ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 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: The correct answer is C: WBC count 13,000/mm^2. A high WBC count indicates an underlying infection, which is a common cause of delirium in older adults. Delirium can be triggered by infections, so monitoring for elevated WBC counts is crucial in identifying potential risk factors. BUN levels, neuropathy, and hypertension are not directly linked to delirium development. Summary:
A) BUN levels are related to kidney function, not delirium.
B) Neuropathy refers to nerve damage, not directly associated with delirium.
D) Hypertension is a chronic condition and may not directly contribute to delirium.
Question 2 of 5
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
Correct Answer: A
Rationale: The correct answer is A: Displacement. The client is displacing his anger towards his partner onto the nurse by becoming angry and telling her to leave. Displacement is a defense mechanism where one redirects an emotion from its original source to a less threatening target. In this case, the client is unable to express his anger towards his partner directly, so he directs it towards the nurse. Rationalization (
B) is creating logical explanations for behavior, not applicable here. Denial (
C) is refusing to accept reality, which is not demonstrated. Compensation (
D) is making up for a perceived weakness by emphasizing a strength, not relevant in this scenario.
Question 3 of 5
A nurse is planning to conduct a support group for adolescents who have cancer. Which of the following actions should the nurse include during the orientation phase?
Correct Answer: D
Rationale: The correct answer is D: Establish a rapport with group members. During the orientation phase of a support group, it is crucial for the nurse to build a trusting relationship with group members. This helps create a safe and welcoming environment for participants to share their thoughts and feelings. By establishing rapport, the nurse sets the foundation for effective communication and encourages group members to engage in the support group activities.
Incorrect options:
A: Managing conflict within the group is more relevant during the working phase of the group, not the orientation phase.
B: Encouraging problem-solving skills is important, but establishing rapport comes first in building a supportive environment.
C: Maintaining the group's focus on identified issues is essential but is more relevant during the working phase once rapport is established.
Question 4 of 5
A nurse in a mental health facility is reviewing the laboratory results of a client who is taking lithium carbonate. Which of the following findings places the client at risk for lithium toxicity?
Correct Answer: B
Rationale: The correct answer is B: Sodium 132 mEq/L. Low sodium levels can increase the risk of lithium toxicity as they can lead to decreased lithium excretion by the kidneys. This can result in an elevated lithium concentration in the blood, leading to toxicity. Aspartate aminotransferase (choice
A) is a liver enzyme and is not directly related to lithium toxicity. Calcium level (choice
C) and WBC count (choice
D) are not typically associated with lithium toxicity.
Question 5 of 5
A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought-stopping technique?
Correct Answer: C
Rationale: The correct answer is C: Snap a rubber band on your wrist when you think about checking the locks. This instruction is in line with the thought-stopping technique, which aims to interrupt obsessive thoughts. By associating the urge to check locks with a physical sensation like snapping a rubber band, the client can become more aware of their thought patterns and potentially break the cycle of compulsive behavior. It helps the client to redirect their focus away from the obsessive thought.
Other choices are incorrect:
A: Asking a family member to check the locks does not address the underlying issue and may enable the client's behavior.
B: Keeping a journal may help track behavior but does not actively interrupt the obsessive thoughts.
D: Focusing on abdominal breathing can be a relaxation technique, but it does not specifically target the obsessive thoughts related to checking locks.