ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is scheduled for electroconvulsive treatment (ECT). The client states, 'I no longer want to have the treatment.' Which of the following statements would be an appropriate response from the nurse?
Correct Answer: C
Rationale:
Correct
Answer: C
Rationale:
1. Respect for autonomy: Clients have the right to make decisions about their own treatment.
2. Advocacy: The nurse should communicate the client's decision to the provider.
3. Ethical principle: Upholding the client's right to refuse treatment is crucial in maintaining trust and promoting autonomy.
Summary:
A: Incorrect. Involuntary admission does not negate the client's right to refuse treatment.
B: Incorrect. Focusing on potential benefits disregards the client's autonomy.
D: Incorrect. Administering medication without addressing the client's refusal is unethical.
Question 2 of 5
For which of the following adverse effects should a nurse monitor a client taking citalopram?
Correct Answer: B
Rationale: The correct answer is B: Decreased libido. Citalopram, a selective serotonin reuptake inhibitor (SSRI), can cause sexual side effects such as decreased libido. The rationale is that SSRIs can affect serotonin levels, which in turn can impact sexual function. Urinary retention (
A) is not a common side effect of citalopram. Bruising (
C) is not typically associated with this medication. Jaundice (
D) is a rare side effect of citalopram and would not be the primary concern when monitoring a client taking this medication. Monitoring for decreased libido is important to address potential side effects that may affect the client's quality of life.
Question 3 of 5
A nurse in an acute care facility is planning care for a client with a history of alcohol use disorder who is admitted while intoxicated. Which of the following interventions should the nurse implement?
Correct Answer: A
Rationale: The correct answer is A: Implement seizure precautions. Alcohol withdrawal can lead to seizures, so seizure precautions are crucial for safety. Monitoring for orthostatic hypotension (
B) is important but not the priority. Administering methadone hydrochloride (
C) is not indicated for alcohol withdrawal. Acidifying the client's urine (
D) is not relevant to the situation.
Question 4 of 5
A nurse is caring for a client who is in physical restraints. Which of the following actions by the client indicates the restraints can be discontinued?
Correct Answer: B
Rationale: The correct answer is B: The client remains in control of their actions. This indicates that the client is no longer a danger to themselves or others and can be safely removed from restraints. Apologizing (
A) does not necessarily indicate safety. Asking to be released (
C) may not reflect improved behavior. Signing a contract (
D) does not ensure current safety.
Question 5 of 5
A nurse is beginning a therapeutic relationship with a client. The nurse should plan to accomplish which of the following tasks during the working phase?
Correct Answer: B
Rationale: The correct answer is B: Evaluate progress toward predetermined goals. During the working phase of a therapeutic relationship, the nurse assesses the client's progress towards the goals set during the initial phase. This step is crucial in determining the effectiveness of the interventions and making adjustments as needed. Informing the client about confidentiality rights (choice
A) is important in the orientation phase. Establishing boundaries (choice
C) is relevant in the introductory phase. Setting short- and long-term objectives (choice
D) is typically done in the initial phase.