Question 1 of 5
Which mental illness should a nurse identify as being associated with a decrease in prolactin hormone level?
Correct Answer: B
Rationale: Anorexia nervosa is a mental illness that is typically associated with a decrease in prolactin hormone levels. Prolactin is responsible for various functions in the body, including milk production in females. In individuals with anorexia nervosa, the body experiences hormonal imbalances due to malnutrition and extreme weight loss, leading to decreased levels of prolactin. Therefore, a nurse should identify anorexia nervosa as the mental illness associated with a decrease in prolactin hormone level.
Question 2 of 5
Which of the following information should a nurse include when explaining causes of anorexia nervosa to a client? Select all that apply.
Correct Answer: A
Rationale: There is a possible correlation between abnormal secretion of growth hormone and anorexia nervosa. Imbalances in growth hormone secretion have been associated with anorexia nervosa, potentially contributing to the development or exacerbation of the disorder. Therefore, it is important for the nurse to include this information when explaining the causes of anorexia nervosa to the client.
Question 3 of 5
Without authorization, a nurse administers an extra dose of narcotic tranquilizer to an agitated client. The nurses coworker observes this action but does nothing for fear of repercussion. What is the ethical interpretation of the coworkers lack of involvement?
Correct Answer: A
Rationale: Taking no action is still considered an action by the coworker. In this situation, the coworker witnessing the unauthorized administration of an extra dose of narcotic tranquilizer has a moral and ethical responsibility to intervene and prevent harm to the client. By choosing not to act, the coworker is passively allowing a potentially harmful situation to occur, which can be seen as complicity in the wrongdoing. Ethical principles dictate that individuals have a duty to act when they witness unethical or harmful behavior, even if it may be difficult or lead to repercussions. Thus, inaction in such a scenario does not release the coworker from ethical responsibility.
Question 4 of 5
A client diagnosed with schizophrenia refuses to take medication, citing the right of autonomy. Under which circumstance would a nurse have the right to medicate the client against the clients wishes?
Correct Answer: C
Rationale: The nurse would have the right to medicate the client against their wishes when the client poses a serious threat to themselves or others. In this scenario, the client physically attacked another client after being confronted in group therapy, which indicates a risk of harm to others. In situations where the client's behavior poses a danger to themselves or others, the nurse may need to intervene to ensure the safety of everyone involved, even if it means administering medication against the client's wishes. It is important to prioritize the safety and well-being of all individuals in such circumstances.
Question 5 of 5
A client diagnosed with schizophrenia receives fluphenazine decanoate (Prolixin Decanoate) from a home health nurse. The client refuses medication at one regularly scheduled home visit. Which nursing intervention is ethically appropriate?
Correct Answer: A
Rationale: A client has the right to refuse medication, and it is essential to respect their autonomy and decision-making capacity. Allowing the client to decline the medication and documenting the refusal is an ethically appropriate nursing intervention in this situation. Coercion, such as threatening hospitalization (Option B) or administering medication without consent (Option D), is not in line with ethical principles and can violate the client's rights. Similarly, adding medication to the client's orange juice without their knowledge or consent (Option C) is deceptive and unethical. Respecting the client's autonomy and documenting their refusal allows for open communication and partnership in addressing their healthcare needs.