ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving end-of-life care. The client states, 'The nurses here don’t do a good job caring for me.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Asking for more detail shows empathy and gathers info to improve care. Family talk avoids the issue, grieving labels dismissively, and reassurance doesn’t address concerns.
Extract:
Medical History
The client is 19 years old, has severe anxiety, and was admitted to an inpatient mental health facility for observation and behavioral therapy two weeks ago. The client’s weight at the time of admission was 54.4 kg (120 lb). The client reported sleeping 3 to 4 hours per night due to recurrent nightmares, as well as a decrease in appetite. The client’s family member stated that the client had separated themselves from friends, refused to leave their house, and picked their skin until it bled. The client’s family member also mentioned that there is a family history of anxiety. The client reported previous participation in cognitive-behavioral therapy.
Nurses’ Notes
Nurses’ Notes The client appears to be well-groomed. The client’s current weight is 54 kg (119 lb). The client states they are sleeping 5 to 6 hours per night but are having occasional nightmares. The client verbalizes a decreased appetite and gastrointestinal discomfort. The client states, “I feel anxious about leaving my house. I feel like everyone is staring at me and judging me.” The client verbalizes that bullying experienced during high school has led to anxiety. The client engages in thought-stopping behavioral therapy and cognitive restructuring. The client reports taking escitalopram 20 mg daily, 2 hours after breakfast.
Medication Administration Record
• Escitalopram 20 mg once daily
Question 2 of 5
A nurse working in an outpatient mental health facility is caring for a client who has anxiety and was discharged from an inpatient mental health facility one week ago.Exhibits: A nurse in an outpatient mental health facility is assessing a client who has anxiety. Click to highlight the findings in the Nurses’ Notes that indicate an improvement in the client’s condition. To deselect, click on the finding again
Correct Answer: A, B, E, F
Rationale: Well-groomed (
A), better sleep (
B), therapy engagement (E), and med adherence (F) show improvement. Appetite issues, house anxiety, and bullying history indicate ongoing struggles.
Extract:
Question 3 of 5
A nurse is caring for a client who is under observation for suicidal ideations and has verbalized a suicide plan. The client demands privacy and to be left alone. Which of the following statements should the nurse make?
Correct Answer: B
Rationale: This prioritizes safety with care, justifying observation. Promises, contracts, or med levels don’t address immediate risk adequately.
Question 4 of 5
A nurse is caring for a client who has narcissistic personality disorder. Which of the following treatments should the nurse recommend?
Correct Answer: C
Rationale: Schema-focused therapy targets NPD’s deep-seated patterns like grandiosity. Assertiveness doesn’t address core issues, response prevention is for OCD, and CBT is less specific than schema therapy.
Question 5 of 5
A nurse is providing teaching to a client who is newly diagnosed with Alzheimer's disease. Which of the following treatment options should the nurse include in the teaching?
Correct Answer: D
Rationale: NMDA antagonists (e.g., memantine) delay cognitive decline in Alzheimer’s. Hospice is for late stages, TMS is experimental, and barbiturates risk worsening cognition.