ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 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 2 of 5
A nurse in an acute care mental health facility is caring for a client who has been placed in seclusion following an acute violent episode. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Obtaining a prescription within 30 minutes ensures legal and ethical justification for seclusion. Six hours exceeds typical limits (4 hours max), vital signs need more frequent checks (every 15-60 minutes), and documentation should be every 15 minutes.
Question 3 of 5
A nurse is caring for a client who has obsessive-compulsive personality disorder (OCPD). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Preoccupation with details is a hallmark of OCPD. Individuals with this disorder have an excessive concern with orderliness, perfectionism, and control over their environment and tasks. Lack of empathy, exploitative behavior, and excessive clinging are not typical OCPD traits. (Note: This is a repeat of Question 2 with an unrelated explanation about ACT, likely a document error; correct rationale applied.)
Question 4 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: B
Rationale: Comparing the client to a brother shows personal emotional projection, indicating countertransference. Other statements reflect observation, boundaries, or opinion, not personal bias.
Question 5 of 5
A nurse is preparing to teach a client who has moderate anxiety about what to expect after their upcoming cardiac catheterization. Which of the following actions should the nurse plan to take?
Correct Answer: B
Rationale: Using short, simple sentences ensures comprehension without overwhelming an anxious client. Detailed explanations may increase anxiety, avoiding questions hinders engagement, and a long video may be too much to process.