ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client following a physical assault. The client states, 'I don’t remember what happened to me.' Which of the following defense mechanisms should the nurse recognize the client is using?
Correct Answer: D
Rationale: Repression unconsciously blocks traumatic memories, like the assault. Denial refuses reality, rationalization justifies, and displacement redirects emotions.
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: Condition: Schizophrenia (
A) fits delusions and hallucinations. Actions: Near nurses’ station (
A) for observation, maintain meds (
C) for symptom control. Parameters: Command hallucinations (
B) and suicidal ideation (
D) assess risk and progress.
Extract:
Question 3 of 5
A nurse is caring for a client who just received lorazepam 1 mg IM for anxiety. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Lorazepam causes drowsiness/dizziness, increasing fall risk, so precautions are key. Ringing isn’t a side effect, restraints are unnecessary, and repeating the dose too soon is unsafe.
Question 4 of 5
A nurse is planning overall strategies to address problems for a client who has borderline personality disorder. Which of the following strategies is the priority for the nurse to incorporate in the plan of care?
Correct Answer: C
Rationale: Preventing self-harm is the priority due to BPD’s high risk, ensuring safety before support groups, assertiveness, or thought awareness.
Question 5 of 5
A nurse is caring for a client who has major depressive disorder and states that they have given away their personal belongings. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: This open-ended question invites the client to share feelings safely, showing empathy. 'Why' may feel judgmental, minimizing feelings dismisses severity, and suggesting a group is premature without rapport.