ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is taking citalopram. For which of the following adverse effects should the nurse monitor the client?
Correct Answer: D
Rationale: Jaundice is not a commonly reported adverse effect of citalopram. It is more commonly associated with liver dysfunction or other medications. Urinary retention is not a commonly reported adverse effect of citalopram. It is more commonly associated with anticholinergic medications. Bruising is not a commonly reported adverse effect of citalopram. It is more commonly associated with medications that affect platelet function or clotting factors. Decreased libido (reduced sexual desire) is a potential adverse effect of citalopram, as it is with other selective serotonin reuptake inhibitors (SSRIs). Monitoring for changes in sexual function is important because it can affect quality of life and treatment adherence.
Question 2 of 5
A nurse is caring for a client in an inpatient mental health facility. The client tells the nurse that the government is reading her mail. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer is A because it demonstrates empathy and validates the client's feelings without challenging their belief. This response acknowledges the client's emotions and helps build trust.
Choice B dismisses the client's concerns and may lead to resistance.
Choice C focuses on a logical explanation that may not be helpful in addressing the client's underlying anxiety.
Choice D may come off as interrogative and could make the client feel defensive.
Question 3 of 5
A nurse is caring for a client who has physical restraints applied. The nurse determines that the restraints should be removed when which of the following occurs?
Correct Answer: C
Rationale:
Correct Answer: C
Rationale:
1. When the client can follow commands, it indicates cognitive ability and cooperation.
2. Following commands shows the client's ability to understand and respond appropriately.
3. Removal of restraints should be based on the client's ability to cooperate and follow instructions.
4. This criterion ensures the client's safety while also promoting autonomy and dignity.
Summary:
A: Orientation to person, place, and time is important but not directly related to the need for restraint removal.
B: Client's statement about self-harm requires further assessment and intervention but does not directly indicate restraint removal.
D: Medication refusal is a separate issue and does not determine the need for restraint removal.
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: A
Rationale: The correct answer is A: Displacement. Displacement is a defense mechanism where emotions are redirected from the original source to a less threatening target. In this scenario, the client is angry with his partner but instead directs his anger towards the nurse, asking her to leave. This behavior of displacing his anger onto the nurse demonstrates the defense mechanism of displacement.
Choice B: Compensation involves overachieving in one area to make up for a perceived deficiency in another area, which is not demonstrated in this scenario.
Choice C: Denial is refusing to acknowledge reality, which is not evident as the client acknowledges his anger.
Choice D: Rationalization involves creating logical explanations to justify unacceptable behavior, which is not happening here.
Question 5 of 5
A nurse is talking with a newly licensed nurse about client rights while admitted to a mental health facility. Which of the following information should the nurse include? (Select all that apply.)
Correct Answer: B, C, D
Rationale: Clients have the right to refuse medication, as part of their autonomy and informed consent rights. Clients retain their right to privacy and confidentiality, which are fundamental rights in healthcare and protected under various laws and regulations. Clients have the right to the least restrictive environment necessary for their treatment, which supports their freedom and dignity. Clients maintain the right to an attorney, ensuring their access to legal representation and support. Clients can withdraw consent at any time, even after signing an informed consent form, as part of their ongoing right to informed consent and autonomy.