ATI RN
ATI Mental Health assessment Questions
Extract:
Question 1 of 5
A mental health nurse is providing preventive care for a group of clients in the community. Which of the following actions by the nurse demonstrates a secondary prevention strategy?
Correct Answer: B
Rationale: The correct answer is B because screening college students for depressive disorder falls under secondary prevention. Secondary prevention aims to detect and treat a disease in its early stages to prevent complications. Screening college students helps identify those at risk of developing depression and allows for early intervention.
Choice A involves providing support to clients with an existing condition (schizophrenia and tardive dyskinesia), which is more aligned with tertiary prevention.
Choices C and D focus on training and teaching skills, which are more related to primary prevention efforts aimed at preventing the onset of cognitive impairments or Alzheimer's disease.
Question 2 of 5
A charge nurse is planning an in-service for newly licensed nurses on tort law in mental health care. Which of the following scenarios should the charge nurse provide as an example of an unintentional tort?
Correct Answer: A
Rationale: The correct answer is A because it represents an unintentional tort known as negligence. The nurse's failure to clarify the prescription and resulting in a medication error demonstrates a breach of duty to provide safe care, which caused harm to the client. Negligence occurs when a healthcare provider fails to meet the standard of care expected in their profession, resulting in harm to the patient. In this scenario, the nurse did not intentionally harm the client but was negligent in not ensuring the prescription was clear and accurate.
Choices B, C, and D are examples of intentional torts. Posting private information on social media, using restraints without a prescription, and threatening physical harm are intentional actions that violate the client's rights and are not accidental. These actions would fall under invasion of privacy, battery, and assault, respectively.
Therefore, they do not represent unintentional torts like negligence.
Question 3 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: The correct answer is B because clients who are admitted involuntarily still have the right to refuse therapy. This is essential in respecting their autonomy and ensuring their well-being.
Choice A is incorrect because even voluntary clients have the right to request discharge, although it may not always be granted immediately.
Choice C is incorrect as clients, whether voluntary or involuntary, can refuse medications after being informed about the risks and benefits.
Choice D is incorrect as voluntary clients have the right to withdraw consent at any time.
Question 4 of 5
A nurse is caring for a client who has posttraumatic stress disorder (PTSD) after being physically assaulted. The client is unable to recall any details of the event. Which of the following defense mechanisms should the nurse recognize that the client is displaying?
Correct Answer: A
Rationale: The correct answer is A: Dissociation. This defense mechanism involves a temporary disruption in consciousness or memory, often to cope with trauma. In the case of a client with PTSD who cannot recall details of the assault, dissociation helps the individual distance themselves from the traumatic event. Rationalization (
B) involves justifying behaviors, which is not applicable here. Undoing (
C) is a defense mechanism where a person tries to reverse or negate a previous action, irrelevant in this scenario. Reaction formation (
D) is when one displays the opposite of their true feelings, not relevant to memory recall in PTSD.
Question 5 of 5
A nurse is reviewing the medical record of a newly admitted client who has major depressive disorder. Which of the following findings should the nurse identify as a risk factor for this condition?
Correct Answer: A
Rationale: The correct answer is A: The client has a serotonin deficiency. Serotonin is a neurotransmitter linked to mood regulation, and a deficiency can contribute to the development of major depressive disorder. Serotonin imbalance is a well-known risk factor for depression.
Choices B, C, and D are not directly related to major depressive disorder. Acute bronchitis and elevated calcium levels do not have a direct association with depression. Being an only child is also not a recognized risk factor for major depressive disorder.
Therefore, option A is the most relevant and plausible risk factor for major depressive disorder in this scenario.