ATI RN
ATI RN Mental Health 2019 NGN Questions
Extract:
Question 1 of 5
A nurse is teaching a newly licensed nurse about contributing factors that can lead to the development of conduct disorder. Which of the following factors related to family dynamics should the nurse include in the teaching?
Correct Answer: D
Rationale: The correct answer is D: The client has several siblings. Having several siblings can lead to increased competition for resources, attention, and parental guidance, which may contribute to the development of conduct disorder. This dynamic can create a lack of individualized attention and supervision, increasing the likelihood of behavioral issues.
Choice A (The client is the oldest of their siblings) is incorrect because birth order alone is not a direct factor in the development of conduct disorder.
Choice B (The client's father lives in the client's home) is incorrect as the presence of the father alone does not necessarily contribute to the development of conduct disorder.
Choice C (The client's mother has asthma) is irrelevant to the development of conduct disorder as it does not directly impact family dynamics related to behavior.
In summary, having several siblings can impact family dynamics by increasing competition and reducing individual attention, thus making it a contributing factor to the development of conduct disorder.
Question 2 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 by improving focus, attention, and impulse control. The client understanding that the medication will help them think more clearly demonstrates an accurate understanding of its effects.
Choice A is incorrect as methylphenidate is a stimulant and usually does not cause drowsiness.
Choice B is unrelated to the medication's effects.
Choice C is incorrect as methylphenidate does not promote relaxation but rather increases alertness.
Question 3 of 5
A nurse is caring for a client who has schizophrenia. The client's employer calls to discuss the client's condition. Which of the following is the appropriate nursing action?
Correct Answer: C
Rationale: The correct answer is C: Consult the client. It is essential to uphold client confidentiality and autonomy. Consulting the client directly allows them to decide if they want their employer informed, empowering them in their care. Contacting the provider (
A) may breach confidentiality without the client's consent. Involving the legal department (
B) unnecessarily escalates the situation. Consulting the client's family (
D) may also infringe on the client's confidentiality and autonomy.
Question 4 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: The correct answer is D: Are you having thoughts about harming yourself? This question is the priority because it assesses the client's risk of self-harm or suicide, which is crucial in a situational crisis. It allows the nurse to identify potential danger and provide immediate intervention if needed.
Choices A, B, and C focus on general coping mechanisms and understanding the client's current situation, which are important but not as urgent as ensuring the client's safety.
Question 5 of 5
A nurse is caring for a school-age child who has a new diagnosis of attention-deficit hyperactivity disorder. The nurse should anticipate a prescription for which of the following medications?
Correct Answer: D
Rationale: The correct answer is D: Methylphenidate. Methylphenidate is a common medication used to treat ADHD in school-age children. It works by increasing dopamine levels in the brain, helping to improve focus and reduce hyperactivity. Risperidone (
A) is an antipsychotic medication used for conditions like schizophrenia, not ADHD. Valproate (
B) and Lithium (
C) are used for mood disorders like bipolar disorder, not ADHD. In summary, Methylphenidate is the appropriate choice due to its specific mechanism of action for treating ADHD in children.