ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?
Correct Answer: C
Rationale: A sore throat in a clozapine patient may signal agranulocytosis, a life-threatening condition, requiring immediate assessment. Loud speech (
A), weight gain (
B), and hallucinations (
D) are less urgent.
Question 2 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 3 of 5
A nurse is caring for a client who reports that he is angry with his partner because she thinks he is just trying to gain attention. When the nurse attempts to talk to the client, he becomes angry and tells her to leave. Which of the following defense mechanisms is the client demonstrating?
Correct Answer: A
Rationale: Displacement redirects anger from the partner to the nurse, a safer target. Rationalization (
B) involves excuses, denial (
C) rejects reality, and compensation (
D) offsets weaknesses, none fitting the scenario.
Question 4 of 5
A nurse in an alcohol rehabilitation facility is creating a discharge plan for a client who has alcohol use disorder. Which of the following recommendations should the nurse include in the plan?
Correct Answer: D
Rationale: Self-help groups like AA provide peer support for sobriety, ideal for alcohol use disorder. Family contact (
A) is less specific, buprenorphine (
B) is for opioids, and desensitization (
C) is for anxiety.
Question 5 of 5
A nurse is assessing a client who recently experienced the loss of their partner. Which of the following questions is the priority for the nurse to ask during this situational crisis?
Correct Answer: D
Rationale: Asking about self-harm assesses immediate safety, critical in a crisis. Life impact (
A), support systems (
B), and coping strategies (
C) are important but secondary to safety.