ATI RN
ATI RN Mental Health 2023 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: B
Rationale: Taking medication with a meal may help alleviate gastrointestinal side effects but is unlikely to affect dizziness caused by medication. Quetiapine, an antipsychotic medication, commonly causes orthostatic hypotension, which can lead to dizziness. Explaining this to the client helps provide education about the medication's side effects. Dizziness is not typically indicative of an allergic reaction to quetiapine. Advising the client to stop the medication immediately based solely on dizziness is not appropriate. Taking the medication in the morning may or may not affect dizziness, as it depends on the individual's response to the medication. Additionally, orthostatic hypotension can occur at any time of day, not just in the morning.
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, C, D
Rationale: Clients have the right to refuse medication, as part of their autonomy and informed consent rights. Clients retain their right to privacy and confidentiality, which are fundamental rights in healthcare and protected under various laws and regulations. Clients have the right to the least restrictive environment necessary for their treatment, which supports their freedom and dignity. Clients maintain the right to an attorney, ensuring their access to legal representation and support. Clients can withdraw consent at any time, even after signing an informed consent form, as part of their ongoing right to informed consent and autonomy.
Question 3 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 4 of 5
A nurse is providing teaching about self-care behaviors to a client who has major depressive disorder. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: A
Rationale: The correct answer is A because using coping mechanisms that have been effective in the past is a positive self-care behavior for managing major depressive disorder. This indicates the client's willingness to engage in strategies that have worked before, promoting coping and resilience.
Choice B is incorrect as relying solely on someone else for daily planning may lead to dependency and lack of autonomy.
Choice C is incorrect as staying in bed when feeling exhausted can perpetuate feelings of isolation and worsen depressive symptoms.
Choice D is incorrect as avoiding discussing upsetting events can hinder emotional processing and lead to increased distress.
Question 5 of 5
A nurse is caring for a client who has a new diagnosis of metastatic lung cancer. The client states, 'I can't think about that until after my first grandchild is born next week.' The nurse should identify the client's statement as indicating the maladaptive use of which of the following defense mechanisms?
Correct Answer: D
Rationale: The correct answer is D: Suppression. The client is consciously avoiding thinking about their cancer diagnosis by focusing on the upcoming birth of their grandchild. Suppression involves pushing unwanted thoughts or feelings out of one's consciousness. Compensation (
A) is making up for a perceived weakness by emphasizing a strength. Sublimation (
B) is channeling unacceptable impulses into socially acceptable activities. Regression (
C) is reverting to an earlier stage of development. In this scenario, the client is not displaying any of these defense mechanisms, but rather using suppression to temporarily avoid dealing with their diagnosis.