ATI RN
ATI RN Mental health 2019 NGN II Questions
Extract:
Question 1 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: A
Rationale: Frequent documentation ensures ongoing safety assessment during seclusion for aggression.
Question 2 of 5
A nurse is caring for a client in the emergency department who states that she was beaten and sexually assaulted by her partner. After a rapid assessment,which of the following actions should the nurse plan to take next?
Correct Answer: B
Rationale: Providing an advocate offers immediate emotional support crucial post-assault for navigating care.
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 suggests infection or inflammation common delirium triggers requiring attention.
Question 4 of 5
A nurse is assessing a client who is restless and constantly mutters to himself. Which of the following findings should lead the nurse to suspect delirium?
Correct Answer: C
Rationale: Sudden onset is a hallmark of delirium distinguishing it from other conditions like dementia.
Question 5 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Consistent boundaries promote a structured safe environment for clients with borderline personality disorder.