2024 ATI MENTAL HEALTH NURSING NGN EXAM ,
STUDY GUIDE AND EXAM REVIEW : EXPERT
VALIDATED A+ ANSWERS
FOR
NURSING STUDENTS
| ENSURE SUCCESS WITH COMPREHENSIVE NGN
READY MATERIAL
Patient reports acute anxiety related to the death of a parent in an automobile accident two hours
earlier. The nurse should anticipate administering a med from what family? Benzodiazepines to
increase the effect of GABA
A nurse cares for an older adult patient admitted for treatment of depression. the health care provider
prescribes an antidepressant medication, but the dose is more than the usual adult dose. the nurse
should? hold the medication and consult the health care provider.
A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patients insurance
form. which resource should the nurse consult to discern the criteria used to establish this diagnoses?
DSM-V diagnostic and Statistical Manual of Mental Disorders
A patient begins a new program to assist with building social skills. in which part of the plan of care
should a nurse record the item, Encourage patient to attend one psychoeducational group daily?
Implementation
According to Maslows hierarchy of needs, which of the following client situations would be considered
most basic?
Client seeks, shelter, food at a center of a battered woman.
,A patient diagnosed with paranoid schizophrenia believes evil spirits are being summoned by a local
minister and verbally threatens to bomb a local church. the psychiatrist notifies the local minister. the
psychiatric has demonstrated the duty of warn and protect/tarasoff
A voluntary hospitalized patient tells the nurse I need to get out of here, I'm not getting better. Get me
the forms I need to sign to leave this place. what would the nurse say?
I will get them for you, but lets talk about your decision to leave treatment.
During an assessment interview a nurse asks the patient "how are you feeling this AM? What part of the
mental status exam is the nurse examining?
mood (mood and affect)
A nurse documents patient appears to be restless and unable to sit still. he is unable to hold productive
conversation and tremulous during interview, what is the nursing dx?
Anxiety
A patient should be considered for involuntary hospitalization for psychiatric care when he or she
threatens to harm self or others
A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor SSRI
antidepressant therapy. priority information given to the patient and family should include a Report
increase suicidal thoughts.
A client is prescribed lamatrogine for treatment of bipolar disorder which of the following is most
concerning?
SJS skin rash (stevens johnson syndrome)
A client with depression mentions to the nurse, "my mother says depression is a chemical disorder. what
does she mean?" the nurse's response is based on the theory that depression primarily involves which
of thee following neurotransmitters?
Serotonin and Norepinephrine
,Nurse teaching a class for antidepressant to patients diagnosed with depression, which of the following
statement by a patient will indicate the nurse that further teaching is needed.
I can discontinue mediation at anytime if medication is not working.
A newly admitted patient diagnosed with major depression has gained 20 pounds over a few months
and has suicidal ideation. the patient has taken an antidepressant medication for 1 week without
remission of symptoms. select the priority nursing diagnosis
Risk for suicide.
What is the priority nursing diagnosis for a patient diagnosed with antisocial personality disorder who
has made threats against staff, ripped art off the walls, and thrown objects?
Risk for other-directed violence.
Select the most appropriate label to complete this nursing diagnosis:__________, related to feelings of
shyness and poorly developed social skills as evidenced by watching television alone at home every
evening.
social isolation
At the time of discharge a patient expressed HI towards his brother, the pt believes his brother is
working with the government to keep him in the hospital. what should the nurse do? notify
potential homicide victim and law enforcement.
A nurse assesses a confused older adult. the nurse experiences sadness and reflects, "the patient is like
one of my grandparents.... so helpless." what feelings does the nurse describe?
Countertransference.
A 15 year old patient place on restraints how often do you have to renew order?
every 2 hours
, Nurse documents patient is selectively mute despite repeated attempts to dismissive during assessment
interview and prefers to be alone. What would the nurse document? Social isolation
Which of the following best describes mechanism of action for SSRIs?
inhibit the reuptake of serotonin-making it more available
Which of the following are important assessment while the patient is place on restraints Pain,
paresthesia, pulse, pallor, pressure, paralysis.
which of the following meds is not used as a hypnotic?
Vivitrol
The nurse will order a special diet for patient taking what medication
MAOI- Nardil
During the assessment interview the nurse tells the patient "can you tell me the reason" what part of
the mental status exam is the nurse examinng?
insight - "patient has good insight" "pt has poor insight"
Which of the following patient meets the criteria for 5150?
police officer who is unable to contract safety after witnessing partner died during a shoot out.
witnessed trauma and can't contain himself.
Patient is diagnosed with generalized anxiety disorder of these meds in the patients record which is
most appropriate to administer?
Buspar
Which of the following diagnosis is axis 2 diagnosis
Antisocial personality disorder
STUDY GUIDE AND EXAM REVIEW : EXPERT
VALIDATED A+ ANSWERS
FOR
NURSING STUDENTS
| ENSURE SUCCESS WITH COMPREHENSIVE NGN
READY MATERIAL
Patient reports acute anxiety related to the death of a parent in an automobile accident two hours
earlier. The nurse should anticipate administering a med from what family? Benzodiazepines to
increase the effect of GABA
A nurse cares for an older adult patient admitted for treatment of depression. the health care provider
prescribes an antidepressant medication, but the dose is more than the usual adult dose. the nurse
should? hold the medication and consult the health care provider.
A nurse at a behavioral health clinic sees an unfamiliar psychiatric diagnosis on a patients insurance
form. which resource should the nurse consult to discern the criteria used to establish this diagnoses?
DSM-V diagnostic and Statistical Manual of Mental Disorders
A patient begins a new program to assist with building social skills. in which part of the plan of care
should a nurse record the item, Encourage patient to attend one psychoeducational group daily?
Implementation
According to Maslows hierarchy of needs, which of the following client situations would be considered
most basic?
Client seeks, shelter, food at a center of a battered woman.
,A patient diagnosed with paranoid schizophrenia believes evil spirits are being summoned by a local
minister and verbally threatens to bomb a local church. the psychiatrist notifies the local minister. the
psychiatric has demonstrated the duty of warn and protect/tarasoff
A voluntary hospitalized patient tells the nurse I need to get out of here, I'm not getting better. Get me
the forms I need to sign to leave this place. what would the nurse say?
I will get them for you, but lets talk about your decision to leave treatment.
During an assessment interview a nurse asks the patient "how are you feeling this AM? What part of the
mental status exam is the nurse examining?
mood (mood and affect)
A nurse documents patient appears to be restless and unable to sit still. he is unable to hold productive
conversation and tremulous during interview, what is the nursing dx?
Anxiety
A patient should be considered for involuntary hospitalization for psychiatric care when he or she
threatens to harm self or others
A patient diagnosed with major depressive disorder begins selective serotonin reuptake inhibitor SSRI
antidepressant therapy. priority information given to the patient and family should include a Report
increase suicidal thoughts.
A client is prescribed lamatrogine for treatment of bipolar disorder which of the following is most
concerning?
SJS skin rash (stevens johnson syndrome)
A client with depression mentions to the nurse, "my mother says depression is a chemical disorder. what
does she mean?" the nurse's response is based on the theory that depression primarily involves which
of thee following neurotransmitters?
Serotonin and Norepinephrine
,Nurse teaching a class for antidepressant to patients diagnosed with depression, which of the following
statement by a patient will indicate the nurse that further teaching is needed.
I can discontinue mediation at anytime if medication is not working.
A newly admitted patient diagnosed with major depression has gained 20 pounds over a few months
and has suicidal ideation. the patient has taken an antidepressant medication for 1 week without
remission of symptoms. select the priority nursing diagnosis
Risk for suicide.
What is the priority nursing diagnosis for a patient diagnosed with antisocial personality disorder who
has made threats against staff, ripped art off the walls, and thrown objects?
Risk for other-directed violence.
Select the most appropriate label to complete this nursing diagnosis:__________, related to feelings of
shyness and poorly developed social skills as evidenced by watching television alone at home every
evening.
social isolation
At the time of discharge a patient expressed HI towards his brother, the pt believes his brother is
working with the government to keep him in the hospital. what should the nurse do? notify
potential homicide victim and law enforcement.
A nurse assesses a confused older adult. the nurse experiences sadness and reflects, "the patient is like
one of my grandparents.... so helpless." what feelings does the nurse describe?
Countertransference.
A 15 year old patient place on restraints how often do you have to renew order?
every 2 hours
, Nurse documents patient is selectively mute despite repeated attempts to dismissive during assessment
interview and prefers to be alone. What would the nurse document? Social isolation
Which of the following best describes mechanism of action for SSRIs?
inhibit the reuptake of serotonin-making it more available
Which of the following are important assessment while the patient is place on restraints Pain,
paresthesia, pulse, pallor, pressure, paralysis.
which of the following meds is not used as a hypnotic?
Vivitrol
The nurse will order a special diet for patient taking what medication
MAOI- Nardil
During the assessment interview the nurse tells the patient "can you tell me the reason" what part of
the mental status exam is the nurse examinng?
insight - "patient has good insight" "pt has poor insight"
Which of the following patient meets the criteria for 5150?
police officer who is unable to contract safety after witnessing partner died during a shoot out.
witnessed trauma and can't contain himself.
Patient is diagnosed with generalized anxiety disorder of these meds in the patients record which is
most appropriate to administer?
Buspar
Which of the following diagnosis is axis 2 diagnosis
Antisocial personality disorder
