ATI LPN
ATI PN Mental Health 2023 Questions
Question 1 of 5
A nurse is reinforcing teaching with a client who has bipolar disorder and has a new prescription for lithium. To address possible adverse effects, the nurse should include that which of the following laboratory values will be monitored while the client is taking this medication?
Correct Answer: C
Rationale: Lithium can elevate uric acid, risking gout, requiring monitoring. Sodium (
A) affects lithium levels but isn’t primary, liver (
B) isn’t key, and ESR (
D) is unrelated.
Question 2 of 5
A nurse is collecting data from a client who is taking lithium. Which of the following findings should the nurse identify as early manifestations of lithium toxicity? (Select all that apply)
Correct Answer: A,B,D,E
Rationale: Early lithium toxicity includes confusion (
A), nausea (
B), polyuria (
D), and incoordination (E) due to its effects on the CNS, GI tract, kidneys, and neuromuscular system. Convulsions (
C) indicate severe toxicity, not an early sign.
Question 3 of 5
A nurse is caring for a client who has depression and reports only sleeping a few hours each night. Which of the following instructions should the nurse give the client to promote sleep?
Correct Answer: C
Rationale: Limiting caffeine reduces sleep interference. Eating late (
A) causes discomfort, wine (
B) disrupts REM sleep, and napping (
D) affects nighttime rest.
Question 4 of 5
A nurse is assisting in the care of a client who is scheduled to receive electroconvulsive therapy (ECT). Which of the following is the nurse's role during the informed consent process?
Correct Answer: B
Rationale: Witnessing the client signing the form ensures the nurse confirms the client has received and understood all necessary information from the physician, making consent legally valid. Discussing benefits (
A) and alternatives (
D) is the physician’s role, while determining competency (
C) is typically done by a physician or mental health professional.
Question 5 of 5
A nurse is contributing to the plan of care for a client who is to start therapy with fluoxetine. Which of the following is an expected outcome for this client?
Correct Answer: D
Rationale: Fluoxetine, an SSRI, improves mood in depression. It doesn’t primarily target hallucinations (
A), tremors (
B), or seizures (
C).