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ATI Mental Health assessment Questions

Extract:


Question 1 of 5

A charge nurse on a mental health unit is preparing an in-service for staff members about client rights. Which of the following information should the nurse include?

Correct Answer: B

Rationale: Even if a client is admitted involuntarily they retain certain rights including the right to refuse treatment such as therapy unless specific legal conditions override this right.

Question 2 of 5

A nurse is planning to teach a client who is taking lithium. Which of the following should the nurse include in the teaching as adverse effects of therapeutic lithium level?

Correct Answer: A

Rationale: Weight gain and dry mouth are common at therapeutic lithium levels.

Question 3 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: Gathering more information assesses the child's safety sensitively.

Question 4 of 5

A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?

Correct Answer: B

Rationale: The duty to warn requires notifying potential victims of credible threats based on legal precedents like the Tarasoff case.

Question 5 of 5

A nurse is caring for a client who is taking a tricyclic antidepressant. For which of the following findings should the nurse monitor as an adverse effect of tricyclic antidepressants?

Correct Answer: A

Rationale: Orthostatic hypotension is common with tricyclics.

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