ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who demonstrates manipulative behavior. Which of the following actions should be included in the plan of care?
Correct Answer: D
Rationale: The correct answer is D: Set clear and consistent limits on manipulative behaviors. This is important because setting boundaries helps maintain a therapeutic relationship and ensures the client understands what is acceptable. Allowing manipulation (choice
A) enables the behavior to continue and does not address the underlying issue. Avoiding discussing past behaviors (choice
B) may hinder the client's progress in understanding and changing their behavior. Bargaining with the client (choice
C) can reinforce manipulative behavior and undermine the nurse's authority. Setting clear and consistent limits (choice
D) establishes expectations and promotes accountability, leading to more effective interventions and improved client outcomes.
Question 2 of 5
A nurse notices that a client who has moderate anxiety is pacing the hall and mumbling. As the nurse approaches the client, he states, 'I am at the end of my rope. I don't think I can take any more bad news.' Which of the following responses should the nurse make?
Correct Answer: B
Rationale: The correct response is B: "Come with me to an area where we can talk without interruption." This option demonstrates therapeutic communication by acknowledging the client's distress and offering a supportive environment for communication. Moving to a private area allows for a more confidential and focused conversation, fostering a sense of safety and trust. This response also shows empathy and a willingness to actively listen to the client's concerns, which can help alleviate anxiety. Options A, C, and D are incorrect because they do not address the client's immediate emotional needs and may not effectively address the underlying anxiety. Option A generalizes the client's needs without actively listening, option C suggests a generic approach without considering the client's current state, and option D jumps to a medication solution without exploring the client's feelings or needs.
Question 3 of 5
A nurse is caring for a client who has bipolar disorder and a new prescription for valproate. Which of the following instructions should the nurse give the client about the use of this medication?
Correct Answer: C
Rationale: Valproate is metabolized in the liver, requiring regular liver function monitoring.
Question 4 of 5
A nurse is caring for a client who has late-stage Alzheimer's disease and is hospitalized for treatment of pneumonia. During the night shift, the client is found climbing into the bed of another client who becomes upset and frightened. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Redirecting the client to their correct room is the least restrictive intervention while ensuring safety.
Question 5 of 5
A nurse is providing teaching for a client who has major depressive disorder and is seeking voluntary admission to an acute mental health facility. Which of the following statements should the nurse include?
Correct Answer: C
Rationale:
Correct Answer: C - "You will still need to give informed consent for treatments after admission."
Rationale: Informed consent is a fundamental ethical principle in healthcare. Even if a client voluntarily admits themselves to a mental health facility, they still have the right to make decisions about their treatment. It is crucial for the nurse to emphasize this to the client to ensure they understand that their autonomy and right to consent to treatment are respected.
Incorrect
Choices:
A: "You will give up your right to refuse antidepressant medications upon admission." - This statement is incorrect as clients still have the right to refuse treatment even after admission, as long as they are deemed competent to make such decisions.
B: "Your provider is required to notify your employer of your admission." - This statement is incorrect as mental health information is protected by confidentiality laws, and the provider cannot disclose this information without the client's consent.
D: "You cannot leave the facility until your provider completes a discharge summary." - This statement is incorrect