ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is leading a grief support group for bereaved clients. Which of the following client statements should the nurse report to the provider as an indication of clinical depression?
Correct Answer: C
Rationale: I don't feel anything but numbness anymore' indicates clinical depression, as emotional blunting is a hallmark symptom, suggesting a deeper disturbance beyond normal grief. Hopelessness (
A) is common in grief, dependency on support (
B) is not specific to depression, and anger (
D) is less indicative than numbness.
Question 2 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 he supports the client's refusal of medications?
Correct Answer: A
Rationale: Supporting the client’s refusal upholds autonomy, respecting their right to decide. Justice (
B) involves fairness, veracity (
C) truthfulness, and beneficence (
D) promoting well-being, which may conflict but are secondary here.
Question 3 of 5
Correct Answer:
Rationale:
Question 4 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: C
Rationale: Ensuring confidentiality fosters trust, encouraging open sharing. Traumatic memories (
A) and involvement (
B) discussions risk retraumatization, and stress exercises (
D) are less immediate.
Question 5 of 5
A home health nurse is caring for a client who is in the continuation phase of major depressive disorder. The client states, 'I feel unmotivated and don't feel like leaving my home.' Which of the following recommendations should the nurse make to address the client's social isolation?
Correct Answer: A
Rationale: An online self-help course fosters virtual connection, addressing isolation without requiring the client to leave home. Journaling (
B), exercise (
C), and imagery (
D) don’t directly promote social interaction.