ATI RN
ATI Comprehensive 2023 With NGN 180 Questions And Answers Questions
Extract:
A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication.
Question 1 of 5
Which of the following interventions should the nurse include in the plan?
Correct Answer: A
Rationale: The correct answer is A: Speak in a neutral tone when addressing the client. This intervention is important as it helps maintain a calm and non-threatening environment, promoting effective communication with the client. Speaking in a neutral tone also conveys respect and understanding, which can help build trust and rapport.
Choice B is incorrect because forcing the client to take medication can lead to resistance and worsen the therapeutic relationship.
Choice C may not be appropriate as encouraging a client to discuss delusions without proper training or expertise in addressing such issues could potentially exacerbate the situation.
Choice D, using humor, may not be suitable in this context as it may not be well received by a client experiencing delusions.
Extract:
A nurse is preparing to insert an IV catheter for a client.
Question 2 of 5
Which of the following actions should the nurse plan to take?
Correct Answer: D
Rationale: The correct answer is D: Choose a vein that is palpable and straight. This is important because a palpable and straight vein ensures successful venipuncture and reduces the risk of complications such as infiltration or hematoma formation. Elevating the client's arm (
A) may help visualize veins but does not guarantee choosing a suitable vein. Selecting a site on the client's dominant arm (
B) is not necessary as both arms have suitable veins. Applying a tourniquet below the venipuncture site (
C) can obstruct blood flow and distort the vein.
Therefore, the best approach is to choose a vein that is palpable and straight for a successful venipuncture.
Extract:
A nurse in an outpatient mental health clinic is assessing an adolescent client.
Question 3 of 5
The nurse should expect the adolescent to be in which of the following of erikson stages of psychosocial development.
Correct Answer: A
Rationale: The correct answer is A: Identity versus role confusion. During adolescence, individuals are in Erikson's stage of developing a sense of identity and may struggle with role confusion. This stage typically occurs during the teenage years, where adolescents are exploring their personal values, beliefs, and goals. They are trying to establish a sense of self and may question their identity and place in the world.
Choices B, C, and D are incorrect because Autonomy versus shame and doubt relates to toddlers, Initiative versus guilt relates to preschoolers, and Intimacy versus isolation relates to young adults. This makes A the most appropriate choice for an adolescent's stage of psychosocial development.
Extract:
A nurse is teaching a client about a variety of stress management techniques.
Question 4 of 5
Which of the following instructions by the nurse is appropriate?
Correct Answer: A
Rationale: The correct answer is A because tightening muscles before relaxing them helps to enhance the effectiveness of muscle relaxation techniques by creating a greater sense of contrast between tension and relaxation. This sequence promotes deeper relaxation and can help reduce stress more effectively.
Choice B is incorrect as deep breathing exercises are commonly used to reduce stress and promote relaxation.
Choice C is incorrect as focusing on multiple thoughts at once can increase stress and overwhelm the individual.
Choice D is incorrect as bottling up emotions can lead to increased stress and negatively impact mental health.
Extract:
A nurse is caring for a client who repeatedly refuses meals. The nurse overhears assistant personnel telling the client “if you don't eat I'll put restraints on your wrists and feed youâ€.
Question 5 of 5
The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?
Correct Answer: A
Rationale: The correct answer is A: Assault. Assault is the intentional act causing the apprehension of harmful or offensive contact. In this scenario, the statement made by the AP creates fear or apprehension of harm, even though no physical contact has occurred yet.
Choice B (Battery) involves actual physical contact, which is not present here.
Choice C (False imprisonment) involves restricting someone's movement, not applicable in this situation.
Choice D (Negligence) is the failure to exercise reasonable care, which is not the case here. The correct answer, assault, best fits the scenario described.