ATI LPN
LPN ATI Mental Health Psychosocial Questions
Extract:
Question 1 of 5
A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months. She notes that her mother does not respond when the mother's back is turned. What is the best intervention for the nurse?
Correct Answer: B
Rationale: The mother’s behavior of not responding when her back is turned and increasing anger could be signs of hearing loss. A hearing evaluation would help determine if this is the case and allow for appropriate interventions.
Question 2 of 5
A client who just went through an upsetting divorce is threatening to commit suicide with a handgun. The client is voluntarily admitted to the psychiatric unit. Which of the following nursing diagnoses has the highest priority?
Correct Answer: D
Rationale: Risk for suicide related to a highly lethal plan is the highest priority due to the immediate threat to life posed by the client’s plan and means (handgun).
Question 3 of 5
A score of 1 to 10 on the Global Assessment Functioning (GAF) scale would indicate that a client was at risk for:
Correct Answer: A,B
Rationale: A score of 1 to 10 on the Global Assessment Functioning (GAF) scale indicates that a client is in persistent danger of severely hurting self or others or has a persistent inability to maintain minimal personal hygiene, which includes serious impairment in functioning.
Question 4 of 5
True or False: Lability is characterized by a rapid change in emotions.
Correct Answer: A
Rationale: Lability is indeed characterized by rapid changes in emotions, often seen in certain mental health conditions.
Question 5 of 5
What is an effective nursing intervention to help an angry patient manage their anger without resorting to violence?
Correct Answer: C
Rationale: Assisting the patient in identifying a thought that triggers anger, evaluating the validity of the belief, and replacing it with reality-based thinking is an effective nursing intervention based on cognitive behavioral therapy.