ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing the sleep pattern of a client who has an anxiety disorder. The client reports having difficulty sleeping most nights. Which of the following recommendations should the nurse make?
Correct Answer: B
Rationale: The correct answer is B: Exercise at least 3 hours before bedtime. Exercise helps reduce anxiety and promotes better sleep by releasing endorphins and reducing stress hormones. Exercising too close to bedtime can actually stimulate the body, making it harder to fall asleep.
Choice A is incorrect as watching television can be stimulating and disrupt sleep.
Choice C is incorrect as eating too close to bedtime can lead to indigestion and discomfort.
Choice D is incorrect as taking a long nap during the day can interfere with nighttime sleep.
Extract:
Nurses' Notes
2200:
According to the police officer's report, the client was found sleeping near railroad tracks. Refused to give name, and no identification found. Client states they were, "Just doing what they were told to do. Didn't know it would take so long for the train to come." Client appears disheveled with poor hygiene. Client does not follow simple commands, refuses to answer questions, and will not make eye contact.
2230:
Client refusing to follow prescribed treatment plan. States they believe someone is trying to poison them. Noted to occasionally be mumbling as if talking to unseen others.
Provider Prescriptions
2200:
Clozapine 200 mg PO twice per day
Risperidone 4 mg PO twice per day
Question 2 of 5
A nurse in a mental health facility is admitting a client who was brought in by the police department. Exhibits:Complete the diagram by selecting from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client's progress.
Correct Answer: A, A,C, B,D
Rationale: Action to Take: A, A; Potential Condition: C; Parameter to Monitor: B, D.
Rationale: The client is likely experiencing schizophrenia based on brought in by the police, so actions to take include providing a safe environment (placing client in a room near the nurses' station) and administering antipsychotic medications to address the condition. Potential condition of seizures (
C) should be monitored closely. Parameters to monitor include behavior changes (
B) and medication efficacy (
D) to assess progress and ensure safety. Other choices are incorrect as they do not align with the client's likely condition or best practices in mental health care.
Extract:
Question 3 of 5
A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse. Which of the following statements by the staff nurse should the charge nurse identify as countertransference?
Correct Answer: B
Rationale: The correct answer is B. Countertransference occurs when a healthcare professional projects their own personal feelings or experiences onto a client. In this scenario, the staff nurse comparing the client to their brother who overcame addiction demonstrates a personal connection that could affect their judgment and care for the client. This statement reflects the staff nurse's unresolved emotions or biases, which can interfere with providing objective and effective care.
Choices A, C, and D focus on the client's behavior or treatment without indicating any personal projection, therefore not exhibiting countertransference.
Question 4 of 5
A nurse is preparing to administer 7 mg of haloperidol IM to a client who is severely agitated. Haloperidol injection of 5 mg/mL is available. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1.4
Rationale:
To determine the mL needed, divide the total dose by the concentration of the medication. In this case, 7 mg / 5 mg/mL = 1.4 mL. The correct answer is 1.4 mL.
Choice A, 2.5 mL, is incorrect as it is not the result of the correct calculation.
Choices B, C, D, E, F, and G are also incorrect as they do not reflect the accurate calculation based on the dose and concentration provided.
Question 5 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan?
Correct Answer: C
Rationale: The correct answer is C: The client will attend to personal hygiene. This outcome is important in the treatment of borderline personality disorder as it can improve the client's self-esteem and overall well-being. Personal hygiene is a fundamental aspect of self-care and can help the client feel more in control and confident. It also promotes a sense of normalcy and routine, which can be beneficial in managing symptoms of the disorder.
The other choices are incorrect because:
A: Verbalizing an improved mood may not directly address the core issues of borderline personality disorder.
B: Decrease in hallucinations is more commonly associated with psychotic disorders, not borderline personality disorder.
D: Communicating needs is important, but attending to personal hygiene is more fundamental for daily functioning.
E, F, G: Not provided in the question.