ATI LPN
ATI LPM Mental Health Quiz Questions
Extract:
Question 1 of 5
A client with Alzheimer's disease has lost all sense of time and place and has developed visual agnosia. The client is in which of the following stages of Alzheimer's disease?
Correct Answer: B
Rationale: The intermediate stage might involve moderate memory loss and some disorientation, but not typically severe symptoms like complete loss of time and place or visual agnosia. In the severe stage, clients exhibit major confusion, losing all sense of time and place, and may develop visual agnosia (inability to recognize objects), aligning with the client’s condition. The end stage involves near-total dependence and loss of physical abilities, often beyond the cognitive symptoms described. Early-stage symptoms are mild, like forgetfulness, and don’t include such advanced disorientation.
Question 2 of 5
Which of the following is a physical clinical finding of depression in older adults?
Correct Answer: D
Rationale: Increased anxiety is a psychological symptom, not a physical finding, though it may accompany depression. Slowed memory and intellect are cognitive symptoms related to depression’s impact on thinking, not physical manifestations. Physical symptoms of depression can include changes in sleep, appetite, or pain, such as headaches, which are commonly reported in older adults as a somatic expression of the disorder.
Question 3 of 5
Which medication would the nurse expect to be prescribed for a client with moderate stages of Alzheimer's disease?
Correct Answer: C
Rationale: Risperidone is an antipsychotic used for behavioral issues in dementia, not cognitive decline. Alprazolam is an anxiolytic, not indicated for Alzheimer’s cognitive symptoms. Donepezil is a cholinesterase inhibitor commonly prescribed to improve cognition and slow symptom progression in moderate Alzheimer’s. Haloperidol, an antipsychotic, treats agitation but doesn’t enhance cognition and has higher side effect risks.
Question 4 of 5
An elderly client with severe cardiovascular disease is given the diagnosis of dementia. Which type of dementia does the client most likely have?
Correct Answer: D
Rationale: Frontal (frontotemporal) dementia affects personality and behavior, not directly tied to cardiovascular issues. Lewy body dementia involves protein deposits and symptoms like hallucinations, not primarily cardiovascular-related. Alzheimer’s is common but linked to neurodegenerative changes, not specifically cardiovascular disease. Vascular dementia results from impaired blood flow to the brain, often due to cardiovascular conditions, making it the most likely here.
Question 5 of 5
A hospitalized client sees snakes on the walls of the hospital room and becomes anxious. This is an example of which of the following?
Correct Answer: A
Rationale: Hallucinations involve perceiving things that aren’t present, like seeing snakes, fitting the client’s experience. Delirium is a broader state of confusion that may include hallucinations but isn’t specific to this symptom alone. Delusions are false beliefs, not perceptions. Psychosis is a general term that can include hallucinations but isn’t as precise as the specific symptom described.