ATI LPN
LPN ATI Mental Health Psychosocial Questions
Question 1 of 5
A 60-year-old individual strays from a football game during halftime and is discovered 48 hours later, sleeping on a park bench 100 miles away. The individual is brought to the emergency department by the police. The individual can state their name and address but has no memory of the past 2 days. What is the priority nursing action?
Correct Answer: C
Rationale: Assessing vital signs is the priority nursing action. The individual has been missing for 48 hours, potentially exposed to harsh conditions, and may be dehydrated or hypothermic. Physical health must be stabilized first.
Question 2 of 5
A client is brought to a busy emergency department by their spouse due to erratic behavior and expressions of despair. If the client shrugs their shoulders when asked by the triage registered nurse if they feel suicidal now, what nursing responsibility is the practical nurse expected to be assigned?
Correct Answer: D
Rationale: Placing the client under one-on-one observation ensures safety given the erratic behavior and ambiguous response to suicidal intent questions.
Question 3 of 5
Upon entering a mental health care system, clients undergo a thorough assessment, followed by the creation of a mental health treatment plan. What are the objectives of this treatment plan? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: The treatment plan coordinates care (
A), evaluates interventions (
B), guides planning (
C), and monitors progress (
D), ensuring comprehensive client management.
Question 4 of 5
A young client diagnosed with major depressive disorder recently had their engagement broken off by their fiancé, who claimed the client was too fat and ugly. During a one-on-one interaction with the nurse, the client says, 'My fiancé is really wonderful and is not to blame for calling off the engagement. I look awful and I'm not much good for anything.' What is the most appropriate response by the nurse?
Correct Answer: A
Rationale: The nurse’s response, 'Tell me how you felt when your fiancé broke up with you,' is the most therapeutic because it encourages the client to express feelings, fostering a supportive environment.
Question 5 of 5
Feelings of worthlessness, guilt, and despair are expressed in a female client's every thought, movement, and activity. Her physical health has declined and she is often unable to eat. What is the client experiencing?
Correct Answer: C
Rationale: The feelings of worthlessness, guilt, and despair expressed in every thought, movement, and activity, along with a decline in physical health and often being unable to eat, indicate that the client is experiencing severe depression.