ATI RN
ATI Final Mental Health Questions
Question 1 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 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 nurse is working with the family of a client who has been diagnosed with antisocial personality disorder. Which of the following would be most important for the nurse to focus on when teaching the family about this disorder?
Correct Answer: B
Rationale: The correct answer is B: Boundary setting. When working with a client diagnosed with antisocial personality disorder, it is crucial for the nurse to focus on teaching the family about setting boundaries. This is important because individuals with this disorder often have difficulty respecting others' boundaries and may engage in manipulative or harmful behaviors. By establishing clear boundaries, the family can protect themselves and the client from potential harm or exploitation. Explanation of why the other choices are incorrect: A: Anger management - While anger management may be important in some cases, it is not the primary focus when dealing with antisocial personality disorder. The core issue lies in the individual's lack of empathy, disregard for rules, and manipulative behavior. C: Medication therapy - Medication may be used to manage certain symptoms associated with antisocial personality disorder, but it is not the primary intervention. The focus should be on behavioral and therapeutic approaches. D: Self-responsibility - While self-responsibility is important, individuals with antis
Question 4 of 5
A patient is brought to the emergency department by her brother, who reports that the patient became very agitated and 'started hallucinating.' Further assessment reveals tachycardia, incoordination, vomiting, and diarrhea. The brother states that the patient is taking paroxetine for depression. Which of the following would the nurse most likely suspect?
Correct Answer: C
Rationale: The correct answer is C: Serotonin syndrome. The patient's symptoms of agitation, hallucinations, tachycardia, incoordination, vomiting, and diarrhea are consistent with serotonin syndrome, a potentially life-threatening condition caused by excessive serotonin levels. Paroxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used to treat depression, which can lead to serotonin syndrome when combined with other serotonergic medications. Neuroleptic malignant syndrome (choice A) presents with muscle rigidity, fever, and altered mental status. Acute dystonic reaction (choice B) is characterized by sudden muscle contractions. Hypothyroidism (choice D) does not typically present with symptoms like agitation, hallucinations, and tachycardia.
Question 5 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.