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: The correct answer is A: Displacement. The client is displacing his anger towards his partner onto the nurse by becoming angry and telling her to leave. Displacement is a defense mechanism where one redirects an emotion from its original source to a less threatening target. In this case, the client is unable to express his anger towards his partner directly, so he directs it towards the nurse. Rationalization (
B) is creating logical explanations for behavior, not applicable here. Denial (
C) is refusing to accept reality, which is not demonstrated. Compensation (
D) is making up for a perceived weakness by emphasizing a strength, not relevant in this scenario.
Question 2 of 5
A nurse in a mental health facility is making plans for a client's discharge. Which of the following interdisciplinary team members should the nurse contact to assist the client with housing placement?
Correct Answer: D
Rationale: The correct answer is D: Social worker. Social workers specialize in providing support and resources for clients, including assistance with housing placement. They have expertise in navigating community resources and advocating for clients' needs. Contacting a social worker ensures the client receives appropriate support in finding suitable housing.
A: Occupational therapist focuses on helping clients with activities of daily living and maximizing independence in functional tasks, not housing placement.
B: Recreational therapist focuses on enhancing leisure and recreational activities for clients, not housing placement.
C: Clinical nurse specialist focuses on providing specialized nursing care and interventions, not housing placement.
Question 3 of 5
Correct Answer:
Rationale: Question: What is the capital city of France?
Choices:
A: Rome
B: Madrid
C: Berlin
D: London
E: Paris
F: Amsterdam
G: Brussels
Correct Answer: E: Paris
Rationale:
1. Paris is the capital city of France. It is a well-known global city famous for its art, fashion, gastronomy, and culture.
2. Rome is the capital of Italy, Madrid is the capital of Spain, Berlin is the capital of Germany, London is the capital of the United Kingdom.
3. Amsterdam is the capital of the Netherlands, and Brussels is the capital of Belgium.
4.
Therefore, the correct answer is E: Paris, as it is the capital city of France.
Question 4 of 5
A nurse is caring for a client who has depression following a recent job loss. Which of the following questions should the nurse ask to assess the client's personal coping skills?
Correct Answer: C
Rationale: The correct answer is C: "How have you dealt with similar situations in the past?" This question assesses the client's personal coping skills by exploring their previous experiences and coping strategies. By understanding how the client has managed similar challenges before, the nurse can gain insights into their resilience and coping mechanisms. This question focuses on the client's ability to handle adversity and adapt to stressful situations, providing valuable information for developing an effective care plan.
The other choices are incorrect because:
A: Focuses on the client's current feelings, not their coping skills.
B: Addresses the impact of the situation on the client's future, not their coping strategies.
D: Inquires about how the situation affects the client's life, but doesn't directly assess coping skills.
Question 5 of 5
A nurse in a long-term care facility is caring for a client. The nurse should identify that which of the following conditions places the client at an increased risk for developing delirium?
Correct Answer: C
Rationale: The correct answer is C: WBC count 13,000/mm^2. A high WBC count indicates an underlying infection, which is a common cause of delirium in older adults. Delirium can be triggered by infections, so monitoring for elevated WBC counts is crucial in identifying potential risk factors. BUN levels, neuropathy, and hypertension are not directly linked to delirium development. Summary:
A) BUN levels are related to kidney function, not delirium.
B) Neuropathy refers to nerve damage, not directly associated with delirium.
D) Hypertension is a chronic condition and may not directly contribute to delirium.