ATI LPN
ATI PN Mental health DEC 2023 Questions
Extract:
Question 1 of 5
A nurse in a mental health clinic is collecting data from a client to determine the client’s risk for suicide. Which of the following findings should the nurse identify as a risk factor for suicide? (Select all that apply.)
Correct Answer: A,C,D,E
Rationale: Alcohol use disorder, access to guns, family history of suicide, and terminal illness increase suicide risk. Being married (
B) is a protective factor.
Question 2 of 5
A nurse is collecting data from a client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B,C,D,E
Rationale: Hypotension, cold extremities, tooth erosion (from vomiting), and lanugo (to conserve heat) are common in anorexia nervosa. Diarrhea (
A) is not typical; constipation is more likely.
Question 3 of 5
A nurse is collecting data from an older adult client who was admitted with heart failure. The nurse should report which of the following findings to the provider as an indication of delirium?
Correct Answer: B
Rationale: Fluctuating orientation is a hallmark of delirium, unlike the gradual decline in dementia (
D) or consistent states in depression (
A) or OCD (
C).
Question 4 of 5
A nurse is caring for an adolescent who was recently sexually assaulted. Which of the following statements by the adolescent’s guardian represents the presence of a positive support system?
Correct Answer: A
Rationale: Recognizing potential self-blame shows empathy and understanding, supporting the adolescent emotionally. B is controlling, C dismisses feelings, and D promotes guilt.
Question 5 of 5
A nurse is assisting with reminiscence therapy for a group of older adult clients. Which of the following strategies should the nurse implement?
Correct Answer: A
Rationale: Discussing childhood memories is central to reminiscence therapy, improving mood and cognition. B, C, and D are unrelated strategies.