ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is caring for a client with depression. Which intervention should be prioritized? (Hypothetical based on context)
Correct Answer: A
Rationale: Monitoring for suicidal ideation is the priority in depression care due to the high risk of self-harm, ensuring safety before other interventions. Isolation worsens depression, sedatives may mask symptoms, and relaxation is secondary to safety.
Question 2 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: This is the correct response because it respects the client's decision and autonomy. It also involves the provider, who can discuss the decision with the client, provide more information, or explore other options. It is a nurse’s responsibility to communicate the client’s decisions to the provider. Telling the client they cannot refuse is incorrect, promising improvement dismisses their concerns, and offering medication without addressing refusal is coercive.
Question 3 of 5
For which of the following clients is a nurse considered a mandated reporter to the appropriate agency?
Correct Answer: D
Rationale: This choice clearly involves child abuse, which is a reportable offense. Nurses are mandated reporters for any suspected child abuse or neglect. Tying a child to a bed as punishment can cause physical and emotional harm, and it is the nurse's duty to report this to the appropriate agency to ensure the child's safety. A client lying about suicidal ideation does not require mandatory reporting unless there is evidence of harm. Smoking marijuana or theft, while potentially illegal, do not typically fall under nursing mandatory reporting unless they directly affect patient care or involve minors.
Question 4 of 5
A nurse is planning care for a client who has borderline personality disorder. Which of the following interventions should the nurse plan to include to assist the client with impaired social interactions with others?
Correct Answer: D
Rationale: Assigning the same staff daily provides stability and trust, aiding social interaction for a client with borderline personality disorder. Avoiding maladaptive behaviors hinders therapy, exploring abandonment is relevant but indirect, and encouraging dependency is counterproductive.
Question 5 of 5
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Informing the client of their right to refuse respects autonomy and addresses anxiety by empowering choice. Encouragement may coerce, family consent is inappropriate unless incompetent, and another nurse’s review doesn’t override refusal.