ATI LPN Mental Health 2023 III

Extract:

Question 1 of 5

A nurse is assisting in the care of a client who is scheduled to receive electroconvulsive therapy (ECT). Which of the following is the nurse’s role during the informed consent process?

A. Witness the client signing the form. B. Discuss alternative treatment options with the client. C. Determine the client is competent to give consent. D. Discuss the benefits of ECT with the client.

Correct Answer: A

Rationale: The nurse’s role is to witness the signature, ensuring voluntary consent after the provider explains risks, benefits, and alternatives, not to assess competence or discuss specifics.

Question 2 of 5

A nurse is assisting in the care of a client who is in restraints following an episode of violence. Which of the following information should the nurse document in the client’s medical record? (Select all that apply.)

A. Providing opportunities for nutrition and toileting B. Observing range of motion of client’s extremities C. Observation of the client once per hour D. Attempts at less restrictive interventions E. Names of staff members caring for the client

Correct Answer: A,B,D,E

Rationale: Documentation must include nutrition/toileting (
A), range of motion (
B), less restrictive attempts (
D), and staff names (E) for safety and accountability; hourly observation (
C) is insufficient—more frequent checks are standard.

Question 3 of 5

A nurse is collecting data from a client who states, 'I am so worried about everything, and I can’t seem to sit still, even when I eat.' Which of the following responses should the nurse make?

A. I don’t understand why you’re so upset. B. Don’t worry. You’ll feel better soon. C. Let’s discuss what is bothering you. D. You need to eat to maintain your strength.

Correct Answer: C

Rationale: Inviting discussion about worries encourages expression and assessment of anxiety, fostering a therapeutic response unlike dismissal, minimization, or directive focus on eating.

Question 4 of 5

A nurse on a mental health unit is assisting with developing an in-service for staff members about legal issues. Which of the following examples should the nurse include as an example of libel?

A. Administering a medication without the client’s consent B. Leaving a client in a wheelchair with the wheels unlocked C. Threatening to apply restraints on a client who is refusing medication D. Documenting false information about a client’s substance use history

Correct Answer: D

Rationale: Libel involves written false statements damaging reputation, like falsifying substance use history, unlike consent issues, negligence, or threats, which are different legal concerns.

Question 5 of 5

A nurse is obtaining a health history from a client who reports a recent suicide attempt. Which of the following responses should the nurse make?

A. You should have asked for help. B. Let’s talk about how you were feeling. C. I think you are experiencing guilt. D. Everyone gets discouraged sometimes.

Correct Answer: B

Rationale: Discussing feelings encourages exploration of emotions leading to the attempt, aiding assessment, unlike blame, assumption, or minimization in other options.

ATI LPN Mental Health 2023 III | Nurselytic

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ATI LPN

ATI LPN