ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is planning care for a client who has complicated grieving following the death of their child. Which of the following interventions should the nurse identify as the priority?
Correct Answer: A
Rationale: Identifying the grief stage tailors support to the client’s needs, the priority in complicated grief. Activity, counseling, and normalizing anger follow this assessment.
Extract:
Provider Prescriptions
Olanzapine 10 mg tablet, taken orally daily.
Alprazolam 1 mg tablet, taken orally three times daily as needed for anxiety.
Nurses’ Notes
The client reports hearing voices that are discussing race cars and race tracks. The client appears diaphoretic and pale. The client also reports a weight gain of 2.2 kg (4.9 lb) in the past week.
Graphic Record
Blood Pressure (BP): 128/82 mm Hg
Pulse Rate: 98/min
Respiratory Rate: 20/min
Temperature: 39.4° C (103° F)
Oxygen Saturation (SaO2): 95%
Question 2 of 5
A nurse is assessing a client who has schizophrenia. Which of the following findings should the nurse report to the provider? (Click on the “Exhibit” button for additional information about the client. There are three tabs that contain separate categories of data.)
Correct Answer: B
Rationale: Temperature of 39.4°C (103°F) indicates fever, needing urgent attention over hallucinations (expected), weight gain (common with olanzapine), or normal BP (128/82 mmHg).
Extract:
Question 3 of 5
A nurse in an inpatient mental health facility is reviewing the medical record of a client who has bipolar disorder. When planning to establish a nurse-client relationship with the client, which of the following actions should the nurse plan to take first?
Correct Answer: B
Rationale: Establishing confidentiality builds trust first, foundational for coping, behavior changes, or education in a therapeutic relationship.
Question 4 of 5
A nurse is caring for a client who begins yelling and pacing around the room. Which of the following actions should the nurse take? (Select all that apply.)
Correct Answer: A,B
Rationale: Identifying stressors (
A) helps de-escalate by addressing causes, and short sentences (
B) aid communication. Loud voices (
C), restraints (
D), and confronting (E) escalate tension.
Question 5 of 5
A nurse is caring for a client who has a depressive disorder. The client states, 'I don't always go to bed at night, so I get in trouble for falling asleep at work.' Which of the following interventions should the nurse recommend?
Correct Answer: C
Rationale: A sleep diary helps identify patterns and promote consistency, aiding sleep in depression. Naps disrupt nighttime sleep, late exercise stimulates, and stopping meds is unsafe without guidance.