Questions 69

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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: Command hallucinations, urging harmful actions, pose immediate safety risks, requiring urgent intervention. Memory issues (
A), mood swings (
B), and speech patterns (
C) are less critical.

Question 2 of 5

A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. The nurse should monitor the client for which of the following manifestations?

Correct Answer: C

Rationale: Hyperthermia, or elevated body temperature, can occur during alcohol withdrawal due to the hyperactive state of the nervous system, requiring monitoring. Decreased blood pressure (
A) and heart rate (
B) are not typical, as increases are more common. Hyperglycemia (
D) is not a primary concern in withdrawal.

Question 3 of 5

A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?

Correct Answer: C

Rationale: I don't feel anything but numbness anymore' indicates clinical depression, as emotional blunting is a hallmark symptom, suggesting a deeper disturbance beyond normal grief. Hopelessness (
A) is common in grief, dependency on support (
B) is not specific to depression, and anger (
D) is less indicative than numbness.

Question 4 of 5

Correct Answer:

Rationale:

Question 5 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: In the orientation phase, establishing trust and rapport is essential to create a supportive environment for adolescents, setting the stage for communication. Conflict management (
A), problem-solving (
B), and focus maintenance (
C) occur in later phases.

Similar Questions

A nurse manager is observing a newly licensed nurse preparing to administer an IM medication to a client who is manic and refuses the medication. Which of the following actions should the nurse manager take first?
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A nurse is leading a critical incident stress debriefing with a group of staff members following a mass trauma incident. Which of the following interventions should the nurse take first?
A nurse is caring for a client who states, 'I am too embarrassed to tell anyone what I did last night.' Which of the following responses should the nurse make?
A home health nurse is caring for a client who is in the continuation phase of major depressive disorder. The client states, 'I feel unmotivated and don't feel like leaving my home.' Which of the following recommendations should the nurse make to address the client's social isolation?

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