ATI RN
ATI RN Mental health 2019 NGN II 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: A
Rationale: The correct answer is A: Command hallucinations. This finding requires immediate intervention as it poses a risk of harm to the client or others. Command hallucinations can lead to dangerous behaviors if the client acts on them. Impaired memory (
B), inappropriate speech patterns (
C), and rapid mood swings (
D) are common symptoms of delirium but do not pose an immediate threat of harm. It is crucial for the nurse to address the command hallucinations promptly to ensure the safety and well-being of the client and others.
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: