ATI RN Mental Health 2023 Exam 3

Extract:

Question 1 of 5

A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?

Correct Answer: A

Rationale: The correct answer is A: Initiates social interactions with caregivers. For individuals with autism spectrum disorder, social skills development is a key goal. By initiating social interactions with caregivers, the adolescent can practice communication, build relationships, and enhance social functioning. This outcome focuses on improving social interaction abilities, which is crucial for the adolescent's overall well-being and integration into society.

Other choices are incorrect because:
B: Acknowledging delusions is not typically a characteristic of autism spectrum disorder.
C: Changing behavior due to peer pressure may not be appropriate or beneficial for someone with autism spectrum disorder.
D: Meeting own needs without manipulating others is a positive trait, but it is not specific to the goals of social interaction and communication targeted in this case.

Question 2 of 5

A nurse is caring for a client with depression. Which intervention should be prioritized? (Hypothetical based on context)

A. Monitor for suicidal ideation B. Encourage social isolation C. Increase sedative medication D. Teach relaxation techniques

Correct Answer: A

Rationale: The correct answer is A: Monitor for suicidal ideation. This is the priority intervention because individuals with depression are at increased risk for suicide. Monitoring for suicidal ideation allows for early detection and intervention. Encouraging social isolation (
B) is incorrect as social support is crucial in managing depression. Increasing sedative medication (
C) may lead to dependence and does not address the underlying issues. Teaching relaxation techniques (
D) is helpful but not the priority when dealing with potential suicidal risk.

Question 3 of 5

For which of the following clients is a nurse considered a mandated reporter to the appropriate agency?

A. A client who reports lying to their provider about having suicidal ideation. B. A client who reports that they enjoy smoking marijuana on weekends. C. A client who reports that they took $20 from the cash register where they work. D. A client who reports that their partner ties their child to a bed as punishment.

Correct Answer: D

Rationale: The correct answer is D because a nurse is mandated to report any suspicion of child abuse or neglect, such as the partner tying the child to a bed. This falls under the category of child maltreatment, which must be reported to the appropriate agency to ensure the safety and well-being of the child.

Choices A, B, and C do not involve immediate harm to a vulnerable individual and do not fall under the mandated reporting requirements for nurses.

Question 4 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)

A. Clients cannot refuse to take prescribed medications. B. Clients have the right to the least restrictive environment. C. Clients cannot withdraw consent after signing an informed consent form. D. Clients maintain the right to an attorney. E. Clients continue to have the right to privacy and confidentiality.

Correct Answer: B,D,E

Rationale: The correct answers are B, D, and E.
B: Clients have the right to the least restrictive environment, as per mental health laws and ethical guidelines to promote recovery and autonomy.
D: Clients maintain the right to an attorney, ensuring legal representation and protection of their rights.
E: Clients continue to have the right to privacy and confidentiality, which is crucial for building trust and promoting open communication.
Incorrect options:
A: Clients can refuse medications based on informed consent and have the right to participate in treatment decisions.
C: Clients can withdraw consent at any time, as long as they have decision-making capacity and understand the implications.
In summary, the correct answers emphasize client autonomy, legal representation, and confidentiality, while the incorrect options contradict fundamental client rights.

Question 5 of 5

A nurse is assessing a client who has been receiving electroconvulsive therapy. Which of the following findings indicates the treatment is effective?

A. Reduced frequency of seizures. B. Reduced frequency of panic attacks. C. Improvement in manifestations of depression. D. Decreased fear of heights.

Correct Answer: C

Rationale: The correct answer is C: Improvement in manifestations of depression. Electroconvulsive therapy is primarily used to treat severe depression.
Therefore, improvement in depressive symptoms indicates the treatment's effectiveness. Reduced frequency of seizures (
A) is not relevant to ECT. Reduced panic attacks (
B) and decreased fear of heights (
D) are not direct indications of ECT effectiveness. Make sure to monitor for potential side effects of ECT such as memory problems.

ATI RN Mental Health 2023 Exam 3 | Nurselytic

Nurselytic

ATI RN

ATI RN