ATI RN
ATI RN Mental health 2019 NGN II Questions
Extract:
Question 1 of 5
A nurse manager is observing a newly licensed nurse preparing to administer an IM medication to a client who is manic and refuses the medication. Which of the following actions should the nurse manager take first?
Correct Answer: A
Rationale: Stopping the administration prevents potential harm prioritizing safety in a manic uncooperative state.
Question 2 of 5
A charge nurse is discussing the care of a client who has a substance use disorder with a staff nurse. Which of the following statements by the staff nurse should the charge nurse identify as countertransference?
Correct Answer: C
Rationale: Comparing the client to the nurse's brother indicates countertransference where personal experiences influence professional interactions potentially affecting objectivity.
Question 3 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: Ensuring confidentiality creates a safe environment encouraging open participation in the debriefing.
Question 4 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 client taking clozapine who reports a sore throat should be seen first. Clozapine is associated with a risk of agranulocytosis a severe condition that can lead to a dangerously low white blood cell count. A sore throat can be an early sign of infection and in the context of clozapine use it is crucial to assess and monitor for agranulocytosis promptly. This condition is life-threatening and requires immediate attention to prevent complications.
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: B
Rationale: Assessing for self-harm risk is critical to ensure client safety during a crisis like partner loss.