ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?
Correct Answer: B
Rationale: The correct answer is B: Autonomy. Autonomy refers to the principle of respecting an individual's right to make their own decisions regarding their healthcare. By supporting the client's refusal of medications, the nurse is upholding the client's autonomy and right to make choices about their own treatment. Veracity (
A) relates to truthfulness, not applicable here. Beneficence (
C) involves acting in the best interest of the client, which may conflict with autonomy in this case. Justice (
D) pertains to fairness and equal treatment, not relevant to the client's refusal of medications.
Question 2 of 5
A nurse is caring for a client who is under observation for suicidal ideations and has verbalized a suicide plan. The client demands privacy and to be left alone. Which of the following statements should the nurse make?
Correct Answer: D
Rationale: The correct answer is D: "We are concerned about you and need to keep you safe." This response demonstrates empathy, acknowledges the client's feelings, and prioritizes safety. It conveys the nurse's duty to ensure the client's well-being and addresses the client's demand for privacy without compromising safety.
A: Offering a contract may not be effective in preventing harm, as suicidal ideation is a serious issue that requires continuous monitoring.
B: While medication levels are important, constant observation is necessary in this situation to prevent any potential harm.
C: Submitting the request to the provider may delay necessary intervention and compromise the client's safety.
E, F, G: No information provided.
Question 3 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 indicates that electroconvulsive therapy is effective. This is because ECT is primarily used for severe depression that has not responded to other treatments. Improvement in symptoms such as low mood, lack of interest, and hopelessness indicates that the treatment is working.
Choice A is incorrect as ECT is not typically used for treating borderline personality disorder.
Choice B is incorrect as ECT does not reduce seizures, but rather induces controlled seizures in the brain.
Choice D is incorrect as fear of heights is not a targeted symptom for ECT treatment.
Question 4 of 5
A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?
Correct Answer: B
Rationale: The correct answer is B: Ask the client if he intends to harm others. This is the priority action because it directly addresses the safety of other clients. By asking about the client's intentions, the nurse can assess the level of risk and take appropriate measures to prevent harm. The other choices are less critical in this situation. A (suggest making a list of things that make him angry) and D (assist in exploring techniques to reduce stress) are important in managing aggression but do not address immediate safety concerns. C (role modeling healthy ways to express anger) may be helpful in the long term but does not address the current risk of harm to others.
Question 5 of 5
A nurse is providing teaching about relapse prevention to a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: The correct answer is D because informing the counselor about trouble sleeping is crucial in relapse prevention for schizophrenia. Sleep disturbances can signal an impending relapse, and early intervention can prevent exacerbation of symptoms.
Choice A is incorrect as encouraging listening to hallucinations can worsen symptoms.
Choice B is incorrect as isolation can lead to increased stress and exacerbation of symptoms.
Choice C is incorrect as avoiding television does not address the underlying issue.