ATI LPN
ATI LPN Mental Health Level 2 Exam Questions
Question 1 of 5
The nurse is performing a psychosocial assessment, the nurse will consider which of the following:
Correct Answer: D
Rationale: Client’s insurance status is important for planning but not a primary focus of a psychosocial assessment. Client history is part of the assessment but doesn’t cover the psychosocial aspect comprehensively. Client’s culture and spiritual beliefs are critical but not the sole focus. Client’s mood and affect are important components of the current psychological state, providing insight into emotional distress or disorders.
Question 2 of 5
What would be the most appropriate action by the student nurse when the client asked the student nurse to keep it a secret that the client plans to kill a family member?
Correct Answer: A
Rationale: The student nurse must tell the client that he/she cannot keep that secret and report it to the instructor and/or staff member is correct; the student nurse has a duty to report any threats of harm to others. The student nurse must tell the client that he/she will keep the secret and then tell the instructor and/or staff is dishonest and unethical. The student must respect the client's privacy and not tell anyone is incorrect; the nurse has a duty to report threats to safety. The student nurse must tell the instructor and then ask the instructor to keep it a secret is incorrect; the instructor also has a duty to report threats to safety.
Question 3 of 5
A nurse in an acute care mental health facility is talking with a client who is depressed. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Express sympathy for the client during interaction can create a sense of pity and isn’t as effective as empathy. Assist the client in decision-making by giving sound advice can undermine the client’s autonomy. Tell the client that he should make direct eye contact when communicating verbally can be intimidating for someone who is depressed. Watch the client for nonverbal cues can provide valuable information about the client’s emotional state and needs.
Question 4 of 5
Which is a positive aspect of treating clients with mental illness in a community-based care?
Correct Answer: B
Rationale: You will have to have supervision when you go out in the community.' implies a lack of independence, counterproductive in community-based care. 'You will be able to live in your own home while you receive therapy regularly.' highlights a key advantage, fostering normalcy and independence. 'You will not be allowed out with friends while in the program.' suggests restriction, not conducive to well-being. 'You will have someone in your home at all times to ask questions if you have any concerns.' can be intrusive rather than empowering.
Question 5 of 5
Why would a student nurse find the DSM helpful?
Correct Answer: C
Rationale: Evaluate medical treatments is incorrect; the DSM does not assess treatment effectiveness. Understand the reason for the psychiatric admission is not specific enough; it’s about diagnosis, not reasons. Identify the medical diagnosis is correct; the DSM is used to classify mental health diagnoses. Treat clients is incorrect; it provides diagnostic criteria, not treatment protocols.