ATI RN
RN ATI Mental Health Proctored Exam 2023 With NGN Questions
Extract:
Question 1 of 5
A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist's notes. Which of the following responses should the nurse make?
Correct Answer: C
Rationale:
Correct Answer: C - "We can provide a copy of your records, but the therapist's notes are not included."
Rationale: The correct response respects the client's request for access to their records while also upholding the therapist's confidentiality. Providing a copy of the client's records ensures transparency and empowers the client to be informed about their treatment. However, withholding the therapist's notes protects the therapist-client relationship and maintains the integrity of the therapeutic process. This response balances the client's rights with ethical considerations.
Incorrect
Choices:
A: This response does not address the client's request and may imply judgment or deflection.
B: Asking why the client wants to see the therapist's notes could be seen as intrusive and may not be relevant to fulfilling the request.
D: Discouraging the client from reviewing the therapist's notes undermines their autonomy and right to access their records.
Question 2 of 5
A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist's notes. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "We can provide a copy of your records, but the therapist's notes are not included." This is the appropriate response as therapist notes are considered confidential and not typically shared directly with clients. Providing a copy of the client's records without the therapist's notes maintains confidentiality and upholds ethical standards.
Choices A, B, and D are incorrect as they do not address the confidentiality of therapist notes and may infringe on the client's privacy. Asking the client if they are unhappy with their treatment (
A), questioning their interest in the therapist's notes (
B), or suggesting they won't benefit from reviewing the notes (
D) are not relevant or respectful responses in this context.
Question 3 of 5
A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: The correct answer is D: Encourage the client to take frequent rest periods. During mania, individuals with bipolar disorder often have increased energy levels, decreased need for sleep, and may engage in risky behaviors. Encouraging rest periods helps to manage the client's energy levels and reduce the risk of exhaustion or impulsivity. Seclusion (
A) may exacerbate anxiety, spending time in the dayroom (
B) may increase stimulation, and withdrawing TV privileges (
C) may not address the core issue. Thus, option D is the most appropriate intervention for managing mania symptoms.
Question 4 of 5
A nurse is admitting a client who has dementia to a long-term care facility. The client tells the nurse that she lived in this facility years ago and took care of all the residents by herself. The nurse should document this as which of the following findings?
Correct Answer: D
Rationale: The correct answer is D: Confabulation. Confabulation is the unintentional fabrication of details or events to fill in memory gaps, often seen in clients with dementia. In this scenario, the client is creating false memories of taking care of other residents, which is characteristic of confabulation.
A: Projection involves attributing one's thoughts or feelings to others, not relevant here.
B: Perseveration is the repetition of a particular response, also not applicable.
C: Agnosia is the inability to recognize familiar objects or people, not demonstrated in this case.
In summary, the client's statement aligns with confabulation as it involves unintentional fabrication of memories, making it the correct choice among the options provided.
Question 5 of 5
A nurse is planning care for a client who has borderline personality disorder and engages in self-mutilation. Which intervention should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Encourage the client to express feelings of anger. In clients with borderline personality disorder, self-mutilation often stems from difficulty expressing and managing intense emotions. Encouraging the client to express feelings of anger helps them explore and process emotions in a healthier way, reducing the need for self-harm. Restricting access to personal belongings (
A) may lead to increased feelings of distress and lack of control. Placing the client in seclusion (
C) can escalate feelings of abandonment and worsen the behavior. Simply telling the client to stop self-mutilation (
D) overlooks the underlying emotional issues.