ATI RN Mental Health 2023 Exam 3 | Nurselytic

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ATI RN Mental Health 2023 Exam 3 Questions

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Question 1 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 2 of 5

A nurse is talking with a newly licensed nurse about client rights while admitted to a mental health facility. Which of the following information should the nurse include? (Select all that apply)

Correct Answer: B,D,E

Rationale: The correct answers are B, D, and E.
B: Clients have the right to the least restrictive environment, as per mental health laws and ethical guidelines to promote recovery and autonomy.
D: Clients maintain the right to an attorney, ensuring legal representation and protection of their rights.
E: Clients continue to have the right to privacy and confidentiality, which is crucial for building trust and promoting open communication.
Incorrect options:
A: Clients can refuse medications based on informed consent and have the right to participate in treatment decisions.
C: Clients can withdraw consent at any time, as long as they have decision-making capacity and understand the implications.
In summary, the correct answers emphasize client autonomy, legal representation, and confidentiality, while the incorrect options contradict fundamental client rights.

Question 3 of 5

A nurse is caring for an adult client who has been placed in physical restraints due to aggressive behavior. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: The correct answer is D: Offer hydration and nutrition to the client every 2 hours. This is essential to ensure the client's basic physiological needs are met while in restraints. Hydration and nutrition are vital for the client's well-being and overall health. Offering these every 2 hours helps prevent dehydration and malnutrition. Checking on the client every 30 minutes (Option
A) is important, but providing hydration and nutrition takes precedence. Assessing the client's need for toileting every 15 minutes (Option
B) may not be necessary unless there are specific concerns. Asking the provider to renew the prescription every 8 hours (Option
C) is not directly related to the client's immediate care needs.

Question 4 of 5

For which of the following clients is a nurse considered a mandated reporter to the appropriate agency?

Correct Answer: D

Rationale: The correct answer is D because a nurse is mandated to report any suspicion of child abuse or neglect, such as the partner tying the child to a bed. This falls under the category of child maltreatment, which must be reported to the appropriate agency to ensure the safety and well-being of the child.

Choices A, B, and C do not involve immediate harm to a vulnerable individual and do not fall under the mandated reporting requirements for nurses.

Question 5 of 5

A nurse is caring for a client who has just received a terminal cancer diagnosis from their provider. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: The correct answer is C: Allow the client unlimited time for the grieving process. This option acknowledges the client's emotional needs and respects their autonomy in dealing with the terminal cancer diagnosis. It is essential for the nurse to provide emotional support and create a safe space for the client to express their feelings without rushing them. Offering unsolicited advice (
A) may not be helpful as the client's treatment choices are personal and may not be the priority at this time. Discouraging the client from forming new relationships (
B) is inappropriate as social connections can provide comfort during difficult times. Changing the subject when the client becomes upset (
D) can invalidate their emotions and hinder the therapeutic relationship.

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