ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has been taking quetiapine for 1 week and reports dizziness. The client asks the nurse if the dizziness indicates an allergic reaction to the medication. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "Dizziness is a common adverse effect of the medication and is related to low blood pressure." Quetiapine, an antipsychotic medication, commonly causes dizziness as a side effect due to its potential to lower blood pressure. This response educates the client about a known side effect of the medication and provides a logical explanation for the dizziness.
Rationale for Incorrect
Choices:
A: Incorrect. Taking the medication with a meal may help reduce gastrointestinal side effects but is not directly related to dizziness.
B: Incorrect. Dizziness does not necessarily indicate an allergic response, and stopping the medication abruptly without consulting a healthcare provider can be dangerous.
C: Incorrect. The timing of medication administration does not directly affect the occurrence of dizziness associated with quetiapine.
By providing education on the common adverse effect of quetiapine and its relation to dizziness, the nurse empowers the client with knowledge and promotes safe medication management.
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 a client who is receiving inpatient treatment for an eating disorder. The client states, 'I just can't sleep soundly here because it's too noisy.' Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Keep conversations and activities to a minimum during the nighttime. This is the best action to address the client's concern of noise disrupting their sleep. By minimizing conversations and activities during nighttime, the nurse creates a quieter environment that can help the client sleep better. This approach respects the client's need for rest and promotes a therapeutic environment.
A: Incorrect. Telling the client they will get used to the noise minimizes their feelings and does not directly address the issue.
B: Incorrect. Recommending the client to sleep during the day does not address the client's need to sleep at night.
D: Incorrect. Turning on the client's television may not necessarily address the environmental noise issue and may not be conducive to a restful sleep.
Question 4 of 5
A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?
Correct Answer: C
Rationale: The correct answer is C: Improvement in manifestations of depression. Electroconvulsive therapy is primarily used to treat severe depression.
Therefore, improvement in depressive symptoms indicates the treatment's effectiveness. Reduced frequency of seizures (
A) is not relevant to ECT. Reduced panic attacks (
B) and decreased fear of heights (
D) are not direct indications of ECT effectiveness. Make sure to monitor for potential side effects of ECT such as memory problems.
Question 5 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 action for the nurse to take is to respect 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 upholds the principles of patient autonomy and informed consent. It is important for the nurse to ensure that the client is fully informed of the risks and benefits of the procedure, but ultimately the decision to proceed with treatment lies with the client.
Summary of Incorrect
Choices:
B: Encouraging the client to have the procedure disregards the client's autonomy and right to make decisions about their own healthcare.
C: Obtaining consent from the client's family member is not appropriate as the decision should come from the client themselves.
D: Requesting another nurse to review the procedure with the client may not address the client's concerns and does not respect the client's autonomy.