ATI PN Mental health DEC 2023

Extract:

Question 1 of 5

A nurse is reinforcing teaching with a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A. I can discuss a client’s information with staff who have provided care in the past.' B. The provider must give consent to discuss health information with the client’s family.' C. A client retains the legal right to privacy of health information even after they have died.' D. A provider may speak to a client’s employer regarding a substance use disorder.'

Correct Answer: C

Rationale: Clients retain privacy rights post-death under HIPAA. A violates need-to-know, B misstates consent rules, and D breaches confidentiality.

Question 2 of 5

A nurse is collecting data for a health history from a client who has antisocial personality disorder. Which of the following clinical findings is associated with this disorder?

A. Excessively anxious B. Withdrawn behaviors C. Exploitive of others D. Blunted affect

Correct Answer: C

Rationale: Exploiting others is a core feature of antisocial personality disorder. A, B, and D align with other disorders (anxiety, depression, schizophrenia).

Question 3 of 5

A nurse is caring for multiple clients on a mental health unit. Which of the following clients should the nurse attend to first?

A. A client who has bipolar disorder and is continuously pacing at the end of the hall B. A client who is standing in her room, yelling obscenities and throwing her clothes C. A client in the dayroom who is screaming at other clients about what is on the television D. A client who is repeatedly approaching the nurses’ station to request medication for his anxiety

Correct Answer: B

Rationale: Aggressive behavior (yelling, throwing) poses an immediate risk, requiring priority. A, C, and D indicate agitation but not immediate danger.

Question 4 of 5

A nurse is speaking with the sibling of a client who refuses to see visitors. Which of the following actions should the nurse take?

A. Encourage the client to visit with the sibling B. Tell the sibling the client does not want visitors C. Arrange for the sibling to visit the client in the dayroom D. Refer the sibling to the client’s provider

Correct Answer: B

Rationale: Respecting the client’s autonomy, the nurse communicates their wishes. A pressures the client, C disregards their refusal, and D delays resolution.

Question 5 of 5

A nurse is collecting data from an adult client in an outpatient mental health clinic. The nurse should identify which of the following events as a potential cause of a maturational crisis?

A. Motor-vehicle crash B. A child leaving for college C. Loss of job D. Divorce

Correct Answer: B

Rationale: A child leaving for college is a developmental milestone causing a maturational crisis. A is adventitious, C and D are situational.

ATI PN Mental health DEC 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN