ATI RN
ATI RN Mental health 2019 NGN II Questions
Extract:
Question 1 of 5
A nurse is leading a critical incident stress debriefing with a group of staff members following a mass trauma incident. Which of the following interventions should the nurse take first?
Correct Answer: B
Rationale: Ensuring confidentiality creates a safe environment encouraging open participation in the debriefing.
Question 2 of 5
A nurse is assessing a patient with major depressive disorder (MDD). Which assessment tool can the nurse use to measure the severity and impact of depression on the patient's functioning?
Correct Answer: C
Rationale: PHQ-9 assesses depression severity through nine core symptoms ideal for MDD evaluation.
Question 3 of 5
A nurse in a mental health facility is reviewing the laboratory results of a client who is taking lithium carbonate. Which of the following findings places the client at risk for lithium toxicity?
Correct Answer: C
Rationale: Low sodium levels impair lithium excretion increasing toxicity risk requiring immediate reporting.
Question 4 of 5
A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline. The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline?
Correct Answer: C
Rationale: Fluoxetine with selegiline increases serotonin syndrome risk a potentially life-threatening condition.
Question 5 of 5
A nurse has placed a client who has become physically aggressive into seclusion. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Frequent documentation ensures ongoing safety assessment during seclusion for aggression.