ATI LPM Mental Health Quiz

Extract:

Question 1 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?

A. Hallucinations B. Delirium C. Delusion D. Psychosis

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.

Question 2 of 5

A nurse is conducting a home health visit for an older adult client who lives with family members. The nurse notices that the client has multiple unusual bruises, and, based on several other factors, the nurse suspects that the client has been physically abused. Which of the following actions should the nurse take first?

A. Check the bruises at the next visit to the client's home. B. Institute more frequent visits to the client's home. C. Follow the agency's guidelines for reporting suspected abuse. D. Arrange referral for family therapy to deal with home stressors.

Correct Answer: C

Rationale: Delaying action by checking bruises later doesn’t address immediate safety. More frequent visits monitor but don’t act on the suspicion promptly. Following agency guidelines for reporting suspected abuse ensures the client’s safety first, as it’s the nurse’s legal and ethical duty. Therapy may help later but isn’t the first step without ensuring safety.

Question 3 of 5

A client is given the diagnosis of generalized anxiety disorder and is prescribed a benzodiazepine. The client should be instructed on which of the following?

A. Monthly laboratory tests are needed to monitor drug level. B. Foods that contain tyramine should be avoided C. Benzodiazepines do not cause physical dependence. D. Benzodiazepines and alcohol can be dangerous

Correct Answer: D

Rationale: Lab tests aren’t routine for benzodiazepines. Tyramine avoidance applies to MAOIs, not benzodiazepines. Benzodiazepines can cause dependence, so that’s false. Combining benzodiazepines with alcohol increases CNS depression, posing risks like respiratory failure, making it critical to instruct the client on this danger.

Question 4 of 5

A client with Alzheimer's disease has difficulty with bathing and dressing activities. This is an example of which type of loss?

A. Physical loss B. Functional loss C. Affective loss D. Conative loss

Correct Answer: B

Rationale: Physical loss involves losing a body part or function, not the ability to perform tasks. Functional loss is the reduced ability to perform daily activities like bathing and dressing, common in Alzheimer’s due to cognitive and motor decline. Affective loss is emotional, and conative loss relates to motivation, neither fitting this scenario.

Question 5 of 5

A nurse is caring for a group of older adult clients. Which of the following client findings indicates delirium?

A. A client expresses dislike of orange juice after reporting earlier that it was a favorite juice. B. A client wants to know what type of poison the nurse placed in her medication. C. A client asks when family members will be arriving after visiting 1 hr earlier. D. A client requests extra blankets when the thermostat in the room indicates 80°F.

Correct Answer: C

Rationale: Changing preferences isn’t delirium-specific. Suspecting poison suggests delusion, not necessarily delirium. Confusion about recent events, like family visits, indicates delirium’s hallmark disorientation. Requesting blankets in a warm room may reflect sensory issues, not delirium directly.

ATI LPM Mental Health Quiz | Nurselytic

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