ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 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 2 of 5
A nurse in an acute care mental health facility is caring for a client who has been placed in seclusion following an acute violent episode. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Obtaining a prescription within 30 minutes ensures legal and ethical justification for seclusion. Six hours exceeds typical limits (4 hours max), vital signs need more frequent checks (every 15-60 minutes), and documentation should be every 15 minutes.
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 is providing teaching to a client who is newly diagnosed with Alzheimer's disease. Which of the following treatment options should the nurse include in the teaching?
Correct Answer: D
Rationale: NMDA antagonists (e.g., memantine) delay cognitive decline in Alzheimer’s. Hospice is for late stages, TMS is experimental, and barbiturates risk worsening cognition.
Question 5 of 5
A nurse is preparing to administer 7 mg of haloperidol IM to a client who is severely agitated. Haloperidol injection of 5 mg/mL is available. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 1.4
Rationale: Dose (7 mg) ÷ Concentration (5 mg/mL) = 1.4 mL, rounded to the nearest tenth with no trailing zero.