ATI RN
ATI RN Mental health 2019 NGN II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. The nurse should monitor the client for which of the following manifestations?
Correct Answer: D
Rationale: Hyperthermia is a common withdrawal symptom due to sympathetic overactivity requiring close monitoring.
Question 2 of 5
A nurse is assessing a client who has delirium. Which of the following findings requires immediate intervention by the nurse?
Correct Answer: A
Rationale: Command hallucinations which may instruct harmful actions require immediate intervention to ensure client safety.
Question 3 of 5
A nurse in a long-term care facility is caring for a client. The nurse should identify that which of the following conditions places the client at an increased risk for developing delirium?
Correct Answer: C
Rationale: An elevated WBC count suggests infection or inflammation common delirium triggers requiring attention.
Question 4 of 5
A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder. Which of the following findings obtained during the initial assessment is the priority to report to other disciplines?
Correct Answer: D
Rationale: Psychomotor retardation may indicate severe depression or suicide risk requiring urgent team attention.
Question 5 of 5
A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation. The nurse should encourage the client to participate in which of the following groups?
Correct Answer: A
Rationale: Dialectical behavior therapy is specifically designed to address self-harm and emotional dysregulation in borderline personality disorder.