ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is planning care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?
Correct Answer: B
Rationale: Negotiating weight gain promotes autonomy and collaboration, fostering a positive therapeutic relationship. Weekly weighing (
A) may trigger anxiety, meal times (
C) are secondary, and decreasing fiber (
D) risks nutritional issues.
Question 2 of 5
A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following findings indicates the client's adherence to the treatment plan?
Correct Answer: A
Rationale: Following cooking blogs suggests engagement with food, a positive treatment sign. Low potassium (
B), perfectionism insight (
C), and BMI 14 (
D) indicate ongoing issues, not adherence.
Question 3 of 5
A nurse on a mental health unit placed a client in mechanical restraints after the client assaulted another client. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Provider assessment within 1 hour ensures restraint necessity and safety. Renewing every 2 hours (
A) is excessive, hourly evaluation (
B) is secondary, and as-needed prescriptions (
D) lack oversight.
Question 4 of 5
A nurse is caring for a client who was involuntarily committed and is scheduled to receive electroconvulsive therapy (ECT). The client refuses the treatment and will not discuss why with the health care team. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Documenting the client's refusal in the medical record respects their autonomy, even in involuntary commitment, ensuring the team is informed. Stating they cannot refuse (
B) disregards rights, claiming no consent is needed (
C) is incorrect as ECT requires consent, and involving family (
D) does not override the client's decision.
Question 5 of 5
A nurse is providing behavioral therapy for a client who has obsessive-compulsive disorder. The client repeatedly checks that the doors are locked at night. Which of the following instructions should the nurse give the client when using thought-stopping technique?
Correct Answer: C
Rationale: Snapping a rubber band disrupts obsessive thoughts, weakening the compulsion cycle. Family checking (
A) reinforces dependency, journaling (
B) tracks behavior, and breathing (
D) is less specific to OCD.