ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has delirium. Which of the following findings requires immediate intervention by the nurse?
Correct Answer: D
Rationale: The correct answer is D: Command hallucinations. This finding requires immediate intervention as it indicates the client is experiencing auditory hallucinations that may pose a risk to themselves or others. Command hallucinations can lead to dangerous behaviors or self-harm. Impaired memory (
A) is common in delirium but does not pose an immediate threat. Rapid mood swings (
B) and inappropriate speech patterns (
C) are concerning but do not require immediate intervention compared to command hallucinations.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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