ATI RN
ATI RN Mental Health 2019 NGN Questions
Question 1 of 5
A nurse is caring for a client who has depression following a recent job loss. Which of the following questions should the nurse ask to assess the client's personal coping skills?
Correct Answer: C
Rationale: The correct answer is C: "How have you dealt with similar situations in the past?" This question assesses the client's personal coping skills by exploring their previous experiences and coping strategies. By understanding how the client has managed similar challenges before, the nurse can gain insights into their resilience and coping mechanisms. This question focuses on the client's ability to handle adversity and adapt to stressful situations, providing valuable information for developing an effective care plan.
The other choices are incorrect because:
A: Focuses on the client's current feelings, not their coping skills.
B: Addresses the impact of the situation on the client's future, not their coping strategies.
D: Inquires about how the situation affects the client's life, but doesn't directly assess coping skills.
Question 2 of 5
A nurse in a mental health facility is reviewing the laboratory results of a client who is taking lithium carbonate. Which of the following findings places the client at risk for lithium toxicity?
Correct Answer: B
Rationale: The correct answer is B: Sodium 132 mEq/L. Low sodium levels can increase the risk of lithium toxicity as they can lead to decreased lithium excretion by the kidneys. This can result in an elevated lithium concentration in the blood, leading to toxicity. Aspartate aminotransferase (choice
A) is a liver enzyme and is not directly related to lithium toxicity. Calcium level (choice
C) and WBC count (choice
D) are not typically associated with lithium toxicity.
Question 3 of 5
A nurse is planning to conduct a support group for adolescents who have cancer. Which of the following actions should the nurse include during the orientation phase?
Correct Answer: D
Rationale: The correct answer is D: Establish a rapport with group members. During the orientation phase of a support group, it is crucial for the nurse to build a trusting relationship with group members. This helps create a safe and welcoming environment for participants to share their thoughts and feelings. By establishing rapport, the nurse sets the foundation for effective communication and encourages group members to engage in the support group activities.
Incorrect options:
A: Managing conflict within the group is more relevant during the working phase of the group, not the orientation phase.
B: Encouraging problem-solving skills is important, but establishing rapport comes first in building a supportive environment.
C: Maintaining the group's focus on identified issues is essential but is more relevant during the working phase once rapport is established.
Question 4 of 5
A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: The correct answer is B: Negotiate with the client how much weight she should gain each week. In anorexia nervosa, weight gain must be carefully monitored to prevent refeeding syndrome. Negotiating with the client empowers them in their recovery process. Weighing the client weekly (
A) may cause anxiety. Notifying the client about designated meal times (
C) may be too restrictive. Decreasing fiber intake (
D) is not indicated and may worsen gastrointestinal issues.
Question 5 of 5
A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer is D: Failure to recognize familiar objects. In Alzheimer's disease, individuals often have difficulty recognizing familiar objects due to cognitive decline. This is a hallmark symptom caused by brain changes affecting memory and perception. The other choices are incorrect because:
A) Altered level of consciousness is not typically a primary symptom of Alzheimer's disease.
B) Rapid mood swings may occur in some individuals with Alzheimer's, but it is not a definitive characteristic.
C) Excessive motor activity is not a common feature of Alzheimer's disease; rather, individuals may experience motor impairment as the disease progresses.