ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Coercing the client into treatment violates the client's autonomy and rights. Involuntary commitment does not mean the client loses the right to refuse treatment. Involving the client's family without their consent or participation in decision-making may not be appropriate and could breach confidentiality. Documenting the client's refusal of treatment ensures that the decision is appropriately recorded in the medical record and facilitates communication among the healthcare team members. It also protects the client's autonomy and legal rights. Informing the client that ECT does not require consent is incorrect. While laws regarding involuntary treatment vary by jurisdiction, clients generally have the right to refuse treatment, even if they are involuntarily committed.
Question 2 of 5
A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Discussing the importance of confidentiality is important but should not be the first action. Addressing immediate emotional needs and coping strategies takes precedence. Identifying prior coping skills helps establish a foundation for managing the current crisis. It allows the nurse to build on existing strengths and provide support tailored to the adolescents' individual needs. Reviewing community resources is valuable but should come after addressing immediate emotional needs and identifying coping skills. Initiating referrals may be necessary, but it should follow the identification of coping skills and immediate emotional support.
Question 3 of 5
A nurse is caring for a client who has bulimia nervosa. Which of the following interventions should the nurse include in the client's plan of care?
Correct Answer: C
Rationale: The correct answer is C: Monitor the client's bathroom trips. This intervention is crucial for clients with bulimia nervosa to prevent purging behaviors. By monitoring bathroom trips, the nurse can assess if the client is engaging in purging after meals. Allowing the client to create their meal schedule (
A) may enable binge-purge cycles. Allowing the client's family to bring food (
B) may not address the underlying issue. Encouraging the client to exercise frequently (
D) can exacerbate compulsive behaviors. Monitoring bathroom trips is essential in managing bulimia nervosa.
Question 4 of 5
A nurse is assessing a client during a follow-up visit at a behavioral health clinic. The client reports that they have not been taking the prescribed antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. Asking the client if the medication is causing adverse effects is crucial to understanding potential barriers to adherence.
2. Adverse effects may lead to non-adherence, so addressing this can help improve medication compliance.
3. By addressing adverse effects, the nurse can work with the client to find solutions or alternative medications, enhancing adherence.
Other
Choices:
A: Discussing provider's goals may not directly address the client's reason for non-adherence.
C: Prescribing a second medication without addressing the root cause of non-adherence may not improve compliance.
D: Threatening inpatient care can lead to fear and non-cooperation, which may worsen adherence.
Question 5 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.