ATI LPN Mental Health 2023

Extract:

Question 1 of 5

A charge nurse is reinforcing teaching with a newly licensed nurse about the clinical manifestations of dependent personality disorder. Which of the following manifestations should the nurse include in the teaching?

A. Unable to make simple decisions B. Enjoys spending time alone C. Exhibits extreme perfectionism D. Displays confrontational behavior

Correct Answer: A

Rationale: Individuals with dependent personality disorder often struggle with making simple decisions without excessive advice and reassurance from others. They have a strong need for others to take responsibility for major areas of their lives and can feel helpless when alone. This indecisiveness is a hallmark of the disorder and stems from their lack of self-confidence and reliance on others for guidance and support.

Question 2 of 5

A nurse is collecting data for a health history from a client who has bulimia nervosa. Which of the following laboratory findings should the nurse expect?

A. Hypokalemia B. Leukopenia C. Decreased serum amylase D. Hematuria

Correct Answer: A

Rationale: Hypokalemia, or low potassium levels in the blood, is a common finding in individuals with bulimia nervosa, especially those who engage in frequent vomiting or use laxatives. Purging behaviors can lead to significant electrolyte imbalances, including potassium depletion, which can cause muscle weakness, cramps, and cardiac arrhythmias.

Question 3 of 5

A nurse is participating in a community program about eating disorders. Which of the following information about bulimia nervosa should the nurse include in the presentation?

A. As long as a person is not vomiting after eating they do not have bulimia nervosa. B. People who have bulimia nervosa are at risk for developing diabetes mellitus. C. Bulimia nervosa is difficult to notice because a person might be of average or ideal body weight. D. People who have bulimia nervosa eat an average amount of food on a daily basis.

Correct Answer: C

Rationale: Bulimia nervosa can be difficult to detect because individuals with this disorder often maintain a weight that is within the average or ideal range. This can make it challenging for others to recognize the presence of an eating disorder, as the physical appearance may not immediately suggest a problem.

Question 4 of 5

A nurse is discussing the care of a client who has alcohol use disorder with another nurse. Which of the following statements should the nurse identify as an indication of countertransference?

A. The client is just like my parent, who never could quit drinking. B. The client needs to accept responsibility for their drinking. C. The client asked me to go on a date. D. The client shares their feelings openly during group therapy.

Correct Answer: A

Rationale: This statement is an indication of countertransference because the nurse is projecting personal feelings and experiences onto the client. By comparing the client to their parent who struggled with drinking, the nurse may unconsciously treat the client differently based on unresolved emotions or past experiences. Countertransference can interfere with the nurse's ability to provide objective and compassionate care.

Question 5 of 5

A nurse is contributing to the plan of care for a client who has schizophrenia. The client often directs brief

A. hostile verbal outbursts toward the staff. Which of the following interventions should the nurse recommend? B. Encourage the client to participate in a board game. C. Touch the client on the shoulder to console them. D. Bring a security guard whenever approaching the client. E. Use a calm, clear tone when speaking to the client.

Correct Answer: D

Rationale: Using a calm, clear tone when speaking to the client is an effective intervention for managing hostile verbal outbursts. Calm communication helps de-escalate the situation and prevents further agitation. It shows the client that the nurse is in control and can provide a stable, reassuring presence, which is essential for building trust and maintaining a therapeutic environment.

ATI LPN Mental Health 2023 | Nurselytic

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