ATI RN
ATI RN Mental health 2019 NGN II Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?
Correct Answer: B
Rationale: Phenelzine with tyramine-rich foods like pepperoni can cause hypertensive crisis requiring blood pressure monitoring.
Question 2 of 5
A nurse in a mental health facility is reviewing the laboratory results of a client who is taking lithium carbonate. Which of the following findings places the client at risk for lithium toxicity?
Correct Answer: C
Rationale: Low sodium levels impair lithium excretion increasing toxicity risk requiring immediate reporting.
Question 3 of 5
A nurse is reviewing the medical record of a client who is to begin taking aripiprazole. The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?
Correct Answer: B
Rationale: Crohn's disease may be exacerbated by aripiprazole's gastrointestinal side effects making it a contraindication.
Question 4 of 5
A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?
Correct Answer: C
Rationale: Supporting the client's refusal respects their autonomy prioritizing their right to make healthcare decisions.
Question 5 of 5
A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation. The nurse should encourage the client to participate in which of the following groups?
Correct Answer: A
Rationale: Dialectical behavior therapy is specifically designed to address self-harm and emotional dysregulation in borderline personality disorder.