ATI RN
ATI RN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse observes the caregiver of a client who has Alzheimer's disease throwing magazines on the floor and crying. Which of the following actions should the case manager take first?
Correct Answer: A
Rationale: Offering to talk with the caregiver about their feelings provides immediate support and validation of their emotions. It allows the caregiver to express their concerns and stressors, which can help alleviate some of the caregiver's distress. Referring the caregiver to a local support group is a helpful intervention but may not address the caregiver's immediate emotional needs. Offering immediate support by listening and empathizing is the first step. Discussing relaxation techniques with the caregiver may be beneficial, but addressing the caregiver's emotional distress should take precedence. Consulting social services to explore counseling for the caregiver is a valuable intervention, but offering immediate support by engaging in a conversation about their feelings is the most appropriate initial action.
Question 2 of 5
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Inform the client that they have the legal right to refuse treatment at any time. This is the appropriate action because it upholds the client's autonomy and right to make decisions about their own healthcare. By informing the client of their legal right to refuse treatment, the nurse respects the client's wishes and ensures they are fully informed. It also promotes a therapeutic relationship based on trust and respect.
Choices A, B, and D are incorrect because they do not prioritize the client's autonomy and right to make decisions about their own care. Encouraging the client to have the procedure (
A) goes against their expressed wishes. Obtaining consent from a family member (
B) is not appropriate as the client is capable of making their own decisions. Requesting another nurse to review the procedure (
D) does not address the client's concerns directly.
Therefore, choice C is the most appropriate course of action in this scenario to respect the client's autonomy and rights in decision-making
Question 3 of 5
A nurse is preparing for an interprofessional meeting to discuss the plan of care for a client. Which of the following information should the nurse plan to communicate to a social worker?
Correct Answer: B
Rationale: The correct answer is B because informing the social worker that the client will be unable to return home after discharge is crucial for coordinating appropriate post-discharge care and support services. The social worker can help assess the client's living situation, connect them with community resources, and facilitate a safe and suitable discharge plan. This information is pertinent for the social worker to address the client's social needs.
Choices A, C, and D are incorrect because while they are important aspects of the client's care, they are more relevant to the nurse's role in addressing the client's immediate physical and emotional needs rather than the social worker's role in coordinating post-discharge care and support services.
Question 4 of 5
A nurse is assessing a client during a follow-up visit at a behavioral health clinic. The client reports that they have not been taking the prescribed antipsychotic medication on a regular basis. Which of the following actions should the nurse take to improve medication adherence?
Correct Answer: B
Rationale:
Correct Answer: B
Rationale:
1. Asking the client if the medication is causing adverse effects is crucial to understanding potential barriers to adherence.
2. Adverse effects may lead to non-adherence, so addressing this can help improve medication compliance.
3. By addressing adverse effects, the nurse can work with the client to find solutions or alternative medications, enhancing adherence.
Other
Choices:
A: Discussing provider's goals may not directly address the client's reason for non-adherence.
C: Prescribing a second medication without addressing the root cause of non-adherence may not improve compliance.
D: Threatening inpatient care can lead to fear and non-cooperation, which may worsen adherence.
Question 5 of 5
A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Coercing the client into treatment violates the client's autonomy and rights. Involuntary commitment does not mean the client loses the right to refuse treatment. Involving the client's family without their consent or participation in decision-making may not be appropriate and could breach confidentiality. Documenting the client's refusal of treatment ensures that the decision is appropriately recorded in the medical record and facilitates communication among the healthcare team members. It also protects the client's autonomy and legal rights. Informing the client that ECT does not require consent is incorrect. While laws regarding involuntary treatment vary by jurisdiction, clients generally have the right to refuse treatment, even if they are involuntarily committed.