ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Focusing on reality-based activities distracts and grounds the client. Denying reality invalidates, avoiding questions limits assessment, and sympathy alone doesn’t manage symptoms.
Question 2 of 5
A nurse is reviewing new prescriptions for a client who is experiencing acute manifestations of alcohol withdrawal. Which of the following medications should the nurse expect the provider to prescribe for this client?
Correct Answer: A
Rationale: Chlordiazepoxide (benzodiazepine) calms acute alcohol withdrawal symptoms. Buprenorphine is for opioids, bupropion for depression/smoking, and disulfiram for chronic alcoholism, not withdrawal.
Question 3 of 5
A nurse is assessing a client who has a recent diagnosis of dissociative identity disorder. The client tells the nurse, 'I think my blackouts are actually caused by low blood sugar.' The nurse should recognize the client is using which of the following defense mechanisms?
Correct Answer: D
Rationale: Rationalization justifies blackouts with a logical but false reason (low blood sugar) rather than the psychological cause. Suppression, sublimation, and projection don’t fit.
Question 4 of 5
A nurse is visiting with the partner of a client who recently died. The partner expresses guilt that they did not do more for their partner. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: This acknowledges the partner’s feelings empathetically, opening dialogue. Sharing personal experience shifts focus, counseling is premature, and denying guilt invalidates emotions.
Question 5 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following outcomes should the nurse include in the treatment plan?
Correct Answer: C
Rationale: Attending to personal hygiene addresses self-care neglect common in BPD during distress, improving function. Mood improvement is vague, hallucinations aren’t typical, and communication isn’t BPD-specific.