ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse asks a client who is suicidal to make a safety contract, but the client declines. Which of the following actions should the nurse identify as the priority?
Correct Answer: D
Rationale: A client who refuses a safety contract is at high risk, requiring constant supervision to ensure safety.
Question 2 of 5
A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?
Correct Answer: C
Rationale: The correct answer is C, supporting the client's wish to refuse prescribed medications, demonstrates the ethical concept of autonomy. Autonomy refers to the client's right to make their own decisions about their care. By supporting the client's wish to refuse medications, the nurse is respecting the client's autonomy and right to make choices about their treatment.
A: Encouraging client feedback about satisfaction with the facility experience relates to client satisfaction but not necessarily autonomy.
B: Explaining unit rules and policies regarding unacceptable behaviors is important for maintaining a safe environment but not directly related to autonomy.
D: Making sure the client understands expectations for participation is important for informed decision-making but not as directly related to autonomy as choice C.
Question 3 of 5
A nurse is caring for a client who was admitted to the facility in critical condition following a cerebrovascular accident. The client's son says to the nurse, "I wish I could stay, but I need to go home to see how my children are doing. I really hate to leave." Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "You are feeling drawn in two separate directions." This acknowledges the son's conflicting feelings and empathizes with his situation. It shows understanding and validates his emotions, which can help build trust and rapport.
Incorrect Responses:
A: "Perhaps you could call your children to see how they are doing." - This response does not address the son's emotional conflict and does not offer support.
B: "Don't worry. I'll take good care of your parent while you are gone." - This response dismisses the son's feelings and does not address his emotional needs.
D: "There's nothing you can do here. You should go home to your children." - This response is directive and does not acknowledge the son's emotional struggle.
Question 4 of 5
A nurse caring for a client who has depression observes the client comes to breakfast freshly bathed, wearing clean clothes, and with combed and styled hair. Which of the following responses by the nurse is therapeutic?
Correct Answer: C
Rationale: A neutral, observational statement acknowledges the client’s effort without assuming improvement.
Question 5 of 5
A nurse in an acute mental health unit is admitting a client who has bipolar disorder. Which of the following findings supports the admitting diagnosis of acute mania?
Correct Answer: C
Rationale: Disorganized speech is a common symptom of acute mania, reflecting rapid and pressured speech patterns.