ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is conducting an admission interview with a new client who tells the nurse, 'My life is so stressful. I can't take it anymore.' Which of the following responses should the nurse make first?
Correct Answer: B
Rationale: Asking about self-harm screens for suicidal ideation, prioritizing safety. Past coping (
A), stressors (
C), and experiences (
D) are secondary to immediate risk assessment.
Question 2 of 5
A nurse in a long-term care facility is caring for a client. The nurse should identify that which of the following conditions places the client at an increased risk for developing delirium?
Correct Answer: C
Rationale: An elevated WBC count (13,000/mm^2) indicates infection or inflammation, increasing delirium risk, especially in older adults. Normal BUN (
A), neuropathy (
B), and hypertension (
D) are less directly linked.
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
A nurse is assessing a client who recently experienced the loss of their partner. Which of the following questions is the priority for the nurse to ask during this situational crisis?
Correct Answer: D
Rationale: Asking about self-harm assesses immediate safety, critical in a crisis. Life impact (
A), support systems (
B), and coping strategies (
C) are important but secondary to safety.
Question 5 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: B
Rationale: Continuous one-to-one observation ensures safety, preventing further harm. Contracts (
A) are not guarantees, rapport (
C) is secondary, and group therapy (
D) is inappropriate initially.