ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The guardian’s consent is required for a legally incompetent client, ensuring legal protection. Social workers (
A), implied consent (
B), and charge nurses (
D) are inappropriate for this role.
Question 2 of 5
A nurse is providing teaching to a client who is prescribed methylphenidate for ADHD. Which of the following statements by the client indicates an accurate understanding of this medication's effects?
Correct Answer: D
Rationale: Methylphenidate enhances focus and clarity in ADHD, making (
D) correct. It’s a stimulant, not sedating (
A), doesn’t typically cause weight gain (
B), and increases alertness, not relaxation (
C).
Question 3 of 5
A nurse in a mental health facility is reviewing the laboratory results of a client who is taking lithium carbonate. Which of the following findings places the client at risk for lithium toxicity?
Correct Answer: B
Rationale: Sodium 132 mEq/L indicates hyponatremia, increasing lithium reabsorption and toxicity risk. Normal AST (
A), calcium (
C), and WBC (
D) levels do not directly contribute to lithium toxicity.
Question 4 of 5
A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Allowing time for grieving supports emotional processing after a terminal diagnosis. Changing the subject (
A), offering treatment advice (
C), or discouraging relationships (
D) is inappropriate.
Question 5 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: B
Rationale: This task can be delegated to assistive personnel (AP). Ambulation assistance is within the AP's scope of practice, provided the nurse has assessed the client's stability beforehand. Checking the client's condition (
A) requires assessment skills, witnessing consent (
C) must be done by a licensed provider, and administering medication (
D) is a nursing responsibility.