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 in a manic state of her Bipolar disorder. The client is dancing around the dayroom of the inpatient lounge. When she twirled her skirt it was obvious she was not wearing any underwear. The nurse enters the area and distracts her. She takes her to her room to put on underwear. Why did the nurse take this action?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: The nurse’s primary concern is preventing the client from embarrassing herself due to the impulsive and disinhibited behaviors typical of a manic episode. There is no indication that dancing is prohibited; the issue is with inappropriate behavior. The focus of the action is not on sexual behavior but on ensuring the client is appropriately dressed in a social setting. Following policy is important, but the nurse’s action is more about protecting the client from social embarrassment.
Question 3 of 5
In 2020 Mai had recurrent depressive episodes with recurrent hypomanic episodes. Which of the following is the appropriate diagnosis for this client?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Major depressive disorder does not include hypomanic episodes, which are a key feature of bipolar II disorder. Bipolar type II is characterized by recurrent depressive episodes and hypomanic episodes, as described. Bipolar mixed refers to simultaneous symptoms of both mania and depression, which is not indicated here. Bipolar type I involves manic episodes, which are not mentioned in this scenario.
Question 4 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 5 of 5
A nurse is caring for a client who has delusional behavior. The client states, 'I can’t go to group today. I am expecting a high level official to visit me!' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Acknowledge the client’s delusion while gently redirecting them to the necessary activity (group therapy). This approach maintains engagement without directly confronting the delusion. Ignoring the delusion and focusing only on group therapy may cause the client to feel unheard or dismissed. Dismissing the delusion is not therapeutic and could undermine trust. Asking 'why' could challenge the delusion, leading to defensiveness rather than productive conversation.