ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 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
Question 2 of 5
A client awaiting surgery expresses fear of having cancer. Which response by the nurse is most appropriate?
Correct Answer: D
Rationale: The correct answer is D: "I hear that you are concerned about this." This response validates the client's feelings, shows empathy, and acknowledges their fear without making assumptions or dismissing their concerns. It demonstrates active listening and helps build a therapeutic relationship.
Incorrect answers:
A: "Why do you think you have cancer?" - This question may come off as dismissive or probing, potentially making the client feel invalidated.
B: "I don't see any reason for you to worry." - This response invalidates the client's feelings and can increase their anxiety.
C: "That's something to discuss with your provider." - While it is important to involve the provider, this response lacks empathy and does not address the client's immediate emotional needs.
Question 3 of 5
A nurse is teaching about electroconvulsive therapy (ECT) with a newly licensed nurse. The nurse should identify that the newly licensed nurse understands the teaching when she states that ECT treats which of the following disorders?
Correct Answer: B
Rationale: ECT is most commonly used for treatment-resistant major depressive disorder.
Question 4 of 5
A nurse is caring for a client who has dementia. When performing a Mental Status Examination (MSE), the nurse should include which of the following data? (Select all that apply.)
Correct Answer: A, C, D, E
Rationale:
Correct Answer: A, C, D, E
Rationale:
1. Ability to perform calculations: Assessing calculation skills can indicate cognitive functioning.
2. Recall ability: Testing recall assesses memory function, important in dementia evaluation.
3. Long-term memory: Evaluating long-term memory helps identify any significant memory deficits.
4. Level of orientation: Orientation to time, place, and person is crucial in assessing cognitive status.
Incorrect
Choices:
- Coping skills: While important, coping skills are not typically assessed in an MSE for dementia.
- (
Choices F and G are not provided in the question, so they are not applicable for evaluation in this context.)
Question 5 of 5
A nurse is caring for a client who has major depressive disorder (MDD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The correct answer is A: Significant change in weight. In major depressive disorder (MD
D), clients commonly experience changes in appetite, leading to weight loss or gain. This occurs due to alterations in serotonin levels affecting hunger and satiety. Weight changes are often associated with feelings of worthlessness and guilt in MDD. Hyperexcitability (
B) is not a typical finding in MDD, as individuals with depression often report feeling fatigued or lethargic. Exaggerated response to stimuli (
C) is more indicative of anxiety disorders rather than MDD. Attention-seeking behavior (
D) is not a characteristic symptom of MDD but may be seen in other mental health conditions.