ATI RN
ATI RN Mental Health 2019 NGN 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: C
Rationale: Consulting the client respects confidentiality under HIPAA, ensuring their consent for disclosure. Contacting the provider (
A), legal department (
B), or family (
D) without permission violates privacy.
Question 2 of 5
A home health nurse visits a client who lost their partner 2 years ago. Which of the following behaviors by the client indicates a maladaptive grief response?
Correct Answer: B
Rationale: Inability to perform basic hygiene tasks suggests significant impairment, indicating complicated grief. Relocating (
A) may be practical, giving away belongings (
C) can be healthy, and guilt (
D) is common in grief, not necessarily maladaptive.
Question 3 of 5
A nurse is assessing a client who recently experienced the loss of their partner. Which of the following questions is the priority for the nurse to ask during this situational crisis?
Correct Answer: D
Rationale: Asking about self-harm assesses immediate safety, critical in a crisis. Life impact (
A), support systems (
B), and coping strategies (
C) are important but secondary to safety.
Question 4 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: Allowing time for grieving supports emotional processing after a terminal diagnosis. Changing the subject (
A), offering treatment advice (
C), or discouraging relationships (
D) is inappropriate.
Question 5 of 5
A nurse is caring for a client who has an anxiety disorder and is scheduled for a procedure. The client informs the nurse that they do not want to have the procedure. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Informing the client of their right to refuse upholds autonomy. Encouragement (
A) disregards choice, another nurse (
B) is unnecessary, and family consent (
C) is inappropriate if the client is competent.