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 adolescent daughter dominating the discussion is a monopolizer, controlling conversation flow. Intervening (
A), withholding (
C), and hostility (
D) don’t involve monopolizing.
Question 2 of 5
A nurse is caring for a client who states, 'I am too embarrassed to tell anyone what I did last night.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: Let's discuss what you feel embarrassed about' is empathetic, encouraging the client to share at their pace without judgment, fostering trust. Acknowledging shame (
A) doesn’t promote dialogue, pushing disclosure (
B) risks distress, and minimizing embarrassment (
D) doesn’t address feelings.
Question 3 of 5
A nurse is reviewing the medication administration record of a client who has major depressive disorder and a new prescription for selegiline. The nurse should recognize that which of the following client medications is contraindicated when taken with selegiline?
Correct Answer: A
Rationale: Combining selegiline (an MAOI) with fluoxetine (an SSRI) risks serotonin syndrome, a life-threatening condition. Warfarin (
B), calcium carbonate (
C), and acetaminophen (
D) do not have significant interactions with selegiline.
Question 4 of 5
A nurse is caring for a client whose partner died 6 months ago. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: Inability to eat more than once daily risks malnutrition, a priority for physical health. Guilt (
A), negative memories (
C), and anger (
D) are emotional but less immediate.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder and is refusing to take prescribed medications. Which of the following ethical principles is the nurse displaying when he supports the client's refusal of medications?
Correct Answer: A
Rationale: Supporting the client’s refusal upholds autonomy, respecting their right to decide. Justice (
B) involves fairness, veracity (
C) truthfulness, and beneficence (
D) promoting well-being, which may conflict but are secondary here.