ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has a depressive disorder. The client states, 'I don't always go to bed at night, so I get in trouble for falling asleep at work.' Which of the following interventions should the nurse recommend?
Correct Answer: C
Rationale: A sleep diary helps identify patterns and promote consistency, aiding sleep in depression. Naps disrupt nighttime sleep, late exercise stimulates, and stopping meds is unsafe without guidance.
Question 2 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: Attending to personal hygiene addresses self-care neglect common in BPD during distress, improving function. Mood improvement is vague, hallucinations aren’t typical, and communication isn’t BPD-specific.
Question 3 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 supporting the client's refusal of medications?
Correct Answer: A
Rationale: Supporting refusal respects autonomy, the client’s right to decide. Beneficence promotes well-being, veracity is truthfulness, and justice is fairness—none apply here.
Question 4 of 5
A nurse in a rehabilitation center is caring for a client who has bipolar disorder. Which of the following actions by the client indicates mania?
Correct Answer: A
Rationale: Constant talking (pressured speech) reflects mania’s increased energy. Memory loss isn’t specific to mania, excessive sleep indicates depression, and inferiority aligns with depressive episodes, not mania.
Extract:
Medical History
The client is 19 years old, has severe anxiety, and was admitted to an inpatient mental health facility for observation and behavioral therapy two weeks ago. The client’s weight at the time of admission was 54.4 kg (120 lb). The client reported sleeping 3 to 4 hours per night due to recurrent nightmares, as well as a decrease in appetite. The client’s family member stated that the client had separated themselves from friends, refused to leave their house, and picked their skin until it bled. The client’s family member also mentioned that there is a family history of anxiety. The client reported previous participation in cognitive-behavioral therapy.
Nurses’ Notes
Nurses’ Notes The client appears to be well-groomed. The client’s current weight is 54 kg (119 lb). The client states they are sleeping 5 to 6 hours per night but are having occasional nightmares. The client verbalizes a decreased appetite and gastrointestinal discomfort. The client states, “I feel anxious about leaving my house. I feel like everyone is staring at me and judging me.” The client verbalizes that bullying experienced during high school has led to anxiety. The client engages in thought-stopping behavioral therapy and cognitive restructuring. The client reports taking escitalopram 20 mg daily, 2 hours after breakfast.
Medication Administration Record
• Escitalopram 20 mg once daily
Question 5 of 5
A nurse working in an outpatient mental health facility is caring for a client who has anxiety and was discharged from an inpatient mental health facility one week ago.Exhibits: A nurse in an outpatient mental health facility is assessing a client who has anxiety. Click to highlight the findings in the Nurses’ Notes that indicate an improvement in the client’s condition. To deselect, click on the finding again
Correct Answer: A, B, E, F
Rationale: Well-groomed (
A), better sleep (
B), therapy engagement (E), and med adherence (F) show improvement. Appetite issues, house anxiety, and bullying history indicate ongoing struggles.