ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 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: D
Rationale: Asking about self-harm assesses immediate safety, critical in a crisis. Life impact (
A), support systems (
B), and coping strategies (
C) are important but secondary to safety.
Question 2 of 5
A charge nurse is educating a newly licensed nurse about various defense mechanisms. Which of the following examples should the charge nurse provide when discussing rationalization?
Correct Answer: B
Rationale: Rationalization involves justifying behavior with acceptable reasons. The client attributing a missed promotion to the boss’s dislike (
B) is rationalization, protecting self-esteem. Worrying about grades (
A) is procrastination, talking in present tense (
C) is denial, and stomach pain (
D) is displacement.
Question 3 of 5
A home health nurse visits a client who lost their partner 2 years ago. Which of the following behaviors by the client indicates a maladaptive grief response?
Correct Answer: B
Rationale: Inability to perform basic hygiene tasks suggests significant impairment, indicating complicated grief. Relocating (
A) may be practical, giving away belongings (
C) can be healthy, and guilt (
D) is common in grief, not necessarily maladaptive.
Question 4 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: D
Rationale: Self-help groups like AA provide peer support for sobriety, ideal for alcohol use disorder. Family contact (
A) is less specific, buprenorphine (
B) is for opioids, and desensitization (
C) is for anxiety.
Question 5 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: Psychomotor retardation indicates severe depression, risking self-neglect and suicidal ideation, a priority. Weight loss (
A), hygiene (
C), and problem-solving (
D) are concerning but less urgent.