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. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Consistent boundaries create stability for borderline personality disorder, addressing impulsivity. Staff consistency (
A) risks splitting, sympathy (
B) may reinforce dependency, and countertransference (
D) is harmful.
Question 2 of 5
A home health nurse is caring for a client who is in the continuation phase of major depressive disorder. The client states, 'I feel unmotivated and don't feel like leaving my home.' Which of the following recommendations should the nurse make to address the client's social isolation?
Correct Answer: A
Rationale: An online self-help course fosters virtual connection, addressing isolation without requiring the client to leave home. Journaling (
B), exercise (
C), and imagery (
D) don’t directly promote social interaction.
Question 3 of 5
A nurse is caring for a client who has depression following a recent job loss. Which of the following questions should the nurse ask to assess the client's personal coping skills?
Correct Answer: C
Rationale: Asking how the client dealt with past situations assesses their coping skills, providing insight into resilience. Current feelings (
A), future impact (
B), and life effects (
D) are relevant but don’t directly evaluate coping mechanisms.
Question 4 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: Group activities alleviate isolation and promote belonging, improving mood. Bright light at night (
B) disrupts sleep, discouraging anger (
C) suppresses emotions, and physical activity (
D) depends on client condition, making it less immediate.
Question 5 of 5
A nurse is assessing a client who is restless and constantly mutters to himself. Which of the following findings should lead the nurse to suspect delirium?
Correct Answer: B
Rationale: Sudden onset of symptoms is characteristic of delirium, distinguishing it from gradual conditions. Flat affect (
A), object recognition issues (
C), and slow speech (
D) are less specific.