ATI RN
ATI RN Mental health 2019 NGN II Questions
Extract:
Question 1 of 5
A charge nurse is making room assignments for new client admissions. Which of the following clients should the nurse place closest to the nurse's station?
Correct Answer: B
Rationale: Moderate-stage Alzheimer's increases wandering risk requiring close supervision for safety.
Question 2 of 5
An older adult client is brought to the mental health clinic by her daughter. The daughter reports that her mother is not eating and seems uninterested in routine activities. The daughter states,"I'm so worried that my mother is depressed. Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Exploring the daughter's concerns validates her worries and gathers specific symptom details.
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: B
Rationale: Assessing immediate safety ensures the child's protection before further investigation or reporting.
Question 4 of 5
A nurse is assessing a client who has a history of substance use disorder and states,"People are out to get me. The client has tachycardia and hypertension. The nurse should suspect acute toxicity of which of the following substances?
Correct Answer: D
Rationale: Cocaine toxicity is the most likely cause of the client's symptoms. Cocaine can lead to paranoia tachycardia and hypertension. The combination of these symptoms suggests acute cocaine toxicity making it the priority concern for the nurse. Prompt intervention is necessary to address the potential life-threatening effects of cocaine toxicity.
Question 5 of 5
A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder. Which of the following findings obtained during the initial assessment is the priority to report to other disciplines?
Correct Answer: D
Rationale: Psychomotor retardation may indicate severe depression or suicide risk requiring urgent team attention.