ATI RN
ATI RN Mental health 2019 NGN II Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is restless and constantly mutters to himself. Which of the following findings should lead the nurse to suspect delirium?
Correct Answer: C
Rationale: Sudden onset is a hallmark of delirium distinguishing it from other conditions like dementia.
Question 2 of 5
A nurse is caring for a client who has schizophrenia. The client's employer calls to discuss the client's condition.Which of the following is the appropriate nursing action?
Correct Answer: A
Rationale: Consulting the client respects their privacy and autonomy ensuring control over health information disclosure.
Question 3 of 5
A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: A
Rationale: Assisting with ambulation is within assistive personnel's scope ensuring safety post-procedure under supervision.
Question 4 of 5
A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Structured meal times promote regular eating habits critical for managing anorexia nervosa.
Question 5 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.