ATI RN
ATI RN Mental health 2019 NGN II 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 is legally authorized to provide consent for an incompetent client ensuring validity.
Question 2 of 5
A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?
Correct Answer: C
Rationale: Supporting the client's refusal respects their autonomy prioritizing their right to make healthcare decisions.
Question 3 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 4 of 5
A nurse is assessing a client who has depression and takes phenelzine. The client reports eating pepperoni pizza while out on a pass during lunchtime. Which of the following assessments should the nurse perform?
Correct Answer: B
Rationale: Phenelzine with tyramine-rich foods like pepperoni can cause hypertensive crisis requiring blood pressure monitoring.
Question 5 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Consistent boundaries promote a structured safe environment for clients with borderline personality disorder.