ATI Engage Mental Health RN:
Foundations of Mental Health Nursing
- Client and Mental Health Team
Member Safety: Legal & Ethical
Considerations
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? -
ANSWER//Health Insurance Portability and Accountability Act.
The Health Insurance Portability and Accountability Act (HIPAA) protects the privacy
and confidentiality of a client's health information.
A nurse on a mental helaht 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? - ANSWER//Time out.
The nurse is using the de-escalation technique of time out. Time out involves giving the
client time to regain control of their emotions, calm down, and end the behavior.
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.) -
ANSWER//Explain unit rules, including expectations and client rights is correct.
Provide orientation, including a tour of the unit, rules, and expectations is correct. Select
activities based on preferences of available staff is incorrect.
Ensure that culturally-sensitive care is provided is correct.
Use a trauma-informed approach to client care is correct.
A nurse is caring for a newly admitted client who expresses concern that their insurance
will not over 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? - ANSWER//No Surprises Act.
In December 2021, Congress passed the No Surprises Act, which requires providers to
inform clients of the cost of treatment and whether providers are covered by their
insurance.
, 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? - ANSWER//Hospice care.
The interprofessional team should recommend hospice care for this client. Hospice care
focuses on the care, comfort, and quality of life for a person who has a terminal illness
and is approaching the end of life.
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? - ANSWER//"Setting boundaries increases a
child's sense of security through knowing the consequences of behaviors."
Research indicates that setting boundaries increases a child's sense of security. Setting
boundaries reduces any misunderstanding, establishes expected behaviors, and
provides an understanding of consequences.
A nurse overhears unit staff workers making jokes about a nursing student. This is an
example of which of the following? - ANSWER//Incivility.
This is an example of incivility. Incivility is an act or behavior that shows disrespect and
lack of courtesy. Such acts, whether intended or unintended, are considered acts of
aggression and can affect the well-being of the individual and negatively impact the
work environment.
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? -
ANSWER//Suggest the client go someplace quiet and compose themselves.
Suggesting the client go someplace quiet and compose themselves indicates that the
nurse will not tolerate their behavior. This is an example of a less restrictive alternative
to restraints and will give the client a chance to change their behavior prior to returning
to the group.
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.) - ANSWER//Positional asphyxia is correct.
Food aspiration is correct.
Cardiac arrest is correct.
Infection is incorrect.
Somnolence is incorrect.
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.) - ANSWER//A
client tells a nurse that they intend to kill a coworker is correct.
Foundations of Mental Health Nursing
- Client and Mental Health Team
Member Safety: Legal & Ethical
Considerations
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? -
ANSWER//Health Insurance Portability and Accountability Act.
The Health Insurance Portability and Accountability Act (HIPAA) protects the privacy
and confidentiality of a client's health information.
A nurse on a mental helaht 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? - ANSWER//Time out.
The nurse is using the de-escalation technique of time out. Time out involves giving the
client time to regain control of their emotions, calm down, and end the behavior.
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.) -
ANSWER//Explain unit rules, including expectations and client rights is correct.
Provide orientation, including a tour of the unit, rules, and expectations is correct. Select
activities based on preferences of available staff is incorrect.
Ensure that culturally-sensitive care is provided is correct.
Use a trauma-informed approach to client care is correct.
A nurse is caring for a newly admitted client who expresses concern that their insurance
will not over 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? - ANSWER//No Surprises Act.
In December 2021, Congress passed the No Surprises Act, which requires providers to
inform clients of the cost of treatment and whether providers are covered by their
insurance.
, 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? - ANSWER//Hospice care.
The interprofessional team should recommend hospice care for this client. Hospice care
focuses on the care, comfort, and quality of life for a person who has a terminal illness
and is approaching the end of life.
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? - ANSWER//"Setting boundaries increases a
child's sense of security through knowing the consequences of behaviors."
Research indicates that setting boundaries increases a child's sense of security. Setting
boundaries reduces any misunderstanding, establishes expected behaviors, and
provides an understanding of consequences.
A nurse overhears unit staff workers making jokes about a nursing student. This is an
example of which of the following? - ANSWER//Incivility.
This is an example of incivility. Incivility is an act or behavior that shows disrespect and
lack of courtesy. Such acts, whether intended or unintended, are considered acts of
aggression and can affect the well-being of the individual and negatively impact the
work environment.
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? -
ANSWER//Suggest the client go someplace quiet and compose themselves.
Suggesting the client go someplace quiet and compose themselves indicates that the
nurse will not tolerate their behavior. This is an example of a less restrictive alternative
to restraints and will give the client a chance to change their behavior prior to returning
to the group.
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.) - ANSWER//Positional asphyxia is correct.
Food aspiration is correct.
Cardiac arrest is correct.
Infection is incorrect.
Somnolence is incorrect.
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.) - ANSWER//A
client tells a nurse that they intend to kill a coworker is correct.
