ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is providing teaching about confidentiality with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: A
Rationale: Confidentiality may be broken if required by law, such as with a court order.
Question 2 of 5
A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse's discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?
Correct Answer: A
Rationale: The correct answer is A: Experiencing diarrhea. Diarrhea can lead to dehydration and electrolyte imbalances, causing an increase in lithium levels and potential toxicity. Exercising moderately (
B) can help with mood stabilization and is not a risk factor for lithium toxicity. Increasing sodium intake (
C) can actually help reduce lithium levels in the body. Drinking green tea (
D) does not interact significantly with lithium.
Question 3 of 5
A nurse is assessing a family as a system. Which of the following factors should the nurse include when assessing sociocultural context?
Correct Answer: D
Rationale: The correct answer is D: The family's religious practices. When assessing sociocultural context, understanding the family's religious practices is crucial as it influences beliefs, values, and behaviors within the family system. Religion can impact decision-making, coping mechanisms, and interactions among family members. It provides insight into rituals, traditions, and community connections.
Choices A, B, and C focus more on individual and family dynamics rather than sociocultural context. Option A pertains to personal identity, not sociocultural influences. Option B relates to future aspirations, not immediate sociocultural factors. Option C addresses family structure and roles, but not specifically related to sociocultural context.
Question 4 of 5
A nurse is caring for a client who has an eating disorder. The nurse is practicing which of the following ethical concepts when the client refuses to drink a between-meal protein and calorie supplement?
Correct Answer: A
Rationale: Respecting the client’s decision to refuse food aligns with the ethical principle of autonomy.
Question 5 of 5
A nurse in an acute mental health facility is caring for a client who jumps out of her chair and begins to shout angrily at the clients around her. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Speak to the client calmly, giving simple directions. This is the first action the nurse should take to de-escalate the situation. By speaking calmly and providing simple directions, the nurse can help the client regain control and potentially prevent further escalation of aggression. Calling for assistance to place the client in restraints (
A) should only be considered as a last resort to ensure safety. Escorting the client to an unlocked seclusion room (
B) may escalate the situation and should not be the first action. Offering the client a PRN antianxiety medication (
C) should come after attempting verbal de-escalation.