ATI RN
ATI Mental Health Practice Questions Questions
Question 1 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 2 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 3 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.
Question 4 of 5
A client is concerned that information given to the nurse remains confidential. Which is the nurses best response?
Correct Answer: C
Rationale: The nurse's best response is C, "If the information impacts your care, I will need to share it with the treatment team." This response explains the important aspect of confidentiality while also emphasizing that if the information is relevant to the client's care, it may need to be shared with the treatment team for better assessment and management. It shows respect for the client's privacy while also prioritizing their well-being and treatment. It balances the ethical duty of confidentiality with the responsibility to provide effective care based on all available information.
Question 5 of 5
There is one bed available on an inpatient psychiatric unit. For which client should a nurse advocate emergency commitment?
Correct Answer: C
Rationale: In this scenario, the client who requires emergency commitment is the individual who is delusional and has a plan to kill his wife (Choice C). This client poses an immediate threat to themselves or others due to the specific plan of harm they have. The presence of a specific plan for harm, in this case, killing his wife, is a red flag that necessitates immediate intervention to ensure safety.