ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for an adult client who has been placed in physical restraints due to aggressive behavior. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: The correct answer is D: Offer hydration and nutrition to the client every 2 hr. This is important because clients in physical restraints are at risk for dehydration and malnutrition due to limited mobility. Providing hydration and nutrition every 2 hours helps ensure the client's basic needs are met.
Summary of other choices:
A: Asking the provider to renew the prescription every 8 hr is not directly related to the client's immediate needs for hydration and nutrition.
B: Having a staff member check on the client every 30 min is important for monitoring the client's safety but does not address their basic needs for hydration and nutrition.
C: Assessing the client's need for toileting every 15 min is important for comfort and hygiene but does not address their need for hydration and nutrition.
E, F, G: No other choices provided.
Question 2 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: C
Rationale: The correct answer is C: Inform the client that they have the legal right to refuse treatment at any time. This is the appropriate action because it upholds the client's autonomy and right to make decisions about their own healthcare. By informing the client of their legal right to refuse treatment, the nurse respects the client's wishes and ensures they are fully informed. It also promotes a therapeutic relationship based on trust and respect.
Choices A, B, and D are incorrect because they do not prioritize the client's autonomy and right to make decisions about their own care. Encouraging the client to have the procedure (
A) goes against their expressed wishes. Obtaining consent from a family member (
B) is not appropriate as the client is capable of making their own decisions. Requesting another nurse to review the procedure (
D) does not address the client's concerns directly.
Therefore, choice C is the most appropriate course of action in this scenario to respect the client's autonomy and rights in decision-making
Question 3 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.
Question 4 of 5
A nurse is assessing a client's communication patterns. The client states, 'My partner is always criticizing me.' This statement is an example of which of the following types of dysfunctional communication?
Correct Answer: A
Rationale: Generalizing involves making broad statements that apply universally, without specific evidence or context. The client's statement, 'My partner is always criticizing me,' is a generalization because it suggests a pervasive pattern of behavior without specifying particular instances or situations. Manipulating involves influencing or controlling others for personal gain. The client's statement does not demonstrate manipulation. Distracting involves diverting attention away from the topic at hand. The client's statement is not an example of distraction. Placating involves seeking to please others or avoid conflict by agreeing with them. The client's statement does not demonstrate placating behavior.
Question 5 of 5
A nurse is conducting an admission interview with a client who is experiencing mania. Which of the following findings should the nurse report to the provider?
Correct Answer: D
Rationale: The correct answer is D. A client reporting eating twice in the past week is a critical finding that should be reported to the provider because it indicates a potential risk of malnutrition, which can have serious health consequences. This finding suggests a lack of self-care and potentially severe neglect of basic needs.
Choices A, B, and C are typical behaviors associated with mania and are concerning but do not directly indicate immediate physical health risks. Reporting inappropriate sexual comments or poor hygiene can be addressed during treatment but do not pose an immediate threat to the client's physical health like severe malnutrition does.