ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse in an inpatient mental health facility is reviewing the medical record of a client who has bipolar disorder. When planning to establish a nurse-client relationship with the client, which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: Establishing confidentiality builds trust first, foundational for coping, behavior changes, or education in a therapeutic relationship.
Question 2 of 5
A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Focusing on reality-based activities distracts and grounds the client. Denying reality invalidates, avoiding questions limits assessment, and sympathy alone doesn’t manage symptoms.
Question 3 of 5
A nurse in an outpatient mental health facility is preparing to administer phenelzine to a client who has been taking this medication for several years. The client reports eating a grilled cheese sandwich and a banana for lunch and is feeling dizzy. Which of the following vital signs should the nurse assess first?
Correct Answer: A
Rationale: Phenelzine (MAOI) with tyramine-rich cheese can cause hypertensive crisis; dizziness suggests this, making blood pressure the priority over respiration, pulse, or temperature.
Question 4 of 5
A nurse is caring for a client who is going through the grieving process. Which of the following actions should the nurse take to meet the client's spiritual needs?
Correct Answer: D
Rationale: Offering to contact the client's spiritual advisor is a supportive action that can help meet spiritual needs by connecting them with their support system, aiding the grieving process. Internalizing feelings can worsen grief, changing the subject dismisses emotions, and isolation may increase despair.
Question 5 of 5
A nurse is caring for a client who has a substance use disorder. The client states, 'The state took my child away after my overdose. I don’t want to go on living without them.' Which of the following therapeutic responses should the nurse make?
Correct Answer: C
Rationale: This assesses suicide risk directly, addressing safety first. False promises, sedatives, or custody suggestions don’t tackle the immediate threat.