ATI RN
ATI RN Mental Health 2019 NGN Questions
Question 1 of 5
A nurse is caring for a school-age child who has a new diagnosis of attention-deficit hyperactivity disorder. The nurse should anticipate a prescription for which of the following medications?
Correct Answer: D
Rationale: Methylphenidate, a stimulant, is standard for ADHD, improving focus. Risperidone (
A), valproate (
B), and lithium (
C) are used for other conditions like schizophrenia or bipolar disorder.
Question 2 of 5
A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation. The nurse should encourage the client to participate in which of the following groups?
Correct Answer: B
Rationale: Dialectical behavior therapy (DBT) addresses emotion regulation and self-harm, ideal for borderline personality disorder. Co-dependency (
A) and dual diagnosis (
D) groups are less relevant, and desensitization (
C) is for phobias.
Question 3 of 5
A nurse is assessing a client who recently experienced the loss of their partner. Which of the following questions is the priority for the nurse to ask during this situational crisis?
Correct Answer: D
Rationale: Asking about self-harm assesses immediate safety, critical in a crisis. Life impact (
A), support systems (
B), and coping strategies (
C) are important but secondary to safety.
Question 4 of 5
A charge nurse is educating a newly licensed nurse about various defense mechanisms. Which of the following examples should the charge nurse provide when discussing rationalization?
Correct Answer: B
Rationale: Rationalization involves justifying behavior with acceptable reasons. The client attributing a missed promotion to the boss’s dislike (
B) is rationalization, protecting self-esteem. Worrying about grades (
A) is procrastination, talking in present tense (
C) is denial, and stomach pain (
D) is displacement.
Question 5 of 5
A nurse is reviewing the medical record of a client who is to begin taking aripiprazole. The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?
Correct Answer: A
Rationale: Aripiprazole can lower the seizure threshold, making seizure disorder a contraindication due to increased seizure risk. Crohn’s disease (
B), asthma (
C), and hypothyroidism (
D) are not direct contraindications, though monitoring may be needed for other effects.