ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who states, 'I am too embarrassed to tell anyone what I did last night.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Let's discuss what you feel embarrassed about' is empathetic, encouraging the client to share at their pace without judgment, fostering trust. Acknowledging shame (
A) doesn’t promote dialogue, pushing disclosure (
B) risks distress, and minimizing embarrassment (
D) doesn’t address feelings.
Question 2 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Consistent boundaries create stability for borderline personality disorder, addressing impulsivity. Staff consistency (
A) risks splitting, sympathy (
B) may reinforce dependency, and countertransference (
D) is harmful.
Question 3 of 5
A nurse is caring for a client who has Alzheimer's disease. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Failure to recognize familiar objects is a common symptom of Alzheimer's disease, referred to as agnosia, resulting from progressive damage to brain regions responsible for memory and sensory processing. Altered consciousness (
A) is not typical, rapid mood swings (
B) are less distinctive than cognitive decline, and excessive motor activity (
C) is not prominent, with motor skills declining later.
Question 4 of 5
A nurse is caring for a client who has borderline personality disorder and has been engaging in self-mutilation. The nurse should encourage the client to participate in which of the following groups?
Correct Answer: B
Rationale: Dialectical behavior therapy (DBT) addresses emotion regulation and self-harm, ideal for borderline personality disorder. Co-dependency (
A) and dual diagnosis (
D) groups are less relevant, and desensitization (
C) is for phobias.
Question 5 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.