ATI RN MENTAL HEALTH EXAM
2023 WITH NGN Latest update
October 2024
A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose
family reports episodes of confusion. Which of the following assessment findings supports the nurse's
suspicion of delirium? - Answer--Easily distracted
A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hr ago following a
motor-vehicle crash. The client's admission blood alcohol level was 325 mg/dL. Which of the following
findings should indicate to the nurse that the client is experiencing alcohol withdrawal? - Answer--Blood
pressure 154/96 mm Hg
A nurse is planning care for a client who has made repeated physical threats toward others on the unit.
Although the client does not want to leave the unit, the nurse requests the provider to transfer the
client to a unit that is equipped to manage violent behavior. Which of the following ethical principles
should the nurse apply in this situation? - Answer--Nonmaleficence
A nurse is assessing a client who is displaying manifestations of delirium. Which of the following
information from the client's medical record are risk factors for delirium? (Select all that apply.) -
Answer--Client's age
Hospital environment
, Postoperative
Fever
A nurse is discussing a 12-step program with a client who has alcohol use disorder and is in an acute care
facility undergoing detoxification. Which of the following information should the nurse include in the
teaching? - Answer--The client should obtain a sponsor before discharge for an increased chance of
recovery.
A nurse is creating a plan of care for a client who has been placed in seclusion after threatening to harm
others on the unit. Which of the following interventions should the nurse include in the plan? - Answer--
Renew the prescription for the client every 4 hr.
A nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements
should the nurse make? - Answer--"I'll stay with you just in case you want to talk."
A nurse is caring for four clients in an emergency department. The nurse should identify that which of
the following clients can give informed consent? - Answer--A 35-year-old client who has major
depressive disorder
A nurse is teaching a newly licensed nurse about nursing care plans for clients who have depressive
disorders. Which of the following statements by the newly licensed nurse indicates an understanding of
the teaching? - Answer--"I will update the plan of care as a client's manifestations of depression
change."
A nurse is performing an admission assessment on a client and notices that the client appears
withdrawn and fearful. To establish a trusting nurse-client relationship, which of the following actions
should the nurse take first? - Answer--Inform the client that this admission is confidential.
A nurse is planning discharge teaching for a client who has severe schizoaffective disorder. The nurse
should identify that which of the following treatment options can offer interdisciplinary services for the
client at home? - Answer--Assertive community treatment
2023 WITH NGN Latest update
October 2024
A nurse is performing a cognitive assessment to distinguish delirium from dementia in a client whose
family reports episodes of confusion. Which of the following assessment findings supports the nurse's
suspicion of delirium? - Answer--Easily distracted
A nurse on a medical-surgical unit is assessing a client who sustained injuries 12 hr ago following a
motor-vehicle crash. The client's admission blood alcohol level was 325 mg/dL. Which of the following
findings should indicate to the nurse that the client is experiencing alcohol withdrawal? - Answer--Blood
pressure 154/96 mm Hg
A nurse is planning care for a client who has made repeated physical threats toward others on the unit.
Although the client does not want to leave the unit, the nurse requests the provider to transfer the
client to a unit that is equipped to manage violent behavior. Which of the following ethical principles
should the nurse apply in this situation? - Answer--Nonmaleficence
A nurse is assessing a client who is displaying manifestations of delirium. Which of the following
information from the client's medical record are risk factors for delirium? (Select all that apply.) -
Answer--Client's age
Hospital environment
, Postoperative
Fever
A nurse is discussing a 12-step program with a client who has alcohol use disorder and is in an acute care
facility undergoing detoxification. Which of the following information should the nurse include in the
teaching? - Answer--The client should obtain a sponsor before discharge for an increased chance of
recovery.
A nurse is creating a plan of care for a client who has been placed in seclusion after threatening to harm
others on the unit. Which of the following interventions should the nurse include in the plan? - Answer--
Renew the prescription for the client every 4 hr.
A nurse is caring for a client who gave birth to a stillborn baby. Which of the following statements
should the nurse make? - Answer--"I'll stay with you just in case you want to talk."
A nurse is caring for four clients in an emergency department. The nurse should identify that which of
the following clients can give informed consent? - Answer--A 35-year-old client who has major
depressive disorder
A nurse is teaching a newly licensed nurse about nursing care plans for clients who have depressive
disorders. Which of the following statements by the newly licensed nurse indicates an understanding of
the teaching? - Answer--"I will update the plan of care as a client's manifestations of depression
change."
A nurse is performing an admission assessment on a client and notices that the client appears
withdrawn and fearful. To establish a trusting nurse-client relationship, which of the following actions
should the nurse take first? - Answer--Inform the client that this admission is confidential.
A nurse is planning discharge teaching for a client who has severe schizoaffective disorder. The nurse
should identify that which of the following treatment options can offer interdisciplinary services for the
client at home? - Answer--Assertive community treatment
