ATI RN
ATI RN Mental health 2019 NGN II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has schizophrenia. The client's employer calls to discuss the client's condition.Which of the following is the appropriate nursing action?
Correct Answer: A
Rationale: Consulting the client respects their privacy and autonomy ensuring control over health information disclosure.
Question 2 of 5
A nurse is assessing a client who has a history of substance use disorder and states,"People are out to get me. The client has tachycardia and hypertension. The nurse should suspect acute toxicity of which of the following substances?
Correct Answer: D
Rationale: Cocaine toxicity is the most likely cause of the client's symptoms. Cocaine can lead to paranoia tachycardia and hypertension. The combination of these symptoms suggests acute cocaine toxicity making it the priority concern for the nurse. Prompt intervention is necessary to address the potential life-threatening effects of cocaine toxicity.
Question 3 of 5
A client with OCD is undergoing cognitive-behavioral therapy (CBT). The client asks the nurse,"How does exposure and response prevention work in treating OCD? Which response by the nurse accurately explains this aspect of CBT?
Correct Answer: C
Rationale: Exposure and response prevention involves facing triggers without compulsions reducing OCD symptoms.
Question 4 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: B
Rationale: Ensuring confidentiality creates a safe environment encouraging open participation in the debriefing.
Question 5 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: A
Rationale: Consistent boundaries promote a structured safe environment for clients with borderline personality disorder.