ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A home health nurse is caring for a client who is in the continuation phase of major depressive disorder. The client states, 'I feel unmotivated and don't feel like leaving my home.' Which of the following recommendations should the nurse make to address the client's social isolation?
Correct Answer: A
Rationale: An online self-help course fosters virtual connection, addressing isolation without requiring the client to leave home. Journaling (
B), exercise (
C), and imagery (
D) don’t directly promote social interaction.
Question 2 of 5
A nurse is caring for a client who has binge eating disorder. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Remaining with the client post-meals prevents purging, addressing a key behavior. Weighing (
A) may exacerbate body image issues, menu planning (
C) is secondary, and offering snacks (
D) risks reinforcing overeating.
Question 3 of 5
A nurse is teaching a newly licensed nurse about contributing factors that can lead to the development of conduct disorder. Which of the following factors related to family dynamics should the nurse include in the teaching?
Correct Answer: D
Rationale: The presence of several siblings in the family dynamic can contribute to the development of conduct disorder. Increased family size can lead to competition for attention and resources, affecting the child's behavior. Birth order (
A) is not a primary factor, father's presence (
B) is neutral without specific dynamics, and mother's asthma (
C) is unrelated.
Question 4 of 5
A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: Sore throat may indicate agranulocytosis, a life-threatening clozapine side effect, requiring immediate reporting. Elevated glucose (
A), tachycardia (
B), and nausea (
C) are less urgent.
Question 5 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.