ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has just received a terminal cancer diagnosis from his provider. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Allow the client unlimited time for the grieving process. The nurse should provide emotional support, empathy, and understanding to the client as they process the terminal diagnosis. Grieving is a natural response to such news, and allowing the client unlimited time acknowledges their emotional needs. Changing the subject (
A) may invalidate the client's feelings. Offering advice about treatment choices (
C) may not be appropriate at this stage. Discouraging the client from forming new relationships (
D) is not beneficial to their emotional well-being.
Question 2 of 5
A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following findings indicates the client's adherence to the treatment plan?
Correct Answer: A
Rationale: The correct answer is A because following cooking blogs indicates the client's engagement in food-related activities, which is crucial for recovery from anorexia nervosa. This behavior suggests the client is actively participating in learning about food and potentially trying out new recipes, demonstrating adherence to the treatment plan. The other choices are incorrect because B indicates low potassium levels, which could be a sign of poor nutrition; C indicates self-awareness but not necessarily adherence to treatment; and D indicates a very low BMI, which is not a positive sign of adherence to treatment.
Question 3 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: The correct answer is B: The client's manifestations developed suddenly. Delirium is characterized by an acute onset of confusion, restlessness, and disorientation. This sudden change in behavior and cognitive function is a key indicator of delirium.
Choices A, C, and D are incorrect because a flat affect, inability to recognize objects, and slow and repetitious speech are not specific to delirium. Delirium is defined by its rapid onset and fluctuating nature, making choice B the most indicative finding in this scenario.
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: The correct answer is B: Psychomotor retardation. This finding is the priority to report as it indicates a severe form of depression that can lead to physical and cognitive impairment, affecting the client's safety and ability to function. Psychomotor retardation is a significant risk factor for suicide and requires immediate attention. Significant weight loss (
A) is concerning but can be addressed through nutrition interventions. Markedly neglected hygiene (
C) can be a sign of self-neglect but does not pose an immediate risk. Poor problem-solving skills (
D) are common in depression but do not require urgent intervention compared to psychomotor retardation.
Question 5 of 5
A nurse is assisting with obtaining informed consent for a client who has been declared legally incompetent. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: The correct answer is C: Request that the client's guardian sign the consent. In cases where a client has been declared legally incompetent, their guardian is responsible for making decisions on their behalf. By having the guardian sign the consent form, the nurse ensures that the client's best interests are represented. Option A is incorrect because the social worker may not have legal authority to provide consent. Option B is incorrect as implied consent may not be sufficient in this scenario. Option D is incorrect as the charge nurse does not have the legal authority to obtain consent for a legally incompetent client.