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: 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 2 of 5
A nurse is caring for a client with major depressive disorder who has a new prescription for fluoxetine. Which statement by the client indicates an understanding of the medication?
Correct Answer: B
Rationale: The correct answer is B because increased thoughts of suicide can occur in the initial phase of fluoxetine treatment due to the activation of energy before mood improvement.
Choice A is incorrect as it typically takes weeks for mood improvement to occur.
Choice C is incorrect because tyramine restriction is associated with MAOIs, not SSRIs like fluoxetine.
Choice D is incorrect as lithium monitoring is not relevant to fluoxetine therapy.
Question 3 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: B
Rationale:
Correct Answer: B
Rationale: The nurse should respond with option B as it respects the client's request while also following confidentiality and ethical guidelines. Providing a copy of the client's records without the therapist's notes maintains the privacy and trust between the client and therapist. This response acknowledges the client's interest in their treatment while upholding professional boundaries.
Summary:
A: This response is dismissive and does not address the client's request professionally.
C: This response does not directly address the client's request and may come off as deflecting.
D: This response is presumptuous and not supportive of the client's autonomy in their treatment.
Question 4 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. This is important because individuals experiencing mania in bipolar disorder often have high energy levels, decreased need for sleep, and exhibit impulsive behaviors. Encouraging rest periods can help to regulate their energy levels and promote relaxation, which can aid in managing symptoms of mania.
Choice A is incorrect because placing the client in seclusion can exacerbate feelings of anxiety and agitation.
Choice B may not be effective as spending time in a dayroom may not address the client's need for rest.
Choice C is not appropriate as withdrawing TV privileges may not be directly related to managing mania symptoms.
In summary, encouraging the client to take frequent rest periods is the most appropriate intervention as it directly addresses the symptoms of mania by helping to regulate energy levels and promote relaxation.
Question 5 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 a symptom of dementia where false memories are created unintentionally. In this scenario, the client is creating a false memory of taking care of all residents in the facility in the past. This is a common feature of dementia and is not intentional lying.
A: Projection involves attributing one's own thoughts or feelings to someone else.
B: Perseveration is the repetition of a particular response, such as words, thoughts, or actions.
C: Agnosia is the inability to recognize or interpret sensory information.
In summary, D is the correct answer because it aligns with the symptom of confabulation seen in dementia, while the other choices do not accurately describe the client's behavior in this scenario.