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 insurance will cover it? - - No Surprises
with a client. Which of the following is a U.S. Act.
congressional act that sets the standards for
client privacy and confidentiality? - - Health In December 2021, Congress passed the No
Insurance Portability and Accountability Act. Surprises Act, which requires providers to inform
clients of the cost of treatment and whether
The Health Insurance Portability and providers are covered by their insurance.
Accountability Act (HIPAA) protects the privacy
and confidentiality of a client's health information.
A nurse is caring for a client who has
schizophrenia and has recently been diagnosed
A nurse on a mental helaht unit is caring for a with a terminal illness. The client's
client who becomes agitated. The nurse interprofessional team should recommend which
encourages the client to return to their room to of the following for the client? - - Hospice
calm down. Which of the following de-escalation care.
techniques is the nurse using? - - Time
out. The interprofessional team should recommend
hospice care for this client. Hospice care focuses
The nurse is using the de-escalation technique of on the care, comfort, and quality of life for a
time out. Time out involves giving the client time person who has a terminal illness and is
to regain control of their emotions, calm down, approaching the end of life.
and end the behavior.
A nurse on a pediatric mental health unit is
A nurse is discussing responsibilities in milieu discussing the importance of setting boundaries
therapy with a group of newly hired nurses. with another nurse. Which of the following
Which of the following should the nurse include? statements by the nurse explains why setting
(Select all that apply.) - - Explain unit rules, boundaries is important? - - "Setting
including expectations and client rights is correct. boundaries increases a child's sense of security
Provide orientation, including a tour of the unit, through knowing the consequences of
rules, and expectations is correct. Select behaviors."
activities based on preferences of available staff
is incorrect. Research indicates that setting boundaries
Ensure that culturally-sensitive care is provided increases a child's sense of security. Setting
is correct. boundaries reduces any misunderstanding,
Use a trauma-informed approach to client care is establishes expected behaviors, and provides an
correct. understanding of consequences.
A nurse is caring for a newly admitted client who A nurse overhears unit staff workers making
expresses concern that their insurance will not jokes about a nursing student. This is an example
over their care. The nurse should identify that of which of the following? - - Incivility.
which of the following is a U.S. congressional act
that requires providers to inform their clients of This is an example of incivility. Incivility is an act
the cost for treatment and whether their or behavior that shows disrespect and lack of
1/5
, ATI Engage Mental Health RN: Foundations of Mental Health Nursing - Client and
Mental Health Team Member Safety: Legal & Ethical Considerations
courtesy. Such acts, whether intended or A client tells a nurse that they plan to hang
unintended, are considered acts of aggression themselves when they are discharged is correct.
and can affect the well-being of the individual
and negatively impact the work environment.
A nurse on a mental health unit is discussing
types of admission with a newly licensed nurse.
A nurse is leading a group session when a client Which of the following statements should the
begins cursing and running around the room nurse make? - - "Most states require two
shouting. Which of the following actions should providers to assess a client and confirm the need
the nurse take? - - Suggest the client go for an involuntary admission."
someplace quiet and compose themselves.
An involuntary admission, or assisted inpatient
Suggesting the client go someplace quiet and treatment, is when a client is admitted without
compose themselves indicates that the nurse will their request or consent. It is initiated when a
not tolerate their behavior. This is an example of client is exhibiting severe manifestations or is
a less restrictive alternative to restraints and will considered to be a danger to themselves or
give the client a chance to change their behavior others.
prior to returning to the group.
A nurse is discussing scope of practice related to
A nurse is caring for a client who is in physical mental health with a peer. Which of the following
restraints. The nurse should identify that which of statements by the nurse explains practice focus
the following complications can result from for a mental health nurse? - - "It is
inadequate monitoring of the client? (Select all important to consider mental health needs related
that apply.) - - Positional asphyxia is to population health are based on the social
correct. determinants of health."
Food aspiration is correct.
Cardiac arrest is correct. Nurses should focus their practice and expand
Infection is incorrect. their responsibilities to include care of clients in
Somnolence is incorrect. all populations related to mental health needs as
outlined by the social determinants of health.
A nurse is planning an in-service about client
confidentiality for a group of newly hired nurses. A nurse is discussing burnout among nurses with
Which of the following examples should the a colleague. Which of the following is a strategy
nurse include when discussing exceptions for to reduce burnout? - - Self-scheduling work
maintaining client confidentiality? (Select all that shifts.
apply.) - - A client tells a nurse that they
intend to kill a coworker is correct. Self-scheduling work shifts allows nurses to have
A nurse is subpoenaed to testify in court about a more control over work-life balance and helps
client they cared for is correct. reduce burnout. Strategies for reducing burnout
An older adult client reports their caregiver allows include engagement in shared governance,
them to eat one meal per day is correct. effective communication, supportive teams,
A client tells a nurse that they stole a watch from supportive leadership, and consistent self-care.
a friend's house is incorrect.
2/5
Mental Health Team Member Safety: Legal & Ethical Considerations
A nurse is discussing privacy and confidentiality insurance will cover it? - - No Surprises
with a client. Which of the following is a U.S. Act.
congressional act that sets the standards for
client privacy and confidentiality? - - Health In December 2021, Congress passed the No
Insurance Portability and Accountability Act. Surprises Act, which requires providers to inform
clients of the cost of treatment and whether
The Health Insurance Portability and providers are covered by their insurance.
Accountability Act (HIPAA) protects the privacy
and confidentiality of a client's health information.
A nurse is caring for a client who has
schizophrenia and has recently been diagnosed
A nurse on a mental helaht unit is caring for a with a terminal illness. The client's
client who becomes agitated. The nurse interprofessional team should recommend which
encourages the client to return to their room to of the following for the client? - - Hospice
calm down. Which of the following de-escalation care.
techniques is the nurse using? - - Time
out. The interprofessional team should recommend
hospice care for this client. Hospice care focuses
The nurse is using the de-escalation technique of on the care, comfort, and quality of life for a
time out. Time out involves giving the client time person who has a terminal illness and is
to regain control of their emotions, calm down, approaching the end of life.
and end the behavior.
A nurse on a pediatric mental health unit is
A nurse is discussing responsibilities in milieu discussing the importance of setting boundaries
therapy with a group of newly hired nurses. with another nurse. Which of the following
Which of the following should the nurse include? statements by the nurse explains why setting
(Select all that apply.) - - Explain unit rules, boundaries is important? - - "Setting
including expectations and client rights is correct. boundaries increases a child's sense of security
Provide orientation, including a tour of the unit, through knowing the consequences of
rules, and expectations is correct. Select behaviors."
activities based on preferences of available staff
is incorrect. Research indicates that setting boundaries
Ensure that culturally-sensitive care is provided increases a child's sense of security. Setting
is correct. boundaries reduces any misunderstanding,
Use a trauma-informed approach to client care is establishes expected behaviors, and provides an
correct. understanding of consequences.
A nurse is caring for a newly admitted client who A nurse overhears unit staff workers making
expresses concern that their insurance will not jokes about a nursing student. This is an example
over their care. The nurse should identify that of which of the following? - - Incivility.
which of the following is a U.S. congressional act
that requires providers to inform their clients of This is an example of incivility. Incivility is an act
the cost for treatment and whether their or behavior that shows disrespect and lack of
1/5
, ATI Engage Mental Health RN: Foundations of Mental Health Nursing - Client and
Mental Health Team Member Safety: Legal & Ethical Considerations
courtesy. Such acts, whether intended or A client tells a nurse that they plan to hang
unintended, are considered acts of aggression themselves when they are discharged is correct.
and can affect the well-being of the individual
and negatively impact the work environment.
A nurse on a mental health unit is discussing
types of admission with a newly licensed nurse.
A nurse is leading a group session when a client Which of the following statements should the
begins cursing and running around the room nurse make? - - "Most states require two
shouting. Which of the following actions should providers to assess a client and confirm the need
the nurse take? - - Suggest the client go for an involuntary admission."
someplace quiet and compose themselves.
An involuntary admission, or assisted inpatient
Suggesting the client go someplace quiet and treatment, is when a client is admitted without
compose themselves indicates that the nurse will their request or consent. It is initiated when a
not tolerate their behavior. This is an example of client is exhibiting severe manifestations or is
a less restrictive alternative to restraints and will considered to be a danger to themselves or
give the client a chance to change their behavior others.
prior to returning to the group.
A nurse is discussing scope of practice related to
A nurse is caring for a client who is in physical mental health with a peer. Which of the following
restraints. The nurse should identify that which of statements by the nurse explains practice focus
the following complications can result from for a mental health nurse? - - "It is
inadequate monitoring of the client? (Select all important to consider mental health needs related
that apply.) - - Positional asphyxia is to population health are based on the social
correct. determinants of health."
Food aspiration is correct.
Cardiac arrest is correct. Nurses should focus their practice and expand
Infection is incorrect. their responsibilities to include care of clients in
Somnolence is incorrect. all populations related to mental health needs as
outlined by the social determinants of health.
A nurse is planning an in-service about client
confidentiality for a group of newly hired nurses. A nurse is discussing burnout among nurses with
Which of the following examples should the a colleague. Which of the following is a strategy
nurse include when discussing exceptions for to reduce burnout? - - Self-scheduling work
maintaining client confidentiality? (Select all that shifts.
apply.) - - A client tells a nurse that they
intend to kill a coworker is correct. Self-scheduling work shifts allows nurses to have
A nurse is subpoenaed to testify in court about a more control over work-life balance and helps
client they cared for is correct. reduce burnout. Strategies for reducing burnout
An older adult client reports their caregiver allows include engagement in shared governance,
them to eat one meal per day is correct. effective communication, supportive teams,
A client tells a nurse that they stole a watch from supportive leadership, and consistent self-care.
a friend's house is incorrect.
2/5
