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: An elevated WBC count (13,000/mm^2) indicates infection or inflammation, increasing delirium risk, especially in older adults. Normal BUN (
A), neuropathy (
B), and hypertension (
D) are less directly linked.
Question 2 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: B
Rationale: Obtaining the provider's prescription within 60 minutes is essential as seclusion restricts freedom and requires oversight to ensure client rights and safety. Documenting behavior (
A), offering food/fluids (
C), and monitoring vitals (
D) are important but secondary to securing a prescription.
Question 3 of 5
A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: B
Rationale: This task can be delegated to assistive personnel (AP). Ambulation assistance is within the AP's scope of practice, provided the nurse has assessed the client's stability beforehand. Checking the client's condition (
A) requires assessment skills, witnessing consent (
C) must be done by a licensed provider, and administering medication (
D) is a nursing responsibility.
Question 4 of 5
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Informing the client of their right to refuse upholds autonomy. Encouragement (
A) disregards choice, another nurse (
B) is unnecessary, and family consent (
C) is inappropriate if the client is competent.
Question 5 of 5
A nurse is providing teaching to a client who is prescribed methylphenidate for ADHD. Which of the following statements by the client indicates an accurate understanding of this medication's effects?
Correct Answer: D
Rationale: Methylphenidate enhances focus and clarity in ADHD, making (
D) correct. It’s a stimulant, not sedating (
A), doesn’t typically cause weight gain (
B), and increases alertness, not relaxation (
C).