ATI RN Client and Mental Health Team Member Safety Assessment

A nurse is caring for a client who is agitated and requires chemical restraints. Which of the following types of medications should the nurse expect the provider to prescribe?

Sedative

A nurse is discussing burnout among nurses with a colleague. Which of the following is a strategy to reduce burnout?

Self-scheduling work shifts

A nurse should identify that which of the following is a U.S. congressional act that mandates mental health parity?

Affordable Care Act of 2010

A nurse is discussing the purpose of ethics with a newly licensed nurse. Which of the following statements should the nurse make?

"Ethics provides a system of moral principles or standards for governing conduct."

A charge nurse on a mental health unit is discussing the concept of client competency with a group of newly licensed nurses. Which of the following information should the charge nurse include?

A client is considered mentally competent until deemed incompetent by a judge in a legal hearing.

A nurse is planning an in-service about client confidentiality for a group of newly hired nurses. Which of the following examples should the nurse include when discussing exceptions for maintaining client confidentiality? (Select all that apply.)

A client tells a nurse that they intend to kill a coworker A nurse is subpoenaed to testify in court about a client they cared for An older adult client reports their caregiver allows them to eat one meal per day A client tells a nurse that they plan to hang themselves when they are discharged

A nurse on a mental health unit is discussing laws that guide the care of clients on the unit with a newly hired staff member. Which of the following statements by the staff member indicates an understanding?

A physical injury does not need to occur for a client to make a claim of battery."

A nurse is caring for a group of children who have experienced trauma. During group therapy, the children create drawings representing their family and community. Which of the following interprofessional team members is likely leading this group?

Art Therapist

A nurse is sitting with a client who is extremely anxious until they fall asleep. The nurse should identify that this is an example of which of the following ethical principles?

Beneficence

A nurse is discussing false imprisonment with a group of newly hired staff members. Which of the following information should the nurse include?

Claim of false imprisonment are most often made in reference to the use of seclusion or restraints.

A nurse is discussing milieu therapy with a group of newly licensed nurses. Which of the following statements should the nurse make?

Create an environment that is safe and beneficial for recovery."

nurse is caring for several children who experienced trauma. One of the children goes to group therapy wearing a cape and pretending to be a superhero. The nurse should identify that which of the following interprofessional team members should lead the group session?

Drama Therapist

A nurse is discussing responsibilities in milieu therapy with a group of newly hired nurses. Which of the following should the nurse include? (Select all that apply.)

Explain unit rules, including expectations and client rights Provide orientation, including a tour of the unit, rules, and expectations Ensure that culturally-sensitive care is provided Use a trauma-informed approach to client care

A nurse is discussing privacy and confidentiality with a client. Which of the following is a U.S. congressional act that sets the standards for client privacy and confidentiality?

Health Insurance Portability and Accountability Act

A nurse is caring for a client who has schizophrenia and has recently been diagnosed with a terminal illness. The client's interprofessional team should recommend which of the following for the client?

Hospice care

A nurse overhears unit staff workers making jokes about a nursing student. This is an example of which of the following?

Incivility

A nurse is discussing scope of practice related to mental health with a peer. Which of the following statements by the nurse explains practice focus for a mental health nurse?

It is important to consider mental health needs related to population health are based on the social determinants of health

A nurse encourages each client in a group session to speak and be heard. The nurse should identify that this is an example of which of the following ethical principles?

Justice

A nurse is discussing what to do about feelings of burnout with a group of nurses. Which of the following is the best strategy the nurse should implement?

Meet with other nurses to create a plan to support each other.

A nurse on a mental health unit is discussing types of admissions with a newly licensed nurse. Which of the following statements should the nurse make?

Most states require two providers to assess a client and confirm the need for an involuntary admission."

A nurse is caring for a newly admitted client who expresses concern that their insurance will not cover their care. The nurse should identify that which of the following is a U.S. congressional act that requires providers to inform their clients of the cost for treatment and whether their insurance will cover it?

No Surprise Act

A nurse is discussing the effects of workplace violence by clients and their family members on health care professionals with a peer. The nurse should identify that which of the following organizations provides oversight for nurses regarding workplace violence?

Occupational Safety and Health Administration

A nurse is caring for a client who is in physical restraints. The nurse should identify that which of the following complications can result from inadequate monitoring of the client? (Select all that apply.)

Positional Asphyxia Food Aspiration Cardiac Arrest

A nurse is preparing a client who has schizophrenia for a magnetic resonance imaging (MRI) of their head to determine if they have a brain injury or a new onset of dementia. The nurse should identify that which of the following members of the interprofessional team likely prescribed the MRI?

Psychiatrist

A nurse on a pediatric mental health unit is discussing the importance of setting boundaries with another nurse. Which of the following statements by the nurse explains why setting boundaries is important?

Setting boundaries increases a child's sense of security through knowing the consequences of behaviors."

A nurse in the emergency department is caring for a client who experienced abuse by an intimate partner and is scared to return home. To which of the following interprofessional team members should the nurse refer the client?

Social worker

A nurse is leading a group session when a client begins cursing and running around the room shouting. Which of the following actions should the nurse take?

Suggest the client go someplace quiet and compose themselves.

A newly hired nurse confides in another nurse that despite trying to be hopeful, they feel very depressed. Which of the following actions should the nurse take?

Suggest the newly hired nurse contact a mental health professional.

A nurse on a mental health unit is caring for a client who becomes agitated. The nurse encourages the client to return to their room to calm down. Which of the following de-escalation techniques is the nurse using?

Time Out

A nurse is beginning a debrief with staff about a behavioral emergency that resulted in physically restraining a client. The nurse should identify that which of the following is the purpose of debriefing?

To improve the quality of future responses

A nurse tells a client that they will return in 30 min with their medication. The nurse returns 30 min later with the client's medication. Which of the following ethical principles is the nurse demonstrating?

Veracity