ATI RN
ATI Mental Health Proctored Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has major depressive disorder. After discussing the treatment with his partner, the client verbally agrees to electroconvulsive therapy (ECT) but will not sign the consent form. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Cancel the scheduled ECT procedure. The nurse cannot proceed with any medical procedure without the client's explicit consent. Even though the client verbally agreed, not signing the consent form indicates lack of full understanding or hesitancy. It is crucial to respect the client's autonomy and decision-making capacity. Requesting the partner to sign (
A) is not appropriate as it bypasses the client's autonomy. Proceeding with implied consent (
C) may violate the client's rights. Informing the client about the risks of refusing (
D) is important but does not address the immediate issue of lack of consent.
Question 2 of 5
A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B. Providing frequent rest periods for a client experiencing mania in bipolar disorder is essential to prevent exhaustion and promote relaxation. Rest periods help in reducing stimulation and preventing overactivity, which can exacerbate manic symptoms. Encouraging group activities (choice
A) may increase excitement and energy levels. Offering high-calorie snacks (choice
C) can lead to hyperactivity and disrupt sleep patterns. Allowing unlimited physical activity (choice
D) can further escalate manic symptoms and risk of injury.
Question 3 of 5
A nurse in a provider’s office is assessing a school-age child who has a spiral fracture. The parent of the child provides different accounts for the cause of the injury. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale:
Correct Answer: B. Report suspected abuse to child protective services.
Rationale: The nurse should prioritize the safety and well-being of the child. Reporting suspected abuse to child protective services is the first step in ensuring the child's protection from potential harm. It is crucial to involve the appropriate authorities to investigate further and intervene if necessary to safeguard the child's welfare.
Summary of Other
Choices:
A: Requesting the parent to leave the room while interviewing the child may be necessary for obtaining accurate information, but ensuring the child's safety takes precedence.
C: Asking the child how the injury occurred can be important for gathering information, but immediate action to protect the child is crucial.
D: Determining the immediate safety needs of the child is important, but reporting suspected abuse is the primary action to address potential harm.
Question 4 of 5
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
Correct Answer: C
Rationale: The client is demonstrating the defense mechanism of Compensation. Compensation is when a person tries to make up for a perceived weakness by emphasizing a desirable trait or attribute. In this case, the client is compensating for feeling inadequate or misunderstood by becoming angry and defensive, which can be seen as an attempt to assert power or control. Rationalization (
A) is creating logical explanations to justify behavior; Denial (
B) is refusing to accept reality; Displacement (
D) is redirecting emotions from the actual source to a less threatening target. These defense mechanisms do not align with the client's behavior in the scenario.
Question 5 of 5
A nurse is providing teaching to a client who has schizophrenia and is prescribed risperidone. Which of the following instructions should the nurse include?
Correct Answer: B
Rationale: The correct answer is B: Rise slowly from a sitting position. This instruction is important because risperidone can cause orthostatic hypotension, leading to dizziness or fainting when standing up quickly. By rising slowly, the client can avoid sudden drops in blood pressure.
Choice A is incorrect as there is no specific need to avoid direct sunlight with risperidone.
Choice C is incorrect because risperidone can be taken with or without food.
Choice D is incorrect as weight gain, not weight loss, is a common side effect of risperidone in clients with schizophrenia.