ATI RN
Mental Health HESI Practice Questions Questions
Question 1 of 5
Which statement should a nurse identify as correct regarding a clients right to refuse treatment?
Correct Answer: B
Rationale: Clients have the legal right to refuse any treatment, including pharmacological, psychological, or procedures like electroconvulsive therapy (ECT). This right is essential as it upholds the client's autonomy and right to make decisions about their own healthcare. While healthcare providers may strongly recommend certain treatments based on their professional judgment, they cannot force a client to undergo any treatment against their will, except in cases where the client poses an imminent threat to themselves or others (such as being actively suicidal or homicidal). In those instances, there are specific protocols and legal procedures that must be followed to ensure the safety of all involved.
Question 2 of 5
A brother calls to speak to his sister who has been admitted to the psychiatric unit. The nurse connects him to the community phone and the sister is summoned. Later the nurse realizes that the brother was not on the clients approved call list. What law has the nurse broken?
Correct Answer: C
Rationale: The nurse in this scenario has potentially violated the Health Insurance Portability and Accountability Act (HIPAA) by disclosing protected health information (the sister's admission to the psychiatric unit and the phone call) to someone not authorized to receive it, which in this case is the brother who was not on the client's approved call list. HIPAA is a federal law that protects the privacy and security of individuals' medical information, and healthcare providers are required to maintain the confidentiality of patient information unless authorized by the patient or required by law to disclose it. The nurse should have verified the brother's authorization to receive such information before connecting the call to ensure compliance with HIPAA regulations.
Question 3 of 5
Which is an accurate description of a common law?
Correct Answer: C
Rationale: Common law refers to laws that have been established through court decisions rather than through statutory laws passed by legislatures. The scenario described in choice C involving a hospital employee stealing drugs or hospital equipment falls under the category of criminal law. Common law principles can be applied to address such actions, as court decisions and precedents would guide how such cases are handled legally. Choices A, B, and D involve situations that may relate more to issues of negligence, assault, or breach of professional duty which may be handled under other legal frameworks rather than common law.
Question 4 of 5
After disturbing the peace, an aggressive, disoriented, unkempt, homeless individual is escorted to an emergency department by police. The client threatens suicide. Which criteria would enable a physician to consider involuntary commitment? Select all that apply.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Question 5 of 5
A Latin American woman refuses to participate in an assertiveness training group. Which cultural belief should a nurse identify as most likely to have influenced this clients decision?
Correct Answer: C
Rationale: The cultural belief most likely influencing the Latin American woman's decision to refuse participation in an assertiveness training group is that assertiveness techniques may not be aligned with the client's definition of the female role. In many Latin American cultures, traditional gender roles and expectations place an emphasis on women being nurturing, self-sacrificing, and not assertive in their interactions. Assertiveness skills may be perceived as contradicting these cultural norms and may be viewed as inappropriate or undesirable for a woman to possess. Therefore, the client's decision to not participate in the assertiveness training may stem from a cultural belief that conflicts with the concept of assertiveness being a valuable skill for women.