ATI RN
ATI Mental Health Assessment Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is aggressive toward other clients and has been placed in wrist restraints. After obtaining a prescription for restraints from the provider, which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C. Conduct a debriefing regarding the client with the unit staff. After placing a client in restraints, it is essential to conduct a debriefing with the unit staff to discuss the client's behavior, the reasons for using restraints, and any alternative strategies that could be implemented to prevent future aggressive behavior. This debriefing helps ensure a holistic approach to the client's care and promotes a collaborative effort among the healthcare team to address the client's needs effectively.
Option A is incorrect because documenting the client's behavior once every hour is important but does not address the need for debriefing and collaboration with the unit staff. Option B is incorrect as restraining a client until the prescription expires without reassessment is not best practice and may compromise the client's well-being. Option D is incorrect as requesting an evaluation within 12 hours of restraint application is important but does not replace the need for debriefing and collaboration with the unit staff.
Question 2 of 5
A nurse is caring for a client who has a new diagnosis of major depressive disorder. Which of the following medications should the nurse expect the provider to prescribe to the client as a first-line treatment?
Correct Answer: B
Rationale: The correct answer is B: Fluoxetine. Fluoxetine is a selective serotonin reuptake inhibitor (SSRI) commonly used as a first-line treatment for major depressive disorder due to its effectiveness and relatively low side effect profile. SSRIs are preferred over other classes of antidepressants for initial treatment. Midazolam is a benzodiazepine used for anxiety or procedural sedation, not depression. Cyclobenzaprine is a muscle relaxant. Valproic acid is an anticonvulsant used for seizure disorders.
Therefore, these medications are not appropriate first-line treatments for major depressive disorder.
Question 3 of 5
A charge nurse is providing education to a group of newly licensed nurses about the rights of clients who are involuntarily admitted. Which of the following responses indicates understanding of the teaching?
Correct Answer: C
Rationale:
Correct
Answer: C - "These clients can vote in local and federal elections."
Rationale:
- Involuntary admission does not strip individuals of their right to vote.
- Voting is a fundamental right in a democratic society.
- Denying voting rights would be a violation of civil liberties.
- Options A, B, and D are incorrect because they do not pertain to the rights of involuntarily admitted clients.
Question 4 of 5
A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?
Correct Answer: C
Rationale:
Rationale: Fidelity refers to being loyal, faithful, and keeping promises. Respecting a client's decision to refuse group therapy demonstrates fidelity by honoring their autonomy and right to make decisions about their care. This shows commitment to the client's well-being.
Summary:
A: Equal time regardless of insurance status is not fidelity but may relate to justice or equality.
B: Explaining adverse effects is related to beneficence and informed consent, not fidelity.
D: Attending a conference is about education, not fidelity.
E, F, G: No information given, cannot assess.
Question 5 of 5
A nurse on a mental health unit is leading a group therapy session for a group of clients. Which of the following statements should the nurse expect from a client who has an anxiety disorder?
Correct Answer: A
Rationale: The correct answer is A. This statement reflects health anxiety, a common feature of anxiety disorders. The client's excessive fear of breast cancer despite daily self-exams indicates a preoccupation with health concerns, characteristic of anxiety disorders. This behavior is rooted in irrational beliefs and excessive worry. Option B refers to delusional thinking, common in psychotic disorders, not anxiety disorders. Option C relates to paranoid beliefs, typical of paranoid personality disorder or schizophrenia. Option D describes separation anxiety or specific phobias, not general anxiety disorders. Overall, option A best aligns with the symptoms and thought patterns typically seen in clients with anxiety disorders.