NEXT GENERATION RN ATI
FUNDAMENTALS OF NURSING
PROCTORED EXAM 2024/25 WITH NGN
GRADED A+ WITH VERIFIED QUESTIONS
AND DETAILED RATIONALES EXAM 5
Foundations of psychiatric nursing
Answer:
1. Knowledge of Maslow’s hierarchy of needs can
assist a nurse in understanding client behavior. Place
the stages of Maslow’s hierarchy of needs in order 3. Physiologic needs
from basic to most complex. Use all the options.
1. Safety and security
1. Safety and security
4. Love and belonging
2. Self-esteem
2. Self-esteem
3. Physiologic needs
5. Self-actualization
4. Love and belonging
Rationale: Maslow’s hierarchy of needs progresses
5. Self-actualization
from the most basic to the most complex needs.
Maslow’s theory states that physiologic needs are the
most basic human needs. Only after physiologic
needs have been met can safety concerns be ad-
dressed followed by love and belonging, which then
fosters self-esteem and finally self-actualization.
Nursing process step: Planning
Client needs category: Psychosocial integrity
Client needs subcategory: None
Cognitive level: Application
□ 3. The client lives in a long-term care facility.
2. Electroconvulsive therapy (ECT) is an effective
treatment for severe depression when which condi- □ 4. The client is undergoing a stressful life change.
tions accompany it? Select all that apply.
□ 5. The client is having acute suicidal thoughts.
□ 1. The client also has dementia.
□ 6. The client is severely depressed despite taking
□ 2. The client can’t tolerate tricyclic antidepressants. numerous antidepressants.
F O U N D A T I O N S OF P S Y C H I AT R IC N U R SI NG 121
, Answer: 2, 5, 6
Rationale: ECT is used to treat acute depressive
illnesses in an attempt to rapidly reverse a life-
threatening situation, such as disturbing delusions,
agitation, or suicide. ECT is also used when
multiple antidepressants have been used but
remain ineffec- tive. New antidepressants may
take weeks to become effective. The decision to
use ECT isn’t based on where the client lives. ECT
isn’t usually indicated for situational depressions
or in those clients with de- mentia.
Nursing process step: Planning
Client needs category: Psychosocial integrity
Client needs subcategory: None
Cognitive level: Application
F O U N D A T I O N S OF P S Y C H I AT R IC N U R SI NG 121
, 3. Characteristics of a therapeutic relationship are
exemplified by meeting which goals? Select all that
Answer: 2, 3
apply. Rati onale: The goal of a therapeutic relationship is to
enhance the personal growth of the client. Giving ad-
□ 1. The needs of the client and nurse are identified vice, exchanging personal information, and striving to
and met. meet the personal needs of the nurse and the client
□ 2. The nurse helps the client explore different aren’t therapeutic for the client and cross the bound-
problem-solving techniques. aries of professionalism. Discussing information from
or about the client with family members is a breach of
□ 3. The nurse encourages the practice of new cop- confidentiality unless the client has expressly request-
ing skills. ed that the information be disclosed.
□ 4. The nurse gives advice to the client. Nursing process step: Implementation
□ 5. The nurse and client exchange personal infor- Client needs category: Psychosocial integrity
mation.
Client needs subcategory: None
□ 6. The nurse discusses the client’s feelings with
family members. Cognitive level: Analysis
4. A nurse understands that the first step in caring
for a client with a mental health illness is to establish a
Answer:
therapeutic relationship to achieve effective communi- 2. Preinteraction phase
cation. Place the phases of a therapeutic relationship
in ascending chronological order. Use all the options. 4. Orientation phase
1. Working phase
1. Working phase
2. Preinteraction phase 3. Termination phase
3. Termination phase Rationale: The preinteraction phase in the initial
phase includes the evaluation of the client by the
4. Orientation phase nurse; the client is not often involved in this phase.
The orientation phase is the ”getting-to-know-you”
phase in which trust begins to develop. The working
phase involves participation by the nurse and client.
The final phase is the termination phase, during which
time the nurse and client evaluate the goals achieved
or not achieved.
Nursing process step: Planning
Client needs category: Psychosocial integrity
Client needs subcategory: None
Cognitive level: Application
F O U N D A T I O N S OF P S Y C H I AT R IC N U R SI NG 121
FUNDAMENTALS OF NURSING
PROCTORED EXAM 2024/25 WITH NGN
GRADED A+ WITH VERIFIED QUESTIONS
AND DETAILED RATIONALES EXAM 5
Foundations of psychiatric nursing
Answer:
1. Knowledge of Maslow’s hierarchy of needs can
assist a nurse in understanding client behavior. Place
the stages of Maslow’s hierarchy of needs in order 3. Physiologic needs
from basic to most complex. Use all the options.
1. Safety and security
1. Safety and security
4. Love and belonging
2. Self-esteem
2. Self-esteem
3. Physiologic needs
5. Self-actualization
4. Love and belonging
Rationale: Maslow’s hierarchy of needs progresses
5. Self-actualization
from the most basic to the most complex needs.
Maslow’s theory states that physiologic needs are the
most basic human needs. Only after physiologic
needs have been met can safety concerns be ad-
dressed followed by love and belonging, which then
fosters self-esteem and finally self-actualization.
Nursing process step: Planning
Client needs category: Psychosocial integrity
Client needs subcategory: None
Cognitive level: Application
□ 3. The client lives in a long-term care facility.
2. Electroconvulsive therapy (ECT) is an effective
treatment for severe depression when which condi- □ 4. The client is undergoing a stressful life change.
tions accompany it? Select all that apply.
□ 5. The client is having acute suicidal thoughts.
□ 1. The client also has dementia.
□ 6. The client is severely depressed despite taking
□ 2. The client can’t tolerate tricyclic antidepressants. numerous antidepressants.
F O U N D A T I O N S OF P S Y C H I AT R IC N U R SI NG 121
, Answer: 2, 5, 6
Rationale: ECT is used to treat acute depressive
illnesses in an attempt to rapidly reverse a life-
threatening situation, such as disturbing delusions,
agitation, or suicide. ECT is also used when
multiple antidepressants have been used but
remain ineffec- tive. New antidepressants may
take weeks to become effective. The decision to
use ECT isn’t based on where the client lives. ECT
isn’t usually indicated for situational depressions
or in those clients with de- mentia.
Nursing process step: Planning
Client needs category: Psychosocial integrity
Client needs subcategory: None
Cognitive level: Application
F O U N D A T I O N S OF P S Y C H I AT R IC N U R SI NG 121
, 3. Characteristics of a therapeutic relationship are
exemplified by meeting which goals? Select all that
Answer: 2, 3
apply. Rati onale: The goal of a therapeutic relationship is to
enhance the personal growth of the client. Giving ad-
□ 1. The needs of the client and nurse are identified vice, exchanging personal information, and striving to
and met. meet the personal needs of the nurse and the client
□ 2. The nurse helps the client explore different aren’t therapeutic for the client and cross the bound-
problem-solving techniques. aries of professionalism. Discussing information from
or about the client with family members is a breach of
□ 3. The nurse encourages the practice of new cop- confidentiality unless the client has expressly request-
ing skills. ed that the information be disclosed.
□ 4. The nurse gives advice to the client. Nursing process step: Implementation
□ 5. The nurse and client exchange personal infor- Client needs category: Psychosocial integrity
mation.
Client needs subcategory: None
□ 6. The nurse discusses the client’s feelings with
family members. Cognitive level: Analysis
4. A nurse understands that the first step in caring
for a client with a mental health illness is to establish a
Answer:
therapeutic relationship to achieve effective communi- 2. Preinteraction phase
cation. Place the phases of a therapeutic relationship
in ascending chronological order. Use all the options. 4. Orientation phase
1. Working phase
1. Working phase
2. Preinteraction phase 3. Termination phase
3. Termination phase Rationale: The preinteraction phase in the initial
phase includes the evaluation of the client by the
4. Orientation phase nurse; the client is not often involved in this phase.
The orientation phase is the ”getting-to-know-you”
phase in which trust begins to develop. The working
phase involves participation by the nurse and client.
The final phase is the termination phase, during which
time the nurse and client evaluate the goals achieved
or not achieved.
Nursing process step: Planning
Client needs category: Psychosocial integrity
Client needs subcategory: None
Cognitive level: Application
F O U N D A T I O N S OF P S Y C H I AT R IC N U R SI NG 121
