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ATI RN Mental Health 2019 NGN Questions

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Question 1 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 2 of 5

A nurse is caring for a client who has borderline personality disorder. Which of the following actions should the nurse take?

Correct Answer: C

Rationale: Consistent boundaries create stability for borderline personality disorder, addressing impulsivity. Staff consistency (
A) risks splitting, sympathy (
B) may reinforce dependency, and countertransference (
D) is harmful.

Question 3 of 5

A nurse is preparing for an interprofessional team meeting regarding a newly admitted client who has major depressive disorder. Which of the following findings obtained during the initial assessment is the priority to report to other disciplines?

Correct Answer: B

Rationale: Psychomotor retardation indicates severe depression, risking self-neglect and suicidal ideation, a priority. Weight loss (
A), hygiene (
C), and problem-solving (
D) are concerning but less urgent.

Question 4 of 5

A charge nurse is educating a newly licensed nurse about various defense mechanisms. Which of the following examples should the charge nurse provide when discussing rationalization?

Correct Answer: B

Rationale: Rationalization involves justifying behavior with acceptable reasons. The client attributing a missed promotion to the boss’s dislike (
B) is rationalization, protecting self-esteem. Worrying about grades (
A) is procrastination, talking in present tense (
C) is denial, and stomach pain (
D) is displacement.

Question 5 of 5

A nurse is assessing a client who is restless and constantly mutters to himself. Which of the following findings should lead the nurse to suspect delirium?

Correct Answer: B

Rationale: Sudden onset of symptoms is characteristic of delirium, distinguishing it from gradual conditions. Flat affect (
A), object recognition issues (
C), and slow speech (
D) are less specific.

Similar Questions

A nurse is assessing a client who has anorexia nervosa and began treatment 1 month ago. Which of the following findings indicates the client's adherence to the treatment plan?
A nurse is obtaining a medical history from a client who is requesting a prescription for bupropion for smoking cessation. Which of the following assessment findings in the client's history should the nurse report to the provider?
A nurse in a mental health facility is reviewing the laboratory results of a client who is taking lithium carbonate. Which of the following findings places the client at risk for lithium toxicity?
A nurse is caring for a client who has alcohol use disorder and is experiencing withdrawal. The nurse should monitor the client for which of the following manifestations?
A home health nurse is caring for a client who is in the continuation phase of major depressive disorder. The client states, 'I feel unmotivated and don't feel like leaving my home.' Which of the following recommendations should the nurse make to address the client's social isolation?

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