ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A client receives a court order for commitment. Which concept exemplifies a 'least restrictive environment'?
Correct Answer: C
Rationale: Outpatient commitment allows treatment with greater independence, embodying the least restrictive environment. Inpatient units, padded rooms, and sedation are more restrictive.
Question 2 of 5
A nurse is caring for a client who is hospitalized for a mental disorder. The nurse is legally obligated to breach the client's confidentiality if the client makes which statement?
Correct Answer: D
Rationale: The threat to harm a neighbor triggers a duty to warn, overriding confidentiality to prevent harm. Delusions, anger, or attraction don’t indicate imminent danger, so confidentiality holds.
Question 3 of 5
A nurse is conducting a group therapy session for several clients. The group is laughing at a joke one of the clients told, when a client who is schizophrenic jumps up and runs out of the room yelling, 'You are all making fun of me!' The nurse should identify this behavior as which of the following characteristics of schizophrenia?
Correct Answer: C
Rationale: Ideas of reference involve believing neutral events, like laughter, are personally directed, as the client misinterprets the group’s reaction. Delusions of grandeur inflate self-importance, loose association disrupts thought connections, and magical thinking assumes unrealistic control, none fitting the scenario.
Question 4 of 5
Which client would a nurse determine to be the most likely candidate for involuntary commitment?
Correct Answer: D
Rationale: The elderly client’s acute distress and disruption indicate potential harm, warranting commitment. Therapy refusal, medication non-compliance, or homelessness alone don’t meet criteria.
Question 5 of 5
Which client would a nurse determine to be the most likely candidate for involuntary commitment?
Correct Answer: D
Rationale: The elderly client’s disruptive, confused behavior suggests potential danger, meeting involuntary commitment criteria. Refusing therapy, medication, or being homeless don’t alone justify commitment.