ATI RN
ATI RN Mental Health 2023 with NGN Questions
Extract:
Question 1 of 5
A nurse is reviewing laboratory results of a client who has schizophrenia and is taking risperidone. For which of the following findings should the nurse notify the provider?
Correct Answer: A
Rationale: Hyperglycemia (256 mg/dL) is a serious risperidone side effect requiring immediate attention. WBC, platelets, and sodium are within normal ranges.
Question 2 of 5
A nurse is caring for a client who has dementia and is experiencing anticipatory grief. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Encouraging expression aids coping in grief and dementia. Timelines are invalidating, sympathy may feel like pity, and personal stories shift focus.
Question 3 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 4 of 5
A nurse is caring for a client who is experiencing active auditory hallucinations. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Focusing on reality-based activities distracts and grounds the client. Denying reality invalidates, avoiding questions limits assessment, and sympathy alone doesn’t manage symptoms.
Question 5 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.