ATI RN
ATI RN Mental Health 2023 Exam 3 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: A
Rationale:
Correct Answer: A: Inform the client that they have the legal right to refuse treatment at any time.
Rationale: The correct answer is A because it is essential to respect the client's autonomy and right to make decisions about their own healthcare. Informed consent is a fundamental principle in healthcare and the client has the right to accept or refuse treatment. By informing the client of their right to refuse the procedure, the nurse upholds ethical principles and promotes patient-centered care.
Summary:
B: Encouraging the client to have the procedure disregards the client's autonomy and right to make decisions.
C: Obtaining consent from the client's family member is not appropriate as the decision should be made by the competent client.
D: Requesting another nurse to review the procedure does not address the client's right to refuse treatment.
Question 2 of 5
A nurse is caring for a client who is in physical restraints. Which of the following actions by the client indicates the restraints can be discontinued?
Correct Answer: B
Rationale: The correct answer is B: The client remains in control of their actions. This indicates that the client is no longer a danger to themselves or others and can be safely removed from restraints. Apologizing (
A) does not necessarily indicate safety. Asking to be released (
C) may not reflect improved behavior. Signing a contract (
D) does not ensure current safety.
Question 3 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 4 of 5
A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the healthcare team. Which of the following actions should the nurse take?
Correct Answer: C
Rationale:
Rationale:
Choice C is correct because the nurse should respect the client's autonomy and right to refuse treatment. By documenting the client's refusal in the medical record, the nurse ensures transparency and upholds the client's right to make decisions about their care. This also helps in ensuring that the healthcare team is aware of the client's preferences and can explore alternative treatment options if needed.
Incorrect
Choices:
A: Involving the client's family without consent disregards the client's autonomy.
B: Coercing the client by stating they cannot refuse is a violation of their rights.
D: Misinforming the client about consent for ECT is unethical and lacks transparency.
Question 5 of 5
A nurse is assessing a client during a follow-up at a health clinic. The client reports that they struggle to take antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?
Correct Answer: C
Rationale: The correct answer is C: Ask the client if the medication is causing adverse effects. This is the most appropriate action to improve medication adherence because it addresses a potential barrier to taking the medication regularly. By inquiring about adverse effects, the nurse can assess if the client is experiencing any side effects that may be impacting their ability or willingness to take the medication. By identifying and addressing these issues, the nurse can work with the client to find solutions or alternatives to improve adherence.
Other choices are incorrect:
A: Threatening admission to an inpatient care facility is coercive and not a respectful or effective approach to improving adherence.
B: Discussing provider goals may not directly address the client's challenges with medication adherence.
D: Requesting a second medication without addressing the underlying issues may not solve the problem and can lead to further complications.