ATI RN
ATI RN Mental Health 2023 Exam 3 Questions
Extract:
Question 1 of 5
For which of the following clients is a nurse considered a mandated reporter to the appropriate agency?
Correct Answer: D
Rationale: This choice clearly involves child abuse, which is a reportable offense. Nurses are mandated reporters for any suspected child abuse or neglect. Tying a child to a bed as punishment can cause physical and emotional harm, and it is the nurse's duty to report this to the appropriate agency to ensure the child's safety. A client lying about suicidal ideation does not require mandatory reporting unless there is evidence of harm. Smoking marijuana or theft, while potentially illegal, do not typically fall under nursing mandatory reporting unless they directly affect patient care or involve minors.
Question 2 of 5
For which of the following adverse effects should a nurse monitor a client taking citalopram?
Correct Answer: B
Rationale: Decreased libido is a known adverse effect of citalopram, an SSRI. SSRIs can affect sexual function due to increased serotonin levels, leading to decreased libido, difficulty achieving orgasm, or erectile dysfunction. Urinary retention is not commonly linked to citalopram; bruising may occur rarely with bleeding risks but isn’t typical; and jaundice, indicating liver issues, is rare and not routine to monitor unless other risk factors are present.
Question 3 of 5
A nurse is assessing a client who has bipolar disorder. Which of the following findings should the nurse identify as an indication that the client is experiencing acute mania?
Correct Answer: D
Rationale: A lack of sleep is a hallmark of acute mania, reflecting reduced sleep need and high energy. Scheduling, refusal to talk, and isolation suggest depression, not mania.
Question 4 of 5
A nurse is caring for a client who has a new diagnosis of metastatic lung cancer. The client states, 'I can't think about that until after my first grandchild is born next week.' The nurse should identify the client's statement as indicating the maladaptive use of which of the following defense mechanisms?
Correct Answer: A
Rationale: Suppression involves consciously avoiding distressing thoughts, as seen here, but delaying a terminal diagnosis indefinitely can be maladaptive, hindering treatment. Compensation, regression, and sublimation involve different mechanisms (overachieving, reverting, or redirecting impulses), not applicable here.
Question 5 of 5
A nurse is caring for a client who is scheduled for electroconvulsive treatment (ECT). The client states, 'I no longer want to have the treatment.' Which of the following statements would be an appropriate response from the nurse?
Correct Answer: C
Rationale: This is the correct response because it respects the client's decision and autonomy. It also involves the provider, who can discuss the decision with the client, provide more information, or explore other options. It is a nurse’s responsibility to communicate the client’s decisions to the provider. Telling the client they cannot refuse is incorrect, promising improvement dismisses their concerns, and offering medication without addressing refusal is coercive.