Questions 70

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ATI RN Mental health 2019 NGN II 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: Inviting discussion about the client's feelings encourages open communication in a non-pressuring way.

Question 2 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: D

Rationale: Displacement redirects anger from the partner to the nurse a less threatening target.

Question 3 of 5

A nurse is caring for a client who is admitted to a mental health facility after attempting suicide. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: Building trust through rapport facilitates open communication essential for assessing and addressing suicide risk.

Question 4 of 5

A nurse is assessing a client who has delirium. Which of the following findings requires immediate intervention by the nurse?

Correct Answer: A

Rationale: Command hallucinations which may instruct harmful actions require immediate intervention to ensure client safety.

Question 5 of 5

A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify as acting in the role of monopolizer?

Correct Answer: C

Rationale: The adolescent daughter dominating the discussion fits the monopolizer role limiting others' communication.

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