ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is admitted to a mental health facility after attempting suicide. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Continuous one-to-one observation ensures safety, preventing further harm. Contracts (
A) are not guarantees, rapport (
C) is secondary, and group therapy (
D) is inappropriate initially.
Question 2 of 5
A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Negotiating weight gain promotes autonomy and collaboration, fostering a positive therapeutic relationship. Weekly weighing (
A) may trigger anxiety, meal times (
C) are secondary, and decreasing fiber (
D) risks nutritional issues.
Question 3 of 5
A nurse is teaching a newly licensed nurse about contributing factors that can lead to the development of conduct disorder. Which of the following factors related to family dynamics should the nurse include in the teaching?
Correct Answer: D
Rationale: The presence of several siblings in the family dynamic can contribute to the development of conduct disorder. Increased family size can lead to competition for attention and resources, affecting the child's behavior. Birth order (
A) is not a primary factor, father's presence (
B) is neutral without specific dynamics, and mother's asthma (
C) is unrelated.
Question 4 of 5
A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Documenting the client's refusal in the medical record respects their autonomy, even in involuntary commitment, ensuring the team is informed. Stating they cannot refuse (
B) disregards rights, claiming no consent is needed (
C) is incorrect as ECT requires consent, and involving family (
D) does not override the client's decision.
Question 5 of 5
A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted another client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Provider assessment within 1 hour ensures restraint necessity and safety. Renewing every 2 hours (
A) is excessive, hourly evaluation (
B) is secondary, and as-needed prescriptions (
D) lack oversight.