ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Correct Answer: C
Rationale: The correct answer is C: Improvement in manifestations of depression. Electroconvulsive therapy is primarily used to treat severe depression.
Therefore, improvement in depressive symptoms indicates the treatment's effectiveness. Reduced frequency of seizures (
A) is not relevant to ECT. Reduced panic attacks (
B) and decreased fear of heights (
D) are not direct indications of ECT effectiveness. Make sure to monitor for potential side effects of ECT such as memory problems.
Question 2 of 5
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct
Answer: A: Inform the client that they have the legal right to refuse treatment at any time.
Rationale: The correct action for the nurse to take is to respect the client's autonomy and right to make decisions about their own healthcare. By informing the client of their legal right to refuse treatment, the nurse upholds the principles of patient autonomy and informed consent. It is important for the nurse to ensure that the client is fully informed of the risks and benefits of the procedure, but ultimately the decision to proceed with treatment lies with the client.
Summary of Incorrect
Choices:
B: Encouraging the client to have the procedure disregards the client's autonomy and right to make decisions about their own healthcare.
C: Obtaining consent from the client's family member is not appropriate as the decision should come from the client themselves.
D: Requesting another nurse to review the procedure with the client may not address the client's concerns and does not respect the client's autonomy.
Question 3 of 5
A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: The correct response is C: "It must be frightening to think that someone is reading your mail." This response shows empathy and validates the client's feelings without dismissing or confirming their delusion. It acknowledges the client's emotions and helps build rapport, which is crucial in mental health care.
Option A is incorrect because it tries to rationalize the situation, which may invalidate the client's feelings. Option B is incorrect as it directly challenges the client's belief without showing empathy. Option D is incorrect as it may come off as confrontational and could make the client defensive.
Question 4 of 5
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct Answer: A
Rationale:
Correct
Answer: A
Rationale: The nurse should inform the client that they have the legal right to refuse treatment at any time. This respects the client's autonomy and right to make decisions about their own healthcare. Encouraging the client to have the procedure (
B) goes against their wishes. Obtaining consent from the client's family member (
C) is not appropriate as the decision lies with the client. Requesting another nurse to review the procedure with the client (
D) may not address the client's concerns about not wanting the procedure.
Question 5 of 5
A nurse is caring for a client who has bulimia nervosa. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: A
Rationale: The correct answer is A: Monitor the client's bathroom trips. This is crucial in managing bulimia nervosa as it helps assess potential purging behavior, which is common in individuals with this disorder. Monitoring bathroom trips allows the nurse to intervene promptly if the client engages in harmful behaviors like self-induced vomiting.
Choice B is incorrect because allowing the family to bring food may enable the client's disordered eating patterns.
Choice C is incorrect as clients with bulimia nervosa often struggle with creating healthy meal schedules, so guidance from healthcare professionals is essential.
Choice D is incorrect because excessive exercise can contribute to the maintenance of the disorder.