ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Request that the client's guardian sign the consent. In cases where a client has been declared legally incompetent, a guardian is legally responsible for making decisions on their behalf. This ensures that the client's best interests are considered and that the consent is valid. Asking the guardian to sign the consent is the appropriate action to take in this situation.
A: Explaining implied consent to the client's family is not sufficient as the client's legal guardian should be involved in decision-making for an incompetent client.
B: Asking the charge nurse to obtain informed consent may not be appropriate as the client's guardian should be the one making the decision.
C: While contacting the facility social worker may be helpful, it is ultimately the guardian's responsibility to provide consent for the incompetent client.
D: Requesting the client's guardian to sign the consent is the correct course of action in this scenario.
Question 2 of 5
A nurse is providing discharge teaching about manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?
Correct Answer: A
Rationale: Inability to concentrate is a common early sign of relapse in schizophrenia. It can indicate worsening symptoms and difficulty in maintaining focus and attention. An inflated sense of self is not typically associated with relapse in schizophrenia. It may be a symptom of other psychiatric disorders, such as bipolar disorder or narcissistic personality disorder. Increased sleeping can be a symptom of depression but is not specific to schizophrenia relapse. Increased participation in social activities is not typically associated with relapse in schizophrenia. It may indicate improvement in social functioning or adaptation to the illness.
Question 3 of 5
A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: D
Rationale: The correct answer is D. The nurse should delegate the task of assisting the client to ambulate post-procedure to the assistive personnel. Here's why: 1. Ambulation after ECT is a routine task that does not require specialized nursing knowledge. 2. It promotes client independence and mobility. 3. It allows the nurse to focus on critical tasks like monitoring the client's vital signs and mental status. 4. Atropine administration (choice
A) requires a licensed nurse's assessment and judgment. Witnessing consent (choice
B) ensures the client's autonomy. Checking the client's condition (choice
C) involves assessing for potential complications, which should be done by a qualified nurse.
Question 4 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Encourage physical activity for the client during the day. Physical activity has been proven to improve mood and reduce symptoms of depression by increasing endorphins and reducing stress hormones. Exercise can also help regulate sleep patterns, improve self-esteem, and provide a sense of accomplishment. It is an evidence-based intervention for major depressive disorder.
Other choices are incorrect:
B: While alternative group activities can be beneficial, physical activity specifically has a direct impact on improving depression symptoms.
C: Discouraging the client from expressing feelings of anger is not therapeutic and may further suppress emotions, worsening the depressive symptoms.
D: Keeping a bright light on at night may disrupt the client's sleep patterns and is not a standard intervention for major depressive disorder.
Question 5 of 5
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D: Recent head injury. The nurse should report this finding to the provider because bupropion is contraindicated in patients with a history of seizures or recent head trauma. Bupropion lowers the seizure threshold, increasing the risk of seizures in these patients. Hepatitis B infection (choice
A), hypothyroidism (choice
B), and knee arthroplasty 1 month ago (choice
C) are not contraindications for bupropion use in smoking cessation. The presence of a recent head injury poses a significant risk and warrants immediate attention to ensure patient safety.