ATI RN
ATI RN Mental health 2019 NGN II Questions
Extract:
Question 1 of 5
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse document as positive symptoms of schizophrenia? (Select all that apply.)
Correct Answer: A,B
Rationale: Auditory hallucinations and flight of ideas are positive symptoms of schizophrenia. Positive symptoms involve the presence of abnormal experiences or behaviors such as hallucinations and disorganized thinking. Decreased motivation and impaired memory are negative and cognitive symptoms respectively.
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: D
Rationale: Psychomotor retardation may indicate severe depression or suicide risk requiring urgent team attention.
Question 3 of 5
A nurse is assessing a client who recently experienced the loss of their partner. Which of the following questions is the priority for the nurse to ask during this situational crisis?
Correct Answer: B
Rationale: Assessing for self-harm risk is critical to ensure client safety during a crisis like partner loss.
Question 4 of 5
A nurse is reviewing the laboratory report of a client who has a panic disorder and is taking clonazepam. Which of the following laboratory results should the nurse report to the provider?
Correct Answer: D
Rationale: A low platelet count increases bleeding risk potentially related to clonazepam requiring prompt reporting.
Question 5 of 5
A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder. Which of the following recommendations should the nurse include in the plan?
Correct Answer: A
Rationale: Self-help groups provide ongoing support critical for maintaining sobriety post-discharge.