ATI RN
ATI RN Mental health 2019 NGN II Questions
Extract:
Question 1 of 5
A nurse is providing teaching to a client who is prescribed methylphenidate for ADHD. Which of the following statements by the client indicates an accurate understanding of this medication's effects?
Correct Answer: D
Rationale: The correct answer is D: "I know that I will be able to think more clearly now." Methylphenidate is a central nervous system stimulant commonly used to treat ADHD. It works by increasing the levels of certain neurotransmitters in the brain, which can improve focus, attention, and impulse control.
Therefore, the client's statement about being able to think more clearly is accurate as this is one of the intended effects of the medication.
Choice A is incorrect because methylphenidate is a stimulant and is more likely to cause alertness rather than drowsiness.
Choice B is incorrect as weight gain is not a common side effect of methylphenidate.
Choice C is incorrect because the medication is not typically used to help with relaxation or anxiety.
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: The correct response is C: "Let's discuss what you feel embarrassed about." This answer shows empathy and encourages open communication, allowing the client to express their feelings and concerns without judgment.
Choice A may minimize the client's feelings by generalizing them.
Choice B might pressure the client to disclose information they are not ready to share.
Choice D disregards the client's feelings and may make them feel invalidated.
Question 3 of 5
A nurse is caring for a client who is admitted to a mental health facility after attempting suicide. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: The correct answer is D: Establish a rapport to foster trust. This should be the first action as building a therapeutic relationship with the client is crucial for effective care. Trust is essential for the client to open up and engage in treatment. Continuous one-to-one observation (
A) may be necessary but establishing trust comes first. Asking the client to sign a no-suicide contract (
B) is important but should come after establishing rapport. Encouraging participation in group therapy (
C) may be beneficial but not the initial priority.
Question 4 of 5
A nurse is leading a critical incident stress debriefing with a group of staff members following a mass trauma incident. Which of the following interventions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Reassure staff members that the debriefing is confidential. This should be the first intervention because it helps create a safe and trusting environment for staff members to openly share their experiences without fear of judgment or repercussions. By ensuring confidentiality, the nurse promotes psychological safety, which is crucial for effective debriefing and emotional processing.
Choice A is incorrect because asking staff members to describe their most traumatic memories may trigger distress without first establishing a sense of safety.
Choice C is also incorrect as discussing involvement without confidentiality may lead to reluctance in sharing, hindering the effectiveness of the debriefing.
Choice D is incorrect as providing stress-management exercises may be premature without addressing the need for confidentiality first.
Question 5 of 5
A nurse in a provider's office is assessing a school-age child who has a spiral fracture. The parent of the child provides different accounts of the cause of the injury. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer is B: Determine the immediate safety needs of the child. This is the first action the nurse should take because ensuring the safety and well-being of the child is the top priority. By assessing the immediate safety needs, the nurse can prevent further harm to the child. Reporting suspected abuse to Child Protective Services (
Choice
A) should come after ensuring the child's immediate safety. Asking the child how the injury occurred (
Choice
D) can wait until the safety needs are addressed. Requesting the parent to leave the room (
Choice
C) may hinder communication and trust-building with the child.