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
A patient tells the nurse, "I don't think I'll ever get out of here." Select the nurse's most therapeutic response.
Correct Answer: C
Rationale: The correct answer is C because it reflects active listening and empathy. The nurse acknowledges the patient's feelings and opens the door for further discussion. Choice A dismisses the patient's feelings and may come off as insensitive. Choice B provides positive reinforcement but overlooks the patient's emotional state. Choice D generalizes the patient's feelings without addressing their specific concerns. Overall, choice C encourages the patient to express their thoughts and promotes therapeutic communication.
Question 3 of 5
A nursing student is presenting a discussion of the history of psychiatric-mental health nursing and its place within nursing history. Which of the following would be most appropriate to include?
Correct Answer: C
Rationale: The correct answer is C because there is a historical link between the first nursing program to admit male students and the first training school for psychiatric nursing. This is important to include in a discussion of the history of psychiatric-mental health nursing as it highlights the progressive nature of nursing education and the integration of male nurses into psychiatric nursing. This connection showcases the evolution of psychiatric nursing training and its significance within the broader history of nursing education. Choices A, B, and D are incorrect: A: Certification for the psychiatric-mental health nursing specialty was not first emphasized by Mary Adelaide Nutting. This statement does not align with the historical development of psychiatric nursing education. B: Psychiatric nurses' role in deinstitutionalization and community mental health centers is not directly related to the history of psychiatric-mental health nursing education, making this choice irrelevant. D: The establishment of the first graduate program in psychiatric nursing in response to psychiatric nursing specialty journals is not historically accurate, as the first training school for psychiatric nursing
Question 4 of 5
A psychiatric-mental health nurse is integrating Carl Rogers'theory into the plan of care for a patient with a mental illness. The nurse incorporates understanding of this theory by acknowledging that the therapist accomplishes which of the following?
Correct Answer: D
Rationale: The correct answer is D: Develop unconditional positive regard for the client. In Carl Rogers' theory, unconditional positive regard refers to the therapist's genuine acceptance and support of the client without judgment. This helps create a safe and trusting therapeutic relationship, leading to client growth and self-actualization. Providing validation of terminology (A) may be important but is not the primary focus. Focusing on instinctual drives (B) is more aligned with Freudian theory, not Rogers'. Recognizing basic needs (C) is essential, but it does not capture the essence of Rogers' emphasis on unconditional positive regard.
Question 5 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.