ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is hospitalized for a mental disorder. The nurse is legally obligated to breach the client's confidentiality if the client makes which statement?
Correct Answer: D
Rationale: The threat to harm a neighbor triggers a duty to warn, overriding confidentiality to prevent harm. Delusions, anger, or attraction don’t indicate imminent danger, so confidentiality holds.
Question 2 of 5
Which client would a nurse determine to be the most likely candidate for involuntary commitment?
Correct Answer: D
Rationale: The elderly client’s disruptive, confused behavior suggests potential danger, meeting involuntary commitment criteria. Refusing therapy, medication, or being homeless don’t alone justify commitment.
Question 3 of 5
The Psychiatrist calls Jake's father to obtain collateral information, pending Jake's discharge home. Jake's father reports Jake's mother died when he was 14 years old. Jake is unable to tell the nurse or Psychiatrist how old he was or the year she died. Which defense mechanism is being depicted?
Correct Answer: C
Rationale: Repression unconsciously blocks distressing memories, like Jake forgetting details of his mother’s death. Regression reverts to earlier behaviors, projection attributes feelings to others, and suppression consciously avoids thoughts, none matching Jake’s unconscious memory lapse.
Question 4 of 5
A nurse working on a psychiatric unit receives a telephone call from a client's employer. The employer asks for a copy of the client's latest laboratory work and psychological testing results so that the client's medical records in employee health can be updated. Based on the nurse's knowledge of breach of confidentiality, which response would be appropriate?
Correct Answer: D
Rationale: Not acknowledging the client’s status protects confidentiality by neither confirming nor denying their presence, avoiding any disclosure. Sending information without consent breaches privacy, mentioning consent implies client status, and refusing information still suggests client involvement.
Question 5 of 5
A nurse is discussing schizophrenia spectrum disorders with a client. The client states, 'My friend says that before I started hearing voices, I stopped hanging out with them. Why is that?' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Social withdrawal is a prodromal symptom of schizophrenia, an early warning. Vague responses lack clarity, introversion shifts focus, and suggesting avoidance is judgmental, all less helpful.