ATI RN Mental Health 2023 Exam 3

Extract:

Question 1 of 5

For which of the following clients is a nurse considered a mandated reporter to the appropriate agency?

A. A client who reports lying to their provider about having suicidal ideation. B. A client who reports that they enjoy smoking marijuana on weekends. C. A client who reports that they took $20 from the cash register where they work. D. A client who reports that their partner ties their child to a bed as punishment.

Correct Answer: D

Rationale: The correct answer is D because a nurse is mandated to report any suspicion of child abuse or neglect, such as the partner tying the child to a bed. This falls under the category of child maltreatment, which must be reported to the appropriate agency to ensure the safety and well-being of the child.

Choices A, B, and C do not involve immediate harm to a vulnerable individual and do not fall under the mandated reporting requirements for nurses.

Question 2 of 5

A nurse is leading a crisis intervention group for adolescents who witnessed the suicide of a classmate. Which of the following actions should the nurse take first?

A. Identify prior coping skills B. Review community resources C. Discuss the importance of confidentiality D. Initiate referrals

Correct Answer: A

Rationale: The correct answer is A: Identify prior coping skills. This should be the first action because understanding the adolescents' coping mechanisms will help tailor the crisis intervention effectively. By knowing their prior coping skills, the nurse can build on what has worked well for them in the past. This approach is client-centered and empowers the adolescents to utilize their strengths during this difficult time. Reviewing community resources (
B) can come later once the immediate needs are addressed. Discussing confidentiality (
C) is important but not the priority in a crisis situation. Initiating referrals (
D) may be necessary eventually but should follow understanding the adolescents' coping skills to ensure appropriate referrals are made.

Question 3 of 5

A nurse is providing discharge teaching about the manifestations of relapse to the family of a client who has schizophrenia. Which of the following information should the nurse include in the teaching?

A. The client begins sleeping more than usual. B. The client develops an inability to concentrate. C. The client exhibits an inflated sense of self. D. The client increases participation in social activities.

Correct Answer: A

Rationale: The correct answer is A: The client begins sleeping more than usual. This is a common manifestation of relapse in schizophrenia. Increased sleep can indicate worsening symptoms, such as withdrawal or increased hallucinations. It is crucial for the family to recognize this early sign to seek timely intervention.

Choices B, C, and D are incorrect because an inability to concentrate, an inflated sense of self, and increased participation in social activities are not typically specific indicators of relapse in schizophrenia. It is important to focus on observable behaviors like changes in sleep patterns for early detection and management of relapse.

Question 4 of 5

A nurse in a mental health facility is caring for a group of clients. After assessing the clients, which of the following clients requires an update to their plan of care to ensure client safety?

A. A client who has anorexia nervosa and expresses a fear of gaining weight. B. A client who has schizophrenia and is exhibiting tangential associations in their speech. C. A client who has bipolar disorder and is exhibiting poor impulse control. D. A client who has Alzheimer's disease and is having difficulty remembering the names of family members.

Correct Answer: C

Rationale: The correct answer is C. A client with bipolar disorder exhibiting poor impulse control poses a safety risk due to potential impulsive behaviors like self-harm or harm to others. Updating the plan of care to address impulse control can prevent crises. Clients in options A, B, and D also have significant needs, but they do not pose an immediate safety risk like poor impulse control. Option A's fear of gaining weight may need intervention, but it does not directly threaten safety. Option B's tangential associations may indicate a need for medication adjustment but do not pose an imminent safety risk. Option D's memory issues in Alzheimer's may require support but do not directly impact safety.

Question 5 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?

A. Discuss relaxation techniques with the caregiver. B. Refer the caregiver to a local support group. C. Consult social services to explore counseling for the caregiver. D. Offer to talk with the caregiver about their feelings.

Correct Answer: D

Rationale: The correct action is to offer to talk with the caregiver about their feelings first. This is crucial as it shows empathy and allows the caregiver to express their emotions. By actively listening and providing emotional support, the case manager can help the caregiver cope with their distress. Discussing relaxation techniques (
A) may be helpful but addressing the emotional needs should come first. Referring to a support group (
B) or consulting social services for counseling (
C) may be beneficial in the long term, but immediate emotional support is necessary.
Therefore, offering to talk with the caregiver (
D) is the most appropriate initial step.

ATI RN Mental Health 2023 Exam 3 | Nurselytic

Nurselytic

ATI RN

ATI RN