ATI RN
ATI Mental Health Exam III Questions
Extract:
Question 1 of 5
A nurse is reviewing ethical principles with a newly licensed nurse. The nurse should include which of the following as an ethical principle?
Correct Answer: C
Rationale: The correct answer is C: Justice. Justice is an ethical principle that emphasizes fairness and equality in the distribution of resources and benefits. It ensures that everyone is treated fairly and impartially. In healthcare, justice guides decisions about resource allocation, access to care, and treatment options.
Explanation:
1. Bias (
A) is not an ethical principle but a potential barrier to providing fair and unbiased care.
2. Duty to Warn (
B) refers to the legal obligation to warn potential victims of harm, not a standalone ethical principle.
3. HIPAA (
D) is a federal law that protects patient privacy and confidentiality, not an ethical principle.
In summary, Justice is the correct answer as it aligns with the ethical principle of fairness and equality in healthcare decision-making, while the other options are not standalone ethical principles.
Question 2 of 5
A nurse is reviewing treatment alternatives for managing a client's behavior. The nurse should identify that which of the following examples describes the least restrictive alternative?
Correct Answer: C
Rationale: The correct answer is C because asking an 8-year-old child to return to their room after yelling at other children during a group therapy session is the least restrictive alternative among the choices. This option allows the child to calm down and refocus without using physical restraints, isolation, or medication. It promotes positive behavior management techniques and respects the child's autonomy.
Choice A is incorrect because confining an adult client with physical restraints is a highly restrictive measure that limits their freedom and movement.
Choice B is also incorrect as placing an adolescent in a secure, quiet room can be considered restrictive and isolating.
Choice D is incorrect because giving an adult client antipsychotic medication after aggressive behavior may not address the root cause of the behavior and can have potential side effects.
Question 3 of 5
Which phase of the nurse-client relationship involves establishing trust and rapport with the client?
Correct Answer: C
Rationale: The correct answer is C: Orientation. In the nurse-client relationship, the orientation phase involves establishing trust and rapport with the client. This phase sets the foundation for the relationship by introducing the nurse and client, clarifying roles, building rapport, and establishing trust. During this phase, the nurse gathers information about the client and begins to develop a plan of care.
Choices A, B, and D are incorrect because they do not specifically focus on the initial phase of establishing trust and rapport. Resolution (
A) refers to the termination phase, Exploitation (
B) involves utilizing the established relationship for therapeutic gains, and Identification (
D) is about the client identifying with the nurse. It is crucial to prioritize trust and rapport building in the orientation phase to create a therapeutic environment for effective communication and care.
Question 4 of 5
A nurse is caring for a client who states, 'Whenever I have to give a presentation at my job, my vision goes really blurry and my feet go numb.' Which of the following defense mechanisms is the client describing?
Correct Answer: B
Rationale: The correct answer is B: Conversion. The client is exhibiting physical symptoms, such as blurry vision and numb feet, as a result of underlying psychological distress related to giving presentations. Conversion is a defense mechanism where psychological stress is converted into physical symptoms. In this case, the client's anxiety about presentations is manifesting as physical symptoms. Displacement (
A) involves transferring emotions from one situation to another, Rationalization (
C) involves creating logical reasons to justify unacceptable behaviors, and Identification (
D) involves adopting characteristics of someone else. These options do not align with the client's situation.
Question 5 of 5
A nurse is assisting with the admission of a new client to the unit. Which of the following actions should the nurse take to build a rapport with the client?
Correct Answer: B
Rationale: The correct answer is B: Remain silent after asking the client a question to allow the client a chance to respond. This action allows the client time to process the question and respond at their own pace, showing respect for the client's thoughts and feelings. By remaining silent, the nurse demonstrates active listening and provides a supportive environment for the client to express themselves.
Choices A, C, and D are incorrect because avoiding eye contact, asking one-word answer questions, and having background music do not promote effective communication or rapport-building. It is essential for the nurse to engage in active listening and provide opportunities for the client to communicate openly and comfortably.