Questions 69

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ATI RN Mental Health 2019 NGN Questions

Extract:


Question 1 of 5

A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?

Correct Answer: B

Rationale: Inability to eat more than once daily risks malnutrition, a priority for physical health. Guilt (
A), negative memories (
C), and anger (
D) are emotional but less immediate.

Question 2 of 5

A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse. Which of the following statements by the staff nurse should the charge nurse identify as countertransference?

Correct Answer: C

Rationale: Comparing the client to a family member indicates countertransference, projecting personal feelings. Sharing feelings (
A), responsibility (
B), and boundary maintenance (
D) are objective.

Question 3 of 5

A nurse is caring for a client who has binge eating disorder. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: Remaining with the client post-meals prevents purging, addressing a key behavior. Weighing (
A) may exacerbate body image issues, menu planning (
C) is secondary, and offering snacks (
D) risks reinforcing overeating.

Question 4 of 5

A nurse is reviewing the medical record of a client who is to begin taking aripiprazole. The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?

Correct Answer: A

Rationale: Aripiprazole can lower the seizure threshold, making seizure disorder a contraindication due to increased seizure risk. Crohn’s disease (
B), asthma (
C), and hypothyroidism (
D) are not direct contraindications, though monitoring may be needed for other effects.

Question 5 of 5

A nurse is providing teaching to a client who is prescribed methylphenidate for ADHD. Which of the following statements by the client indicates an accurate understanding of this medication's effects?

Correct Answer: D

Rationale: Methylphenidate enhances focus and clarity in ADHD, making (
D) correct. It’s a stimulant, not sedating (
A), doesn’t typically cause weight gain (
B), and increases alertness, not relaxation (
C).

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