ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has binge eating disorder. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Remaining with the client post-meals prevents purging, addressing a key behavior. Weighing (
A) may exacerbate body image issues, menu planning (
C) is secondary, and offering snacks (
D) risks reinforcing overeating.
Question 2 of 5
A nurse is reviewing the medical record of a client who is to begin taking aripiprazole. The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?
Correct Answer: A
Rationale: Aripiprazole can lower the seizure threshold, making seizure disorder a contraindication due to increased seizure risk. Crohn’s disease (
B), asthma (
C), and hypothyroidism (
D) are not direct contraindications, though monitoring may be needed for other effects.
Question 3 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, an MAOI, with tyramine-rich foods like pepperoni risks hypertensive crisis, requiring blood pressure assessment. Bowel sounds (
A), oxygen (
C), and pupil response (
D) are not directly affected.
Question 4 of 5
A nurse in a mental health facility is making plans for a client's discharge. Which of the following interdisciplinary team members should the nurse contact to assist the client with housing placement?
Correct Answer: D
Rationale: Social workers connect clients with housing resources, critical for discharge. Occupational (
A) and recreational (
B) therapists focus on skills/activities, and clinical nurse specialists (
C) provide care, not housing.
Question 5 of 5
A nurse is assessing a client who has a history of substance use disorder and states, 'People are out to get me.' The client has tachycardia and hypertension. The nurse should suspect acute toxicity of which of the following substances?
Correct Answer: C
Rationale: Cocaine toxicity causes tachycardia, hypertension, and paranoia. Opium (
A) and heroin (
B) cause sedation, and alcohol (
D) doesn’t typically cause these cardiovascular effects.