ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse. Which of the following statements by the staff nurse should the charge nurse identify as countertransference?
Correct Answer: C
Rationale: Comparing the client to a family member indicates countertransference, projecting personal feelings. Sharing feelings (
A), responsibility (
B), and boundary maintenance (
D) are objective.
Question 2 of 5
A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Documenting the client's refusal in the medical record respects their autonomy, even in involuntary commitment, ensuring the team is informed. Stating they cannot refuse (
B) disregards rights, claiming no consent is needed (
C) is incorrect as ECT requires consent, and involving family (
D) does not override the client's decision.
Question 3 of 5
A nurse is caring for a client who has schizophrenia. The client's employer calls to discuss the client's condition. Which of the following is the appropriate nursing action?
Correct Answer: C
Rationale: Consulting the client respects confidentiality under HIPAA, ensuring their consent for disclosure. Contacting the provider (
A), legal department (
B), or family (
D) without permission violates privacy.
Question 4 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: I don't feel anything but numbness anymore' indicates clinical depression, as emotional blunting is a hallmark symptom, suggesting a deeper disturbance beyond normal grief. Hopelessness (
A) is common in grief, dependency on support (
B) is not specific to depression, and anger (
D) is less indicative than numbness.
Question 5 of 5
A nurse has placed a client who has become physically aggressive into seclusion. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Obtaining the provider's prescription within 60 minutes is essential as seclusion restricts freedom and requires oversight to ensure client rights and safety. Documenting behavior (
A), offering food/fluids (
C), and monitoring vitals (
D) are important but secondary to securing a prescription.