ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is providing counseling for a family that consists of two parents and their two adolescent children. Which of the following family members should the nurse identify as acting in the role of monopolizer?
Correct Answer: B
Rationale: The correct answer is B, the adolescent daughter who attempts to dominate the discussion. This is because monopolizing behavior involves dominating conversations and not allowing others to express their thoughts or opinions. In this scenario, the daughter's behavior indicates a tendency to control the communication within the family, which can hinder effective dialogue and problem-solving.
A: The father intervening in sibling arguments does not necessarily indicate monopolizing behavior.
C: The son's refusal to share personal feelings may be a defense mechanism rather than monopolizing behavior.
D: The mother's hostility towards her spouse is a separate issue and does not directly relate to monopolizing communication.
In summary, the adolescent daughter's attempt to dominate the discussion aligns with the concept of monopolizing behavior, making her the correct choice in this scenario.
Question 2 of 5
A charge nurse is educating a newly licensed nurse about various defense mechanisms. Which of the following examples should the charge nurse provide when discussing rationalization?
Correct Answer: B
Rationale: Rationalization is a defense mechanism where a person justifies their behavior by giving logical reasons that may not be true.
Choice B is correct because the client attributes not getting the promotion to her boss disliking her, which may not be the actual reason. This shows rationalization as the client is creating a false explanation to protect their self-esteem.
Choices A, C, and D do not demonstrate rationalization.
Choice A shows displacement, shifting worry from grades to party planning.
Choice C shows denial or suppression of grief.
Choice D shows somatization, physical symptoms due to stress.
Question 3 of 5
A nurse is reviewing the medical record of a client who is to begin taking aripiprazole. The nurse should identify that which of the following findings is a contraindication for aripiprazole therapy?
Correct Answer: A
Rationale: The correct answer is A: Seizure disorder. Aripiprazole can lower the seizure threshold, increasing the risk of seizures. Individuals with a pre-existing seizure disorder are at a higher risk of experiencing seizures when taking aripiprazole. This contraindication is based on the potential adverse effects of aripiprazole on seizure activity. The other choices (B, C,
D) are not contraindications for aripiprazole therapy. Crohn's disease, asthma, and hypothyroidism are not known to have significant interactions or contraindications with aripiprazole.
Therefore, the correct choice is A, as it directly impacts the safety and effectiveness of aripiprazole therapy.
Question 4 of 5
A nurse is assessing a client who has a history of substance use disorder and states, 'People are out to get me.' The client has tachycardia and hypertension. The nurse should suspect acute toxicity of which of the following substances?
Correct Answer: C
Rationale: The correct answer is C: Cocaine. The client's symptoms of paranoia, tachycardia, and hypertension are indicative of acute toxicity from cocaine. Cocaine can cause elevated heart rate and blood pressure, leading to tachycardia and hypertension. The client's paranoid beliefs also align with the known effects of cocaine, such as paranoia and hallucinations. Opium (
A) and heroin (
B) typically do not cause tachycardia and hypertension as prominently as cocaine. Alcohol (
D) may cause elevated heart rate and blood pressure in acute toxicity but is less likely to lead to paranoia and hallucinations compared to cocaine.
Question 5 of 5
A nurse is caring for a client in the emergency department who states that she was beaten and sexually assaulted by her partner. After a rapid assessment, which of the following actions should the nurse plan to take next?
Correct Answer: B
Rationale: The correct answer is B: Provide a trained advocate to stay with the client. This is crucial to ensure the client's safety, provide emotional support, and facilitate access to resources such as counseling and legal assistance. It helps empower the client in making decisions regarding her care and reporting the assault. Conducting a pregnancy test (
A) can wait until the client feels comfortable and consents. Offering prophylactic medication for STIs (
C) is important but not the immediate priority. Requesting a mental health consultation (
D) may be necessary later but does not address the immediate safety and support needs of the client.