ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is creating a plan of care for a client who has major depressive disorder. Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Identify and schedule alternative group activities for the client. This intervention is important for a client with major depressive disorder as it promotes social engagement and reduces isolation, which can help improve mood and overall well-being. Group activities provide opportunities for the client to interact with others, share experiences, and receive support. This can combat feelings of loneliness and helplessness commonly experienced in depression.
Choice B is incorrect as keeping a bright light on at night may disrupt the client's sleep and worsen depressive symptoms.
Choice C is incorrect because discouraging the client from expressing feelings of anger can lead to emotional suppression, which is unhealthy and can exacerbate depressive symptoms.
Choice D is incorrect as encouraging physical activity during the day is beneficial, but it is not as specific to addressing social isolation and promoting interaction as the correct answer.
Question 2 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: The correct answer is B: The client's manifestations developed suddenly. Delirium is characterized by an acute onset of confusion, restlessness, and disorientation. This sudden change in behavior and cognitive function is a key indicator of delirium.
Choices A, C, and D are incorrect because a flat affect, inability to recognize objects, and slow and repetitious speech are not specific to delirium. Delirium is defined by its rapid onset and fluctuating nature, making choice B the most indicative finding in this scenario.
Question 3 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: The correct answer is A. Asking the client if he intends to harm others is the priority because it assesses the immediate safety risk. This step allows the nurse to gather crucial information to determine the level of threat and take appropriate actions to prevent harm.
Choice B focuses on prevention rather than addressing the current aggression.
Choice C is a helpful strategy but not urgent in a potentially dangerous situation.
Choice D is beneficial for stress management but does not address the immediate safety concern.
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: The correct answer is D: Are you having thoughts about harming yourself? This question is the priority because it assesses the client's risk of self-harm or suicide, which is crucial in a situational crisis. It allows the nurse to identify potential danger and provide immediate intervention if needed.
Choices A, B, and C focus on general coping mechanisms and understanding the client's current situation, which are important but not as urgent as ensuring the client's safety.
Question 5 of 5
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?
Correct Answer: C
Rationale: The correct answer is C: Recent head injury. This assessment finding should be reported to the provider because bupropion is contraindicated in individuals with a history of seizures or head trauma due to the increased risk of seizures as a side effect. Reporting this finding ensures patient safety.
Incorrect choices:
A: Hepatitis B infection - This is not a contraindication for bupropion use in smoking cessation.
B: Knee arthroplasty 1 month ago - This is not directly relevant to the safety of prescribing bupropion.
D: Hypothyroidism - This is not a contraindication for bupropion use in smoking cessation.
In summary, recent head injury poses a risk for seizures with bupropion use, making it important to report this finding to the provider. Hepatitis B infection, knee arthroplasty, and hypothyroidism do not impact the safety of bupropion use for smoking cessation.