NGN ATI RN Mental Health Exam 2023 B Version 2 | Questions and Verified Answers| 100% Correct| A Grade
QUESTION
A nurse observes a client on a
... [Show More] mental health unit pushing on the locked unit door. Which of the following statements should the nurse make?
- "It appears as though you would like to open the door."
- "You will feel more comfortable after you've been here for a while."
- "It is okay to not want to be here."
- "You really shouldn't be pushing on the door."
Answer:
"It appears as though you would like to open the door."
QUESTION
A nurse on a mental health unit is caring for a recently admitted client.
For each potential assessment finding, click to specify if it is a positive or negative symptom of schizophrenia.
22-year-old client admitted following episodes of hallucinations and delusions. Outpatient treatment has been ineffective. Client has been unable to maintain a job and friends.
Assessment Findings:
- Withdrawal from social activities
- Delusions of grandeur
- Clang associations
- Alogia
- Absence of intonation of speech
- Catatonia
Answer:
Positive symptoms
-Delusions of grandeur
-Clang associations
-Catatonia
Negative symptoms
- Absence of intonation
- Alogia
- Withdrawal from social activities
QUESTION
A charge nurse is preparing an educational session for a group of newly licensed nurses to review client rights under the law. Which of the following statements should the nurse make?
- "Information regarding clients should remain confidential until after their death."
- "Failure to report suspected maltreatment or neglect of a disabled adult is a felony in all states."
- "As long as client identity is disguised, their health information can be shared between professionals on the internet."
- "In the event a client threatens harm to others, medications can be administered without consent."
Answer:
"In the event a client threatens harm to others, medications can be administered without consent."
QUESTION
A nurse is admitting a client who has schizophrenia to an acute care setting. Then the nurse questions the client regarding their admission, the client states, "I'm red, in the head, and I'm going to bed!". The nurse should document the client's speech pattern as which of the following?
- Clang association
- Word salad
- Neologism
- Echolalia
Answer:
Clang association
QUESTION
A nurse is delegating client care tasks to a licensed practical nurse (LPN) and an assistive personnel. Which of the following tasks should the nurse assign to the LPN?
- Obtain the weight of a client who has bipolar disorder and is experiencing mania
- Assess the nutritional intake of a client who has anorexia nervosa and has refused to eat for the past 2 days.
- Monitor the cardiovascular status of a client who is experiencing serotonin syndrome
- Change the dressing of a client who has borderline personality disorder and superficial self-inflicted wounds
Answer:
Change the dressing of a client who has borderline personality disorder and superficial self-inflicted wounds
QUESTION
A nurse is counseling an adolescent who has anorexia nervosa and reports excessive laxative use and a fear of gaining weight. The client states, "I am so fat I can't even stand to look at myself." Which of the following therapeutic responses demonstrates the nurse's use of summarizing.
- "You're discussed several concerns about your weight. Let's go back and talk about your belief that you are fat."
- "You're saying that you think you are fat and are using laxatives because you are afraid of gaining weight."
- "You don't want to look at yourself because you think you are fat."
- "You and I can work together to overcome your fears of gaining weight."
Answer:
"You're saying that you think you are fat and are using laxatives because you are afraid of gaining weight."
QUESTION
A home health nurse is assessing an older client whose sibling is the primary caregiver. Which of the following findings should the nurse identify as a possible indicator of neglect?
- Increased confusion
- Sleep disturbances
- Cluttered environment
- Inappropriate dress
Answer:
Inappropriate dress
QUESTION
A nurse is assessing a client who is experiencing opioid withdrawal. Which of the following manifestations should the nurse expect?
- Sedation
- Rhinorrhea
- Bradycardia
- Hypothermia [Show Less]