ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 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 2 of 5
A nurse in a mental health facility is caring for a client who is being aggressive toward other clients. Which of the following actions is the priority for the nurse to take?
Correct Answer: A
Rationale: Asking about intent to harm assesses immediate risk, ensuring safety. Role modeling (
B), listing triggers (
C), and stress techniques (
D) are secondary to risk assessment.
Question 3 of 5
A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Negotiating weight gain promotes autonomy and collaboration, fostering a positive therapeutic relationship. Weekly weighing (
A) may trigger anxiety, meal times (
C) are secondary, and decreasing fiber (
D) risks nutritional issues.
Question 4 of 5
A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder. Which of the following findings obtained during the initial assessment is the priority to report to other disciplines?
Correct Answer: B
Rationale: Psychomotor retardation indicates severe depression, risking self-neglect and suicidal ideation, a priority. Weight loss (
A), hygiene (
C), and problem-solving (
D) are concerning but less urgent.
Question 5 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.