ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who has alcohol use disorder about Alcoholics Anonymous (AA). Which of the following client statements indicates an understanding of the program's basic concepts?
Correct Answer: C
Rationale: AA is based on the principle of acknowledging powerlessness over addiction and seeking support.
Question 2 of 5
A nurse is caring for a client who has major depressive disorder and was prescribed citalopram 2 weeks ago with a planned dosage increase 1 week ago. The client reports having an improved appetite but still feels very depressed and is still having trouble sleeping. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B. The nurse should explain that antidepressants often take several weeks to be fully effective. Citalopram, like other antidepressants, typically takes around 4-6 weeks to show significant improvement in depressive symptoms. It is important for the nurse to educate the client about the delayed onset of action to manage expectations and encourage adherence to the treatment plan. Adding an MAOI (choice
A) or changing the medication (choice
C) prematurely is not recommended as the current medication may still be effective with more time. Recommending a sleep study (choice
D) is not necessary at this point as the client's sleep issues are likely related to the underlying depression.
Question 3 of 5
A nurse caring for a client who has depression observes the client comes to breakfast freshly bathed, wearing clean clothes, and with combed and styled hair. Which of the following responses by the nurse is therapeutic?
Correct Answer: C
Rationale: A neutral, observational statement acknowledges the client’s effort without assuming improvement.
Question 4 of 5
A nurse is discussing legal exceptions to client confidentiality with nursing staff. Which of the following statements by a staff member indicates an understanding of the teaching?
Correct Answer: D
Rationale:
Correct Answer: D
Rationale: The correct answer is D because it reflects an understanding of the Tarasoff duty, which obligates healthcare providers to warn potential victims if a client poses a threat of harm. This duty overrides client confidentiality to prevent harm to others. Option A is incorrect as confidentiality still applies after a client's death. Option B is incorrect as disclosing information to attorneys without consent violates confidentiality. Option C is incorrect as healthcare workers must comply with court requests unless protected by privilege. Option D is the correct choice as it aligns with legal and ethical responsibilities to protect potential victims.
Question 5 of 5
A nurse is teaching staff which factors to include in an abuse assessment of a client. Which of the following factors should the nurse include in the teaching? (Select all that apply.)
Correct Answer: A, C, D, E
Rationale: Suicide risk, coping patterns, support systems, and alcohol use are important considerations in abuse assessments. Socioeconomic status is not always a direct indicator.