ATI RN
ATI Mental Health Exam f24 Questions
Extract:
Question 1 of 5
A nurse working on a psychiatric unit receives a telephone call from a client's employer. The employer asks for a copy of the client's latest laboratory work and psychological testing results so that the client's medical records in employee health can be updated. Based on the nurse's knowledge of breach of confidentiality, which response would be appropriate?
Correct Answer: D
Rationale: Not acknowledging the client’s status protects confidentiality by neither confirming nor denying their presence, avoiding any disclosure. Sending information without consent breaches privacy, mentioning consent implies client status, and refusing information still suggests client involvement.
Question 2 of 5
A nurse is caring for a client who is hospitalized for a mental disorder. The nurse is legally obligated to breach the client's confidentiality if the client makes which statement?
Correct Answer: D
Rationale: The threat to harm a neighbor triggers a duty to warn, overriding confidentiality to prevent harm. Delusions, anger, or attraction don’t indicate imminent danger, so confidentiality holds.
Question 3 of 5
A nurse is reviewing the medical record of a client who has a new prescription for chlorpromazine for the treatment of schizophrenia. Which of the following findings indicates a contraindication to chlorpromazine?
Correct Answer: D
Rationale: A WBC count of 3,300/mm^3 indicates leukopenia, a contraindication due to chlorpromazine’s risk of agranulocytosis. Slightly elevated glucose, hypertension, or asthma don’t preclude use but require monitoring.
Question 4 of 5
Jaden is admitted to an inpatient psychiatric unit. During her time on the unit, Jaden is expected to get up at a certain time, attend breakfast at a certain time, and arrive for her medications at the correct time. What form of therapy is incorporated into this unit?
Correct Answer: B
Rationale: Milieu therapy uses structured routines (e.g., set times for waking, eating, medications) to foster stability and recovery. Cognitive therapy addresses thoughts, family therapy involves relatives, and ECT is a medical procedure.
Question 5 of 5
When engaged in therapeutic communication with a client who has been diagnosed with a mental disorder, which is the most important principle for a nurse to keep in mind?
Correct Answer: B
Rationale: Keeping the client as the focus ensures their needs drive the interaction, foundational to therapeutic communication. Empathy supports this, self-disclosure is limited, and recording breaches privacy.