ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is caring for a client who states, 'I have been having trouble sleeping for the last several months.' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: Avoiding stress before sleep promotes relaxation and good sleep hygiene. Late exercise stimulates, long naps disrupt night sleep, and TV in bed hinders rest.
Extract:
Medical History
The client was diagnosed with obsessive-compulsive disorder 4 years ago.
Nurses’ Notes
Day 1 of admission at 1300:
The client is withdrawn, exhibits a flat affect, and makes limited eye contact with others. The client’s clothing is dirty and body odor is noted. The client reports sleeping 2 to 3 hours per night and losing 5.4 kg (12 lb) in the last month. The client also reports handwashing for several minutes multiple times per day. The client’s hands are noted to be red, but the skin is intact. The client is constantly folding and unfolding a small piece of paper during conversation. The client refuses to leave the room or eat lunch and declines the offer to watch a movie in the day room with peers. The client also declines the offer to take a shower at this time.
Day 3 of admission at 1835:
The client showered this morning without prompting. The client ate 75% of lunch and dinner in the day room with peers. The client’s hands remain reddened with a 1 cm x 1 cm area of peeling skin noted on the center of the right palm. The client’s affect rapidly changed throughout the afternoon and early evening; the client is now talkative and appears content. The client was overheard speaking to their sibling on the phone a few minutes ago, telling their sibling they could have the client’s car.
Provider Prescriptions
Day 1 of admission: Fluvoxamine 100 mg PO at bedtime Buspirone 10 mg PO twice daily Paroxetine 20 mg PO daily
Question 2 of 5
A nurse on an inpatient mental health unit is caring for a client.Exhibits:The nurse is discussing the assessment findings on day 3 of admission during the 1900 change of-shift report. For each finding, specify whether the finding indicates potential improvement in or worsening of the client’s condition.
| Options | Indicates potential improvement | Indicates potential worsening |
|---|---|---|
| Giving away car | ||
| Hygiene | ||
| Food intake | ||
| Condition of skin on right hand | ||
| Rapid change in mood |
Correct Answer:
Rationale: Giving away car (
A) suggests worsening (suicidal risk), hygiene (
B) and food intake (
C) improve (showering, eating 75%), skin (
D) worsens (excessive washing), mood change (E) improves (content, talkative).
Extract:
Question 3 of 5
A nurse is planning to lead a support group for clients who have alcohol use disorder. One of the group members is a client who speaks a different language than the nurse. Which of the following individuals should the nurse ask to assist with communication?
Correct Answer: C
Rationale: A translator ensures accurate, confidential communication, respecting privacy. Secretaries lack training, another client breaches confidentiality, and family may bias.
Question 4 of 5
A nurse is teaching the caregiver of a client who has advanced Alzheimer's disease about home safety. Which of the following statements by the caregiver indicates an understanding of the teaching?
Correct Answer: C
Rationale: A sliding bolt lock prevents wandering, a key safety issue in advanced Alzheimer’s. Delayed reporting, photos, and a dark room don’t address immediate prevention or fall risks.
Question 5 of 5
A nurse is caring for a client who is being treated for posttraumatic stress disorder (PTSD). The client states, 'I’m not able to fall asleep easily or stay asleep.' Which of the following recommendations should the nurse make?
Correct Answer: D
Rationale: Meditation calms the mind and improves sleep quality in PTSD. Naps disrupt nighttime sleep, reading can relax, and dimming screens is less effective than avoiding devices altogether.