ATI RN
ATI RN Mental Health Asn Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse in an acute care mental health facility is sitting with a client who has schizophrenia. The client whispers to the nurse, “I'm being kept in this prison against my will. Please try to get me out.” Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Reassuring the client while maintaining the reality of the situation helps manage delusional thoughts.
Question 4 of 5
A client becomes very dejected and states, "No one really cares what happens to me. Life isn't worth living anymore." Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer is D because it acknowledges the client's feelings, expresses care, and shows concern, which can help the client feel supported and understood. Option A deflects the client's feelings by focusing on the family. Option B may come off as confrontational. Option C is open-ended and may not provide immediate support. Options E, F, G are not provided in the question.
Question 5 of 5
A nurse is caring for a client who has schizophrenia who consistently does the opposite of what the nurse asks of him. The nurse recognizes this as which of the following alterations in behavior?
Correct Answer: C
Rationale: The correct answer is C: Negativism. Negativism is a symptom of schizophrenia where the client consistently does the opposite of what is asked. This behavior is a form of resistance or opposition to external influences. Automatic obedience (
A) is when a person mindlessly follows commands without questioning. Waxy flexibility (
B) is when a person's limbs can be manipulated and posed by another. Impaired impulse control (
D) refers to the inability to resist impulses or urges.