ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 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 2 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 he supports the client's refusal of medications?
Correct Answer: A
Rationale: Supporting the client’s refusal upholds autonomy, respecting their right to decide. Justice (
B) involves fairness, veracity (
C) truthfulness, and beneficence (
D) promoting well-being, which may conflict but are secondary here.
Question 3 of 5
A nurse is leading a critical incident stress debriefing with a group of staff members following a mass trauma incident. Which of the following interventions should the nurse take first?
Correct Answer: C
Rationale: Ensuring confidentiality fosters trust, encouraging open sharing. Traumatic memories (
A) and involvement (
B) discussions risk retraumatization, and stress exercises (
D) are less immediate.
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: B
Rationale: Psychomotor retardation indicates severe depression, risking self-neglect and suicidal ideation, a priority. Weight loss (
A), hygiene (
C), and problem-solving (
D) are concerning but less urgent.
Question 5 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 (13,000/mm^2) indicates infection or inflammation, increasing delirium risk, especially in older adults. Normal BUN (
A), neuropathy (
B), and hypertension (
D) are less directly linked.