ATI RN
ATI RN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A nurse is performing screening assessments for active older adult clients at a community clinic. Which of the following tests should the nurse include in the screening?
Correct Answer: B
Rationale: GDS screens depression in active seniors. CAGE is for alcohol, Denver for kids, pain scale for dementia.
Question 2 of 5
A nurse is caring for a school-age child who has conduct disorder and is in physical restraints after becoming physically aggressive toward other clients on the unit. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Monitoring vitals every 15 min ensures safety in restraints. Fixed duration, renewal timing, and delayed evaluation are secondary.
Question 3 of 5
A nurse is caring for a client who is involuntarily admitted for major depressive disorder and refuses to take a prescribed oral antianxiety medication. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Offering later respects autonomy unless danger is imminent. Consequences, misinformation, and forced IM violate rights and ethics.
Question 4 of 5
A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?
Correct Answer: B
Rationale: Autonomy respects the client’s right to refuse if competent, upheld by the nurse here. Veracity is truthfulness, beneficence promotes well-being (contradicted by refusal), and justice ensures fairness, not individual choice.
Question 5 of 5
A nurse in a mental health clinic is assessing a client who has borderline personality disorder. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Avoiding abandonment is a BPD hallmark. Employment issues aren’t specific, avoidance fits schizoid, hoarding is separate.