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 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 2 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.
Question 3 of 5
A nurse in a long-term care facility is caring for a client. The nurse should identify that which of the following conditions places the client at an increased risk for developing delirium?
Correct Answer: C
Rationale: An elevated WBC count (13,000/mm^2) indicates infection or inflammation, increasing delirium risk, especially in older adults. Normal BUN (
A), neuropathy (
B), and hypertension (
D) are less directly linked.
Question 4 of 5
A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted another client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Provider assessment within 1 hour ensures restraint necessity and safety. Renewing every 2 hours (
A) is excessive, hourly evaluation (
B) is secondary, and as-needed prescriptions (
D) lack oversight.
Question 5 of 5
A nurse is caring for a school-age child who has conduct disorder and requires wrist restraints. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Frequent vital sign monitoring ensures safety in restraints. Prescription is needed within 1 hour (B is incorrect), exercises are every 2 hours (
C), and two fingers fit (
D).