ATI LPN
ATI LPN Mental Health Level 4 Exam Questions
Extract:
Question 1 of 5
A nurse assisting in the care of a client who has a mood disorder. Which of the following client statements by the client indicates readiness for discharge?
Correct Answer: C
Rationale: The correct answer, indicated as C.
Rationale: This statement suggests dependency and a lack of readiness to take responsibility for self-care. While family support is important, the client should be able to demonstrate some level of independence for discharge readiness. Taking medications as prescribed and knowing who to contact in case of suicidal thoughts shows insight and preparedness for discharge. This statement reflects avoidance and a lack of motivation, indicating that the client is not yet ready for discharge.
Question 2 of 5
A nurse is caring for a client who has major depressive disorder and has experienced a recent loss. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: While crying may be a normal expression of grief, determining the client’s stage of grief is more important for assessing the client’s emotional needs. Determining the client’s stage of grief is the first step to understanding the client’s emotional state and providing appropriate support. Encouraging expression is important, but first, understanding the client’s grief stage will guide the intervention. Spiritual support is valuable, but first, understanding the client’s emotional response is necessary before offering this type of assistance.
Question 3 of 5
A nurse in a community clinic is speaking to a parent who expresses concern for her adolescent son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Spending time with friends is generally a healthy social behavior. Being religious and attending services does not indicate suicidal risk. Sleeping 9 hours per night is within a normal range for an adolescent. The statement about the basketball coach committing suicide may indicate the adolescent is at risk for suicide, as exposure to suicide can increase the likelihood of suicidal behavior.
Question 4 of 5
A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Antisocial personality disorder is characterized by disregard for rules and the rights of others. Clients with this disorder often challenge authority and refuse to follow rules. Schizotypal personality disorder involves eccentric behavior and thinking, but it is not associated with defiance of rules. Histrionic personality disorder is characterized by attention-seeking behavior, not by defiance of rules. Narcissistic personality disorder involves a sense of entitlement and superiority, but it does not necessarily involve direct defiance of rules.
Question 5 of 5
A nurse is reinforcing discharge teaching with a client who has several new prescriptions for psychotropic medications. The client tells the nurse that she has always had trouble following a medication regimen. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Telling the client to 'work hard' to stay on schedule does not address the underlying difficulty with medication adherence. Saying not to worry about past issues may minimize the client's concerns and challenges. Asking 'why' the client finds it difficult to take medications might not encourage open communication and could make the client feel judged. Collaborating with the client to create a schedule that is convenient and achievable increases the likelihood of adherence and fosters a sense of control and partnership.