ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
Correct Answer: A
Rationale: Displacement redirects anger from the partner to the nurse, a safer target. Rationalization (
B) involves excuses, denial (
C) rejects reality, and compensation (
D) offsets weaknesses, none fitting the scenario.
Question 2 of 5
A nurse is caring for a school-age child who has conduct disorder and requires wrist restraints. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Frequent vital sign monitoring ensures safety in restraints. Prescription is needed within 1 hour (B is incorrect), exercises are every 2 hours (
C), and two fingers fit (
D).
Question 3 of 5
A nurse is developing a behavioral contract with a client who has antisocial personality disorder. Which of the following client goals should the nurse include in the contract?
Correct Answer: D
Rationale: Decreasing verbal outbursts improves interactions, suitable for antisocial personality disorder. Projection (
A) is unhelpful, self-esteem (
B) is broad, and bargaining (
C) is less relevant.
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
Correct Answer:
Rationale: