Questions 69

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ATI RN Mental Health 2019 NGN Questions

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Question 1 of 5

A nurse is caring for a school-age child who has a new diagnosis of attention-deficit hyperactivity disorder. The nurse should anticipate a prescription for which of the following medications?

Correct Answer: D

Rationale: Methylphenidate, a stimulant, is standard for ADHD, improving focus. Risperidone (
A), valproate (
B), and lithium (
C) are used for other conditions like schizophrenia or bipolar disorder.

Question 2 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 3 of 5

A nurse is caring for a client who has depression following a recent job loss. Which of the following questions should the nurse ask to assess the client's personal coping skills?

Correct Answer: C

Rationale: Asking how the client dealt with past situations assesses their coping skills, providing insight into resilience. Current feelings (
A), future impact (
B), and life effects (
D) are relevant but don’t directly evaluate coping mechanisms.

Question 4 of 5

A nurse manager is observing a newly licensed nurse preparing to administer an IM medication to a client who is manic and refuses the medication. Which of the following actions should the nurse manager take first?

Correct Answer: A

Rationale: Verbal de-escalation prioritizes communication to calm the client, avoiding restraints (
B), stopping administration (
C), or discussing purpose (
D) before reducing agitation.

Question 5 of 5

A nurse is assessing a client who is restless and constantly mutters to himself. Which of the following findings should lead the nurse to suspect delirium?

Correct Answer: B

Rationale: Sudden onset of symptoms is characteristic of delirium, distinguishing it from gradual conditions. Flat affect (
A), object recognition issues (
C), and slow speech (
D) are less specific.

Similar Questions

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?
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?
A nurse is caring for a school-age child who has conduct disorder and requires wrist restraints. Which of the following actions should the nurse take?
A nurse in a mental health facility is making plans for a client's discharge. Which of the following interdisciplinary team members should the nurse contact to assist the client with housing placement?
A nurse is developing a behavioral contract with a client who has antisocial personality disorder. Which of the following client goals should the nurse include in the contract?

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