Questions 38

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ATI Mental Health Assessment Exam Questions

Extract:


Question 1 of 5

A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?

Correct Answer: C

Rationale: Fidelity involves respecting client autonomy and decisions, such as refusing group therapy. Equal time is justice, explaining adverse effects is veracity, and attending conferences is professional development.

Question 2 of 5

A nurse in an urgent care clinic is caring for a school-age child who has several visible bruises. The child's parent states, 'My partner got fired today and came home angry. I don't think this will happen again.' Which of the following responses should the nurse make?

Correct Answer: D

Rationale: This response allows the nurse to gather more information in a non-confrontational manner, building rapport while assessing the child's safety. Agreeing without investigation (
A) is inappropriate, suggesting charges (
B) is premature, and calling the police (
C) requires a thorough assessment first.

Question 3 of 5

A nurse is caring for a client who has a history of suicide attempts. Which of the following findings places the client at risk for another suicide attempt?

Correct Answer: B,C

Rationale: Depression and delusions, particularly those causing hopelessness, are significant suicide risk factors. Hallucinations, catatonia, and tinnitus are less directly associated without other factors.

Question 4 of 5

A nurse is reviewing the medical records of a group of clients. For which of the following clients should the nurse implement seizure precautions?

Correct Answer: B

Rationale: Withdrawal from diazepam, a benzodiazepine, can lead to seizures if stopped abruptly, necessitating seizure precautions. Oxycodone withdrawal, low lithium, and low imipramine levels are less associated with seizure risk.

Question 5 of 5

A nurse is assessing a client who takes diazepam for anxiety and hydromorphone for severe pain. Which of the following is the priority finding that the nurse should report to the provider?

Correct Answer: D

Rationale: Bradypnea, indicating respiratory depression, is a life-threatening side effect of diazepam and hydromorphone, requiring immediate reporting. Other findings are less urgent.

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