ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
A nurse is talking with a newly licensed nurse about client rights while admitted to a mental health facility. Which of the following information should the nurse include? (Select all that apply)
Correct Answer: B,D,E
Rationale: The correct answers are B, D, and E.
B: Clients have the right to the least restrictive environment, as per mental health laws and ethical guidelines to promote recovery and autonomy.
D: Clients maintain the right to an attorney, ensuring legal representation and protection of their rights.
E: Clients continue to have the right to privacy and confidentiality, which is crucial for building trust and promoting open communication.
Incorrect options:
A: Clients can refuse medications based on informed consent and have the right to participate in treatment decisions.
C: Clients can withdraw consent at any time, as long as they have decision-making capacity and understand the implications.
In summary, the correct answers emphasize client autonomy, legal representation, and confidentiality, while the incorrect options contradict fundamental client rights.
Question 2 of 5
A nurse is planning care for an adolescent who has autism spectrum disorder. Which of the following outcomes should the nurse include in the plan of care?
Correct Answer: A
Rationale: The correct answer is A: Initiates social interactions with caregivers. For individuals with autism spectrum disorder, social skills development is a key goal. By initiating social interactions with caregivers, the adolescent can practice communication, build relationships, and enhance social functioning. This outcome focuses on improving social interaction abilities, which is crucial for the adolescent's overall well-being and integration into society.
Other choices are incorrect because:
B: Acknowledging delusions is not typically a characteristic of autism spectrum disorder.
C: Changing behavior due to peer pressure may not be appropriate or beneficial for someone with autism spectrum disorder.
D: Meeting own needs without manipulating others is a positive trait, but it is not specific to the goals of social interaction and communication targeted in this case.
Question 3 of 5
A nurse is teaching a client who is about to start taking fluoxetine. The nurse should instruct the client that which of the following supplements interacts adversely with fluoxetine?
Correct Answer: A
Rationale: The correct answer is A: St. John's wort. St. John's wort is an herbal supplement that can interact adversely with fluoxetine, a selective serotonin reuptake inhibitor (SSRI), leading to serotonin syndrome. This occurs due to the combination of both substances increasing serotonin levels in the brain excessively, causing symptoms like confusion, agitation, rapid heart rate, and high blood pressure. Soy protein (
B), Echinacea (
C), and Ginkgo biloba (
D) do not have known significant interactions with fluoxetine.
Question 4 of 5
A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?
Correct Answer: C
Rationale: The correct answer is C because the client stating they are unable to eat more than once a day indicates potential malnutrition and a risk to their physical health. This finding requires immediate attention as malnutrition can lead to serious complications.
Choice A relates to grief and anger, which are important but not an immediate priority.
Choice B focuses on guilt, which is also significant but does not pose an immediate threat to physical health.
Choice D is about recalling negative experiences, which may indicate emotional distress but does not present an immediate physical risk.
Question 5 of 5
A nurse is providing teaching to the caregiver of an older adult client who has Alzheimer's disease and is being cared for at home. The client wanders at night and has a history of previous falls. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
Correct Answer: B,C,E
Rationale: The correct instructions are B, C, and E. Installing sensor devices on outside doors helps prevent wandering. Positioning the mattress on the floor reduces fall risk. Putting locks at the top of doors prevents the client from wandering. Placing the client in a reclining chair does not address the wandering issue. Encouraging physical activity prior to bedtime may increase agitation and worsen wandering.