Questions 69

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ATI RN Mental Health 2019 NGN Questions

Extract:


Question 1 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: Inability to perform basic hygiene tasks suggests significant impairment, indicating complicated grief. Relocating (
A) may be practical, giving away belongings (
C) can be healthy, and guilt (
D) is common in grief, not necessarily maladaptive.

Question 2 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 3 of 5

A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. The nurse should monitor the client for which of the following manifestations?

Correct Answer: C

Rationale: Hyperthermia, or elevated body temperature, can occur during alcohol withdrawal due to the hyperactive state of the nervous system, requiring monitoring. Decreased blood pressure (
A) and heart rate (
B) are not typical, as increases are more common. Hyperglycemia (
D) is not a primary concern in withdrawal.

Question 4 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 5 of 5

A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?

Correct Answer: C

Rationale: A sore throat in a clozapine patient may signal agranulocytosis, a life-threatening condition, requiring immediate assessment. Loud speech (
A), weight gain (
B), and hallucinations (
D) are less urgent.

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