ATI RN
ATI RN Mental Health 2019 NGN 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: The correct assessment the nurse should perform in this scenario is checking the client's blood pressure (
Choice
B). Phenelzine is a monoamine oxidase inhibitor (MAOI) used to treat depression, and consuming foods high in tyramine, such as pepperoni pizza, can lead to a hypertensive crisis due to the interaction between tyramine and MAOIs. Monitoring blood pressure is crucial to detect any hypertensive crisis early on. Assessing bowel sounds (
Choice
A), oxygen saturation (
Choice
C), and pupil response (
Choice
D) are not directly related to the potential hypertensive crisis caused by the interaction between phenelzine and tyramine.
Question 2 of 5
A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder. Which of the following findings obtained during the initial assessment is the priority to report to other disciplines?
Correct Answer: B
Rationale: The correct answer is B: Psychomotor retardation. This finding is the priority to report as it indicates a severe form of depression that can lead to physical and cognitive impairment, affecting the client's safety and ability to function. Psychomotor retardation is a significant risk factor for suicide and requires immediate attention. Significant weight loss (
A) is concerning but can be addressed through nutrition interventions. Markedly neglected hygiene (
C) can be a sign of self-neglect but does not pose an immediate risk. Poor problem-solving skills (
D) are common in depression but do not require urgent intervention compared to psychomotor retardation.
Question 3 of 5
Correct Answer:
Rationale: Question: Which of the following is an example of a renewable energy source?
Choices:
A: Coal
B: Natural Gas
C: Wind
D: Nuclear
E: Oil
F: Hydroelectric
G: Biomass
Correct Answer: C (Wind)
Rationale:
1. Wind is a renewable energy source because it relies on the natural wind flow to generate electricity.
2. Coal, natural gas, oil, and nuclear are non-renewable sources as they deplete over time.
3. Hydroelectric and biomass are also renewable, but wind is more universally applicable and eco-friendly.
Summary:
The correct answer is C (Wind) because it is a sustainable, environmentally friendly energy source. Coal, natural gas, oil, and nuclear are non-renewable. Hydroelectric and biomass are renewable but wind is more versatile and eco-friendly.
Question 4 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: B
Rationale: The correct answer is B: Dialectical behavior treatment group. This is because dialectical behavior therapy (DBT) is specifically designed to help individuals with borderline personality disorder manage their emotions, improve interpersonal relationships, and reduce self-destructive behaviors like self-mutilation. DBT combines cognitive-behavioral techniques with mindfulness practices to teach clients healthier coping strategies. Co-dependents support group (
A) may not address the client's specific needs. Desensitization therapy (
C) is more focused on treating phobias and anxiety disorders, not personality disorders. Dual diagnosis treatment group (
D) is for clients with both substance abuse and mental health issues, which may not be relevant in this case.
Question 5 of 5
A nurse is caring for a client who has anorexia nervosa. Which of the following findings requires immediate intervention by the nurse?
Correct Answer: D
Rationale: The correct answer is D: Blood pH 7.60. In anorexia nervosa, severe electrolyte imbalances can occur, leading to metabolic alkalosis. A blood pH of 7.60 indicates significant alkalosis, which can lead to life-threatening complications like cardiac arrhythmias. Immediate intervention is needed to restore acid-base balance. A: Lanugo is a common finding in anorexia and doesn't require immediate intervention. B: Edema may indicate refeeding syndrome but isn't as urgent as correcting severe alkalosis. C: BUN level is slightly elevated but doesn't pose an immediate threat.