ATI Engage Mental Health RN: Foundations
of Mental Health Nursing - Client and
Mental Health Team Member Safety: Legal
& Ethical Considerations questions and
correct answers
A nurse is discussing privacy and confidentiality with a client. Which of the following is a
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U.S. congressional act that sets the standards for client privacy and confidentiality? -
v v v v v v v v v v v v v
answer-Health Insurance Portability and Accountability Act.
v v v v v v
The Health Insurance Portability and Accountability Act (HIPAA) protects the privacy and
v v v v v v v v v v v
confidentiality of a client's health information.
v v v v v v
A nurse on a mental helaht unit is caring for a client who becomes agitated. The nurse
v v v v v v v v v v v v v v v v
encourages the client to return to their room to calm down. Which of the following de-
v v v v v v v v v v v v v v v v
escalation techniques is the nurse using? - answer-Time out.
v v v v v v v v
The nurse is using the de-escalation technique of time out. Time out involves giving the
v v v v v v v v v v v v v v
client time to regain control of their emotions, calm down, and end the behavior.
v v v v v v v v v v v v v v
A nurse is discussing responsibilities in milieu therapy with a group of newly hired
v v v v v v v v v v v v v
nurses. Which of the following should the nurse include? (Select all that apply.) -
v v v v v v v v v v v v v v
answer-Explain unit rules, including expectations and client rights is correct.
v v v v v v v v v v
Provide orientation, including a tour of the unit, rules, and expectations is correct. Select
v v v v v v v v v v v v v
activities based on preferences of available staff is incorrect.
v v v v v v v v v v
Ensure that culturally-sensitive care is provided is correct.
v v v v v v v
Use a trauma-informed approach to client care is correct.
v v v v v v v v
A nurse is caring for a newly admitted client who expresses concern that their insurance
v v v v v v v v v v v v v v
will not over their care. The nurse should identify that which of the following is a U.S.
v v v v v v v v v v v v v v v v v
congressional act that requires providers to inform their clients of the cost for treatment
v v v v v v v v v v v v v v
and whether their insurance will cover it? - answer-No Surprises Act.
v v v v v v v v v v v
, In December 2021, Congress passed the No Surprises Act, which requires providers to
v v v v v v v v v v v v
vinform clients of the cost of treatment and whether providers are covered by their
v v v v v v v v v v v v v
vinsurance.
A nurse is caring for a client who has schizophrenia and has recently been diagnosed
v v v v v v v v v v v v v v
with a terminal illness. The client's interprofessional team should recommend which of
v v v v v v v v v v v v
the following for the client? - answer-Hospice care.
v v v v v v v v
The interprofessional team should recommend hospice care for this client. Hospice care
v v v v v v v v v v v
focuses on the care, comfort, and quality of life for a person who has a terminal illness
v v v v v v v v v v v v v v v v v
and is approaching the end of life.
v v v v v v v
A nurse on a pediatric mental health unit is discussing the importance of setting
v v v v v v v v v v v v v
boundaries with another nurse. Which of the following statements by the nurse explains
v v v v v v v v v v v v v
why setting boundaries is important? - answer-"Setting boundaries increases a child's
v v v v v v v v v v v
sense of security through knowing the consequences of behaviors."
v v v v v v v v v
Research indicates that setting boundaries increases a child's sense of security. Setting
v v v v v v v v v v v
boundaries reduces any misunderstanding, establishes expected behaviors, and
v v v v v v v v
provides an understanding of consequences.
v v v v v
A nurse overhears unit staff workers making jokes about a nursing student. This is an
v v v v v v v v v v v v v v
example of which of the following? - answer-Incivility.
v v v v v v v v
This is an example of incivility. Incivility is an act or behavior that shows disrespect and
v v v v v v v v v v v v v v v
lack of courtesy. Such acts, whether intended or unintended, are considered acts of
v v v v v v v v v v v v v
aggression and can affect the well-being of the individual and negatively impact the
v v v v v v v v v v v v v
work environment.
v v
A nurse is leading a group session when a client begins cursing and running around the
v v v v v v v v v v v v v v v
room shouting. Which of the following actions should the nurse take? - answer-Suggest
v v v v v v v v v v v v v
the client go someplace quiet and compose themselves.
v v v v v v v v
Suggesting the client go someplace quiet and compose themselves indicates that the
v v v v v v v v v v v
nurse will not tolerate their behavior. This is an example of a less restrictive alternative
v v v v v v v v v v v v v v v
to restraints and will give the client a chance to change their behavior prior to returning
v v v v v v v v v v v v v v v v
to the group.
v v v
A nurse is caring for a client who is in physical restraints. The nurse should identify that
v v v v v v v v v v v v v v v v
vwhich of the following complications can result from inadequate monitoring of the client?
v v v v v v v v v v v v
v(Select all that apply.) - answer-Positional asphyxia is correct.
v v v v v v v v
Food aspiration is correct.
v v v v
Cardiac arrest is correct. v v v
Infection is incorrect. v v v
Somnolence is incorrect. v v
of Mental Health Nursing - Client and
Mental Health Team Member Safety: Legal
& Ethical Considerations questions and
correct answers
A nurse is discussing privacy and confidentiality with a client. Which of the following is a
v v v v v v v v v v v v v v v
U.S. congressional act that sets the standards for client privacy and confidentiality? -
v v v v v v v v v v v v v
answer-Health Insurance Portability and Accountability Act.
v v v v v v
The Health Insurance Portability and Accountability Act (HIPAA) protects the privacy and
v v v v v v v v v v v
confidentiality of a client's health information.
v v v v v v
A nurse on a mental helaht unit is caring for a client who becomes agitated. The nurse
v v v v v v v v v v v v v v v v
encourages the client to return to their room to calm down. Which of the following de-
v v v v v v v v v v v v v v v v
escalation techniques is the nurse using? - answer-Time out.
v v v v v v v v
The nurse is using the de-escalation technique of time out. Time out involves giving the
v v v v v v v v v v v v v v
client time to regain control of their emotions, calm down, and end the behavior.
v v v v v v v v v v v v v v
A nurse is discussing responsibilities in milieu therapy with a group of newly hired
v v v v v v v v v v v v v
nurses. Which of the following should the nurse include? (Select all that apply.) -
v v v v v v v v v v v v v v
answer-Explain unit rules, including expectations and client rights is correct.
v v v v v v v v v v
Provide orientation, including a tour of the unit, rules, and expectations is correct. Select
v v v v v v v v v v v v v
activities based on preferences of available staff is incorrect.
v v v v v v v v v v
Ensure that culturally-sensitive care is provided is correct.
v v v v v v v
Use a trauma-informed approach to client care is correct.
v v v v v v v v
A nurse is caring for a newly admitted client who expresses concern that their insurance
v v v v v v v v v v v v v v
will not over their care. The nurse should identify that which of the following is a U.S.
v v v v v v v v v v v v v v v v v
congressional act that requires providers to inform their clients of the cost for treatment
v v v v v v v v v v v v v v
and whether their insurance will cover it? - answer-No Surprises Act.
v v v v v v v v v v v
, In December 2021, Congress passed the No Surprises Act, which requires providers to
v v v v v v v v v v v v
vinform clients of the cost of treatment and whether providers are covered by their
v v v v v v v v v v v v v
vinsurance.
A nurse is caring for a client who has schizophrenia and has recently been diagnosed
v v v v v v v v v v v v v v
with a terminal illness. The client's interprofessional team should recommend which of
v v v v v v v v v v v v
the following for the client? - answer-Hospice care.
v v v v v v v v
The interprofessional team should recommend hospice care for this client. Hospice care
v v v v v v v v v v v
focuses on the care, comfort, and quality of life for a person who has a terminal illness
v v v v v v v v v v v v v v v v v
and is approaching the end of life.
v v v v v v v
A nurse on a pediatric mental health unit is discussing the importance of setting
v v v v v v v v v v v v v
boundaries with another nurse. Which of the following statements by the nurse explains
v v v v v v v v v v v v v
why setting boundaries is important? - answer-"Setting boundaries increases a child's
v v v v v v v v v v v
sense of security through knowing the consequences of behaviors."
v v v v v v v v v
Research indicates that setting boundaries increases a child's sense of security. Setting
v v v v v v v v v v v
boundaries reduces any misunderstanding, establishes expected behaviors, and
v v v v v v v v
provides an understanding of consequences.
v v v v v
A nurse overhears unit staff workers making jokes about a nursing student. This is an
v v v v v v v v v v v v v v
example of which of the following? - answer-Incivility.
v v v v v v v v
This is an example of incivility. Incivility is an act or behavior that shows disrespect and
v v v v v v v v v v v v v v v
lack of courtesy. Such acts, whether intended or unintended, are considered acts of
v v v v v v v v v v v v v
aggression and can affect the well-being of the individual and negatively impact the
v v v v v v v v v v v v v
work environment.
v v
A nurse is leading a group session when a client begins cursing and running around the
v v v v v v v v v v v v v v v
room shouting. Which of the following actions should the nurse take? - answer-Suggest
v v v v v v v v v v v v v
the client go someplace quiet and compose themselves.
v v v v v v v v
Suggesting the client go someplace quiet and compose themselves indicates that the
v v v v v v v v v v v
nurse will not tolerate their behavior. This is an example of a less restrictive alternative
v v v v v v v v v v v v v v v
to restraints and will give the client a chance to change their behavior prior to returning
v v v v v v v v v v v v v v v v
to the group.
v v v
A nurse is caring for a client who is in physical restraints. The nurse should identify that
v v v v v v v v v v v v v v v v
vwhich of the following complications can result from inadequate monitoring of the client?
v v v v v v v v v v v v
v(Select all that apply.) - answer-Positional asphyxia is correct.
v v v v v v v v
Food aspiration is correct.
v v v v
Cardiac arrest is correct. v v v
Infection is incorrect. v v v
Somnolence is incorrect. v v
