ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is assisting with obtaining informed consent from a client who has been declared legally incompetent. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Request that the client’s guardian sign the consent. When a client is declared legally incompetent, their guardian is legally responsible for making decisions on their behalf, including providing consent for medical procedures. The guardian is appointed to act in the best interest of the client and has the authority to make decisions related to their care. Contacting the facility social worker (
A) may be necessary for support, but the guardian is the appropriate person to provide consent. Explaining implied consent to the client’s family (
B) is not sufficient as the guardian must sign the consent. Asking the charge nurse (
D) is not appropriate as the guardian has the legal authority. The other choices are left blank as they are not relevant to the situation.
Question 2 of 5
A nurse in an inpatient mental health facility is assessing a client who has schizophrenia and is taking haloperidol. Which of the following clinical findings is the nurse’s priority?
Correct Answer: A
Rationale: The correct answer is A: High fever. This is the priority finding because it may indicate a potentially life-threatening condition called neuroleptic malignant syndrome (NMS), a rare but serious side effect of haloperidol. NMS is characterized by fever, altered mental status, muscle rigidity, and autonomic dysfunction. Prompt recognition and treatment are crucial to prevent complications.
B: Insomnia is a common side effect of haloperidol but is not an immediate concern compared to a high fever indicating NMS.
C: Urinary hesitancy is not directly related to haloperidol use and does not pose an immediate threat.
D: Headache is a common side effect of haloperidol but is less urgent compared to a high fever suggesting NMS.
Question 3 of 5
A nurse is providing teaching to the daughter of an older client who has obsessive-compulsive disorder. Which of the following statements by the daughter indicates an understanding of the disorder?
Correct Answer: B
Rationale: The correct answer is B: "I will provide my mother with detailed instructions about how to perform self-care." This statement indicates an understanding of obsessive-compulsive disorder as individuals with OCD often struggle with performing routine tasks without detailed instructions. Providing clear instructions can help the individual feel more in control and reduce anxiety.
A: Limiting clothing choices may worsen anxiety and reinforce compulsive behaviors.
C: Waking the mother up to check on her feeds into the need for reassurance, which can perpetuate OCD symptoms.
D: Discouraging the mother from talking about physical complaints is not directly related to managing OCD symptoms.
In summary,
Choice B is correct as it addresses the need for detailed instructions to support the mother in managing her self-care tasks, which aligns with the challenges faced by individuals with OCD.
Question 4 of 5
A nurse is caring for a client who has depression following a recent job loss. Which of the following questions should the nurse ask to assess the client’s personal coping skills?
Correct Answer: D
Rationale: The correct answer is D: How have you dealt with similar situations in the past? This question assesses the client's personal coping skills by inquiring about their past experiences with similar challenges. By understanding their previous coping mechanisms, the nurse can better tailor interventions to support the client effectively.
Choices A, B, and C focus more on the client's current emotions and perceptions, which are important but do not directly assess coping skills.
Choices E, F, and G are not provided but would likely be irrelevant to assessing coping skills.
Question 5 of 5
A nurse is planning care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Ask the client directly about the content of the hallucinations. This intervention is crucial in understanding the nature and severity of the hallucinations, which helps in tailoring appropriate treatment and support. It also fosters trust between the nurse and the client, promoting open communication. Encouraging the client to listen to loud music (
A) may exacerbate the hallucinations. Instructing the client to ignore the voices (
C) may not be effective and could lead to increased distress. Avoiding discussing the hallucinations (
D) may hinder the therapeutic relationship and prevent necessary interventions.