ATI RN
ATI RN Mental Health 2019 NGN Questions
Question 1 of 5
A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: B
Rationale: The correct answer is B: Assist the client to ambulate for the first time following the procedure. This task can be safely delegated to assistive personnel as it involves basic physical assistance and monitoring the client's mobility post-procedure. The nurse should be present initially to assess the client's condition and ensure safety but can delegate the actual task of ambulation. Checking the client's condition after the procedure (
A) requires nursing assessment skills. Witnessing the client's signature on the consent form (
C) requires legal responsibility that should be done by a licensed nurse. Giving atropine 30 min before the procedure (
D) involves medication administration, which is a nursing responsibility.
Question 2 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.
Question 3 of 5
A nurse is teaching a newly licensed nurse about contributing factors that can lead to the development of conduct disorder. Which of the following factors related to family dynamics should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: The client has several siblings. Having several siblings can lead to increased competition for resources, attention, and parental guidance, which may contribute to the development of conduct disorder. This dynamic can create a lack of individualized attention and supervision, increasing the likelihood of behavioral issues.
Choice A (The client is the oldest of their siblings) is incorrect because birth order alone is not a direct factor in the development of conduct disorder.
Choice B (The client's father lives in the client's home) is incorrect as the presence of the father alone does not necessarily contribute to the development of conduct disorder.
Choice C (The client's mother has asthma) is irrelevant to the development of conduct disorder as it does not directly impact family dynamics related to behavior.
In summary, having several siblings can impact family dynamics by increasing competition and reducing individual attention, thus making it a contributing factor to the development of conduct disorder.
Question 4 of 5
A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. The nurse should monitor the client for which of the following manifestations?
Correct Answer: C
Rationale: The correct answer is C: Hyperthermia. During alcohol withdrawal, the client may experience autonomic hyperactivity, leading to increased body temperature. This is due to the overstimulation of the sympathetic nervous system. Monitoring for hyperthermia is crucial as it can lead to serious complications such as seizures or delirium tremens.
Incorrect
Choices:
A: Decreased blood pressure is not a common manifestation of alcohol withdrawal. Clients with alcohol withdrawal typically have elevated blood pressure due to increased sympathetic activity.
B: Decreased heart rate is not a typical finding during alcohol withdrawal. Clients may have tachycardia due to autonomic hyperactivity.
D: Hyperglycemia is not a primary concern during alcohol withdrawal. Clients are more likely to experience hypoglycemia due to poor nutrition and liver dysfunction.
Question 5 of 5
A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?
Correct Answer: C
Rationale: The correct answer is C. This statement indicates a symptom of clinical depression, which is feeling numbness. Numbness is a common symptom where individuals feel emotionally disconnected and unresponsive. This lack of emotional response is a key feature of depression. Reporting this to the provider is important for further assessment and intervention.
The other choices are incorrect because:
A: This statement reflects sadness and a realistic understanding of the grieving process, not necessarily depression.
B: This statement shows reliance on family support, which is a healthy coping mechanism.
D: Feeling anger is a common emotional response to grief and does not necessarily indicate clinical depression.