Questions 38

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ATI RN Test Bank

ATI Mental Health Assessment Exam Questions

Extract:


Question 1 of 5

A nurse is conducting an admission assessment for a client who is experiencing a manic episode of bipolar disorder. Which of the following behaviors should the nurse expect? (Select all that apply)

Correct Answer: A,B,D

Rationale: Grandiosity, flight of ideas, and hyperactivity are hallmark behaviors of a manic episode in bipolar disorder, reflecting inflated self-esteem, rapid thought shifts, and increased energy. Splitting is associated with borderline personality disorder, and withdrawal is typical of depressive episodes, not mania.

Question 2 of 5

A charge nurse in a community mental health clinic is discussing ethical concepts of client care with a newly licensed nurse. The charge nurse should use which of the following situations as an example of fidelity?

Correct Answer: C

Rationale: Fidelity involves respecting client autonomy and decisions, such as refusing group therapy. Equal time is justice, explaining adverse effects is veracity, and attending conferences is professional development.

Question 3 of 5

A nurse is conducting a child maltreatment screening of a family who has a toddler. Which of the following findings should the nurse identify as an indicator of possible child neglect?

Correct Answer: C

Rationale: Failure to provide immunizations indicates neglect by not meeting the child's health needs. Jaw fractures suggest abuse, fear requires further investigation, and rocking is not specific to neglect.

Question 4 of 5

A nurse is discussing discipline techniques with the parent of a preschooler. Which of the following statements by the parent indicates an understanding of time-out as a form of discipline?

Correct Answer: D

Rationale: Using a kitchen timer ensures a consistent, predictable time-out duration, reinforcing the discipline technique. Ten minutes is too long, rooms create negative associations, and vague statements lack specificity.

Question 5 of 5

A nurse on a medical-surgical unit is caring for a client who tells the nurse about their intentions to harm an ex-partner. Which of the following actions is a legal duty of the nurse?

Correct Answer: B

Rationale: The nurse has a legal and ethical duty to warn individuals at risk of harm, ensuring the ex-partner is notified to protect them. Hospitalization, monitoring by family, or transfer may be considered but are not the primary legal duty.

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