ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 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: B
Rationale: Dialectical behavior therapy (DBT) addresses emotion regulation and self-harm, ideal for borderline personality disorder. Co-dependency (
A) and dual diagnosis (
D) groups are less relevant, and desensitization (
C) is for phobias.
Question 2 of 5
A nurse is caring for a client who has schizophrenia and is taking clozapine. Which of the following findings is the priority for the nurse to report to the provider?
Correct Answer: D
Rationale: Sore throat may indicate agranulocytosis, a life-threatening clozapine side effect, requiring immediate reporting. Elevated glucose (
A), tachycardia (
B), and nausea (
C) are less urgent.
Question 3 of 5
A nurse is teaching a newly licensed nurse about contributing factors that can lead to the development of conduct disorder. Which of the following factors related to family dynamics should the nurse include in the teaching?
Correct Answer: D
Rationale: The presence of several siblings in the family dynamic can contribute to the development of conduct disorder. Increased family size can lead to competition for attention and resources, affecting the child's behavior. Birth order (
A) is not a primary factor, father's presence (
B) is neutral without specific dynamics, and mother's asthma (
C) is unrelated.
Question 4 of 5
A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify as acting in the role of monopolizer?
Correct Answer: B
Rationale: The adolescent daughter dominating the discussion is a monopolizer, controlling conversation flow. Intervening (
A), withholding (
C), and hostility (
D) don’t involve monopolizing.
Question 5 of 5
A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: B
Rationale: This task can be delegated to assistive personnel (AP). Ambulation assistance is within the AP's scope of practice, provided the nurse has assessed the client's stability beforehand. Checking the client's condition (
A) requires assessment skills, witnessing consent (
C) must be done by a licensed provider, and administering medication (
D) is a nursing responsibility.