ATI LPN
ATI LPN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A client is becoming increasingly agitated, anxious, and tense. The nurse notes a clenched jaw and a change in the pitch of the client's voice. Which of the following interventions should the nurse implement first?
Correct Answer: A
Rationale: Verbal de-escalation is the first-line intervention for managing escalating behavior. It uses calm, non-confrontational communication to reduce agitation without resorting to physical or chemical restraints, which should be last resorts only if safety is imminently threatened and de-escalation fails.
Question 2 of 5
A nurse is collecting data from an older adult client who was admitted with heart failure. The nurse should report which of the following findings to the provider as an indication of delirium?
Correct Answer: B
Rationale: Fluctuating orientation, where alertness and confusion vary rapidly, is a hallmark of delirium, unlike the steady decline in dementia or consistent mood in depression. Obsessive behaviors may occur but aren’t specific to delirium.
Question 3 of 5
A nurse is collecting data from a client who has bulimia nervosa. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Hypokalemia (low potassium) is common in bulimia nervosa due to purging behaviors like vomiting, which depletes electrolytes. Lanugo is more associated with anorexia, and muscle wasting or hypomagnesemia are less characteristic.
Question 4 of 5
A nurse is contributing to the plan of care for a client who has bipolar disorder and whose admission was voluntary. For which of the following interventions should the nurse confirm that the client has given informed consent?
Correct Answer: B
Rationale: Experimental medications require explicit informed consent due to their unapproved status and associated risks, unlike routine interventions like CBT, exercise, or light therapy, which fall under general treatment consent.
Question 5 of 5
A nurse is reinforcing teaching about a new prescription for haloperidol with a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: C
Rationale: Haloperidol can cause photosensitivity, increasing sun sensitivity, a known side effect the client correctly identifies. Tinnitus, incontinence, and metallic taste are not typical side effects.