ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 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 is a defense mechanism where a person justifies their behavior by giving logical reasons that may not be true.
Choice B is correct because the client attributes not getting the promotion to her boss disliking her, which may not be the actual reason. This shows rationalization as the client is creating a false explanation to protect their self-esteem.
Choices A, C, and D do not demonstrate rationalization.
Choice A shows displacement, shifting worry from grades to party planning.
Choice C shows denial or suppression of grief.
Choice D shows somatization, physical symptoms due to stress.
Question 2 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: The correct answer is A: Seizure disorder. Aripiprazole can lower the seizure threshold, increasing the risk of seizures. Individuals with a pre-existing seizure disorder are at a higher risk of experiencing seizures when taking aripiprazole. This contraindication is based on the potential adverse effects of aripiprazole on seizure activity. The other choices (B, C,
D) are not contraindications for aripiprazole therapy. Crohn's disease, asthma, and hypothyroidism are not known to have significant interactions or contraindications with aripiprazole.
Therefore, the correct choice is A, as it directly impacts the safety and effectiveness of aripiprazole therapy.
Question 3 of 5
A nurse in a provider's office is assessing a school-age child who has a spiral fracture. The parent of the child provides different accounts of the cause of the injury. Which of the following actions should the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Determine the immediate safety needs of the child. This is the first action the nurse should take to ensure the safety and well-being of the child. By assessing the immediate safety needs, the nurse can address any potential risks or concerns affecting the child's health. Reporting suspected abuse (
A) should only occur after ensuring the child's safety. Requesting the parent to leave the room (
B) may escalate the situation and hinder communication. Asking the child how the injury occurred (
D) should come after ensuring the child's safety.
Question 4 of 5
A home health nurse visits a client who lost their partner 2 years ago. Which of the following behaviors by the client indicates a maladaptive grief response?
Correct Answer: B
Rationale: The correct answer is B because the client being unable to perform basic hygiene tasks indicates maladaptive grief. This behavior suggests a significant impairment in daily functioning, which is not a typical response to grief. Relocating (
A) and giving away belongings (
C) are common adaptive coping mechanisms. Expressing guilt (
D) is a normal part of the grieving process. The key is to recognize when grief symptoms become severe and impact daily activities, like in choice B.
Question 5 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.