ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 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: C
Rationale: The correct answer is C: Inform the client that they have the legal right to refuse treatment at any time. This is the appropriate action because it upholds 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 respects the client's wishes and ensures they are fully informed. It also promotes a therapeutic relationship based on trust and respect.
Choices A, B, and D are incorrect because they do not prioritize the client's autonomy and right to make decisions about their own care. Encouraging the client to have the procedure (
A) goes against their expressed wishes. Obtaining consent from a family member (
B) is not appropriate as the client is capable of making their own decisions. Requesting another nurse to review the procedure (
D) does not address the client's concerns directly.
Therefore, choice C is the most appropriate course of action in this scenario to respect the client's autonomy and rights in decision-making
Question 2 of 5
A nurse is caring for a client who has antisocial personality disorder and reports planning to hurt their partner upon discharge. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The nurse has a duty to warn when a client expresses a clear intent to harm another person, overriding confidentiality in this situation to ensure safety. Reporting to local authorities is appropriate to prevent potential harm. Avoiding reporting due to confidentiality is incorrect, as the duty to protect others supersedes confidentiality when there is a credible threat. Telling risk management is a step but does not directly address the immediate need to protect the partner. Notifying the provider to extend the stay may help with treatment but does not immediately address the safety risk to the partner upon discharge.
Question 3 of 5
A nurse is caring for a client who has a binge eating disorder. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Plan a menu with the client. This is important because involving the client in meal planning empowers them to make healthier food choices and develop a structured eating routine, which can help in managing binge eating disorder. Weighing the client every other day (
Choice
A) may exacerbate anxiety and reinforce unhealthy focus on weight. Remaining with the client for 1 hr after meals (
Choice
B) may not address the root causes of binge eating. Offering snacks when the client is hungry (
Choice
C) may not address the underlying issues of the disorder and could potentially encourage unhealthy eating behaviors.
Question 4 of 5
A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
Correct Answer: D
Rationale: The correct answer is D: Chlordiazepoxide. This medication is a benzodiazepine used to manage acute alcohol withdrawal symptoms by reducing anxiety, agitation, and preventing seizures. It acts on the central nervous system to produce a calming effect. Buprenorphine (
A) is used for opioid dependence, not alcohol withdrawal. Bupropion (
B) is an antidepressant and smoking cessation aid. Disulfiram (
C) is used as a deterrent to alcohol consumption by causing unpleasant effects when alcohol is consumed.
Question 5 of 5
A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?
Correct Answer: C
Rationale: The correct answer is C: Reports a lack of sleep. In acute mania, individuals often experience decreased need for sleep or insomnia. This symptom is a hallmark of manic episodes in bipolar disorder. Lack of sleep can exacerbate manic symptoms and lead to increased impulsivity and risk-taking behaviors. Writing a detailed daily activity schedule (
A) is more indicative of organized behavior, not necessarily mania. Isolating oneself from others (
B) can be a sign of depression or social withdrawal, not mania. Refusing to engage in conversation (
D) may indicate other issues such as anxiety or communication difficulties.