ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is interviewing a client who reports ongoing feelings of depression after the death of his sibling 9 months ago. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Explaining grief’s variable duration normalizes the client’s experience. Cautioning anger invalidates, isolation worsens depression, and avoiding discussion hinders healing.
Question 2 of 5
A nurse in an acute care mental health facility is caring for a client who has been placed in seclusion following an acute violent episode. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Obtaining a prescription within 30 minutes ensures legal and ethical justification for seclusion. Six hours exceeds typical limits (4 hours max), vital signs need more frequent checks (every 15-60 minutes), and documentation should be every 15 minutes.
Question 3 of 5
A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when supporting the client's refusal of medications?
Correct Answer: A
Rationale: Supporting refusal respects autonomy, the client’s right to decide. Beneficence promotes well-being, veracity is truthfulness, and justice is fairness—none apply here.
Question 4 of 5
A nurse is assessing the sleep pattern of a client who has an anxiety disorder. The client reports having difficulty sleeping most nights. Which of the following recommendations should the nurse make?
Correct Answer: B
Rationale: Exercise 3 hours before bed reduces anxiety and improves sleep. TV stimulates, late meals cause discomfort, and long naps disrupt nighttime rest.
Question 5 of 5
A nurse is obtaining a history from a client who has been taking olanzapine to treat schizophrenia. Which of the following questions should the nurse ask the client?
Correct Answer: B
Rationale: Increased thirst can signal hyperglycemia, a side effect of olanzapine, requiring monitoring. Taste decrease, weight loss (opposite of typical weight gain), and tinnitus aren’t common with olanzapine.