ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 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.
Question 2 of 5
A nurse is assessing a client who has delirium. Which of the following findings requires immediate intervention by the nurse?
Correct Answer: D
Rationale: The correct answer is D: Command hallucinations. This finding requires immediate intervention as it indicates the client is experiencing auditory hallucinations that may pose a risk to themselves or others. Command hallucinations can lead to dangerous behaviors or self-harm. Impaired memory (
A) is common in delirium but does not pose an immediate threat. Rapid mood swings (
B) and inappropriate speech patterns (
C) are concerning but do not require immediate intervention compared to command hallucinations.
Question 3 of 5
A nurse is developing a behavioral contract with a client who has antisocial personality disorder. Which of the following client goals should the nurse include in the contract?
Correct Answer: D
Rationale: The correct answer is D: Decrease the number of verbal outbursts. This goal is appropriate for a client with antisocial personality disorder as it targets a specific behavior that can be harmful to others. Decreasing verbal outbursts can help improve social interactions and relationships. Using projection (choice
A) is not a recommended coping mechanism for individuals with antisocial personality disorder. Increasing self-esteem (choice
B) may not address the core issues of the disorder. Using bargaining skills (choice
C) may reinforce manipulative behaviors common in individuals with antisocial personality disorder.
Therefore, the most appropriate goal is to target the specific behavior of verbal outbursts.
Question 4 of 5
A nurse is caring for a client who has schizophrenia. The client's employer calls to discuss the client's condition. Which of the following is the appropriate nursing action?
Correct Answer: C
Rationale: The correct answer is C: Consult the client. It is essential to uphold client confidentiality and autonomy. Consulting the client directly allows them to decide if they want their employer informed, empowering them in their care. Contacting the provider (
A) may breach confidentiality without the client's consent. Involving the legal department (
B) unnecessarily escalates the situation. Consulting the client's family (
D) may also infringe on the client's confidentiality and autonomy.
Question 5 of 5
A nurse is caring for a school-age child who has conduct disorder and requires wrist restraints. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Monitor the child's vital signs every 15 min. This is crucial when using restraints to ensure the child's safety and well-being. Monitoring vital signs can help detect any signs of distress or complications promptly.
Choice B is incorrect as obtaining a prescription for restraints is not time-sensitive.
Choice C is incorrect as range-of-motion exercises may not be appropriate or safe in this situation.
Choice D is incorrect as ensuring three fingers fit between the wrist and restraint is important for proper fit but does not address immediate safety monitoring.