ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who receives lamotrigine daily for bipolar disorder and reports a rash on his arm. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Withholding lamotrigine is critical due to the risk of severe rashes like Stevens-Johnson syndrome. Cream (
A), detergent questions (
B), and assuming temporariness (
D) delay necessary action.
Question 2 of 5
A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. The nurse should monitor the client for which of the following manifestations?
Correct Answer: C
Rationale: Hyperthermia, or elevated body temperature, can occur during alcohol withdrawal due to the hyperactive state of the nervous system, requiring monitoring. Decreased blood pressure (
A) and heart rate (
B) are not typical, as increases are more common. Hyperglycemia (
D) is not a primary concern in withdrawal.
Question 3 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 4 of 5
A nurse is reviewing the medical record of a client who is to begin taking aripiprazole. The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?
Correct Answer: A
Rationale: Aripiprazole can lower the seizure threshold, making seizure disorder a contraindication due to increased seizure risk. Crohn’s disease (
B), asthma (
C), and hypothyroidism (
D) are not direct contraindications, though monitoring may be needed for other effects.
Question 5 of 5
A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: Inability to eat more than once daily risks malnutrition, a priority for physical health. Guilt (
A), negative memories (
C), and anger (
D) are emotional but less immediate.