ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is planning to delegate client care for several clients in a mental health facility. Which of the following tasks should the nurse delegate to an assistive personnel?
Correct Answer: D
Rationale: Participating in solitary activities requires no clinical judgment and suits assistive personnel. Consent, education, and medication discussions require nursing expertise.
Question 2 of 5
A nurse is caring for a client who has social anxiety disorder. The client reports experiencing feelings of anxiousness that disrupt their sleep. Which of the following recommendations should the nurse make?
Correct Answer: A
Rationale: Guided imagery calms anxiety, aiding sleep. Forcing sleep increases frustration, heavy meals disrupt rest, and sleep restriction worsens anxiety.
Question 3 of 5
A nurse in an acute care mental health facility is caring for a client who has been placed in seclusion following an acute violent episode. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Obtaining a prescription within 30 minutes ensures legal and ethical justification for seclusion. Six hours exceeds typical limits (4 hours max), vital signs need more frequent checks (every 15-60 minutes), and documentation should be every 15 minutes.
Question 4 of 5
A nurse is caring for a client who has a substance use disorder. The client states, 'The state took my child away after my overdose. I don’t want to go on living without them.' Which of the following therapeutic responses should the nurse make?
Correct Answer: C
Rationale: This assesses suicide risk directly, addressing safety first. False promises, sedatives, or custody suggestions don’t tackle the immediate threat.
Question 5 of 5
A nurse is assessing a client who has a recent diagnosis of dissociative identity disorder. The client tells the nurse, 'I think my blackouts are actually caused by low blood sugar.' The nurse should recognize the client is using which of the following defense mechanisms?
Correct Answer: D
Rationale: Rationalization justifies blackouts with a logical but false reason (low blood sugar) rather than the psychological cause. Suppression, sublimation, and projection don’t fit.