ATI LPN
ATI PN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse in a mental health facility is caring for a client who has antisocial personality disorder and alcohol dependency. The nurse should encourage the client to participate in which of the following groups?
Correct Answer: B
Rationale: Dual diagnosis treatment addresses both ASPD and alcohol dependency concurrently, offering integrated care. Codependency support (
A) aids enablers, crisis intervention (
C) is short-term, and psychodrama (
D) lacks specific focus on dual issues.
Question 2 of 5
A nurse is caring for a client who has depression and reports only sleeping a few hours each night. Which of the following instructions should the nurse give the client to promote sleep?
Correct Answer: C
Rationale: Limiting caffeine reduces sleep interference. Eating late (
A) causes discomfort, wine (
B) disrupts REM sleep, and napping (
D) affects nighttime rest.
Question 3 of 5
A nurse is reinforcing teaching with a client who has bipolar disorder and has a new prescription for lithium. To address possible adverse effects, the nurse should include that which of the following laboratory values will be monitored while the client is taking this medication?
Correct Answer: C
Rationale: Lithium can elevate uric acid, risking gout, requiring monitoring. Sodium (
A) affects lithium levels but isn’t primary, liver (
B) isn’t key, and ESR (
D) is unrelated.
Question 4 of 5
A nurse in a mental health facility is caring for a client who has antisocial personality disorder and alcohol dependency. The nurse should encourage the client to participate in which of the following groups?
Correct Answer: B
Rationale: Dual diagnosis treatment addresses both ASPD and alcohol dependency concurrently, offering integrated care. Codependency support (
A) aids enablers, crisis intervention (
C) is short-term, and psychodrama (
D) lacks specific focus on dual issues.
Extract:
Nurse's Notes: 0205:
Client brought to the ED by police after being found wandering on the street. Client able to provide identity to police but not able to identify place or time. Family notified.
Client confused and agitated. Appearance is disheveled. Mucous membranes dry. Lungs clear and equal, heart rhythm regular.
During data collection, client states, “Can you ask that person to leave my room?” Client is pointing to an empty chair.
0230:
Client’s adult child arrived to the ED and went to client’s room. Client identified family member. Client is pacing and agitated, and states, "I don’t understand why I am here.” Adult child asks nurse to talk outside of room and states, “I don’t know why they are so confused. They are not normally like this.” Adult child states client has past medical history of hypertension and alcohol-related cirrhosis. Upon returning to room, client voided 250 mL of dark yellow, cloudy urine.
0415:
Client admitted to medical-surgical unit.
Peripheral IV initiated in right arm by RN. Client is agitated, trying to pull out IV, and yelling, “I am leaving now!”
1400:
Client is awake, oriented to person and place, but drowsy. Adult child at bedside. Client is watching television. No hallucinations observed since admission to unit. IV fluids infusing to right arm. Providers Notes: 0230:
Client diagnosis: delirium secondary to a urinary tract infection and dehydration.
0400:
Will transfer client to medical-surgical unit.
Medication Administration Record: 0415:
0.9% sodium chloride IV at 125 mL/hr
Lorazepam 1 mg IV
Sulfamethoxazole/trimethoprim 800/160 mg tab PO
Acetaminophen 325 mg 2 tabs PO
0900:
Lorazepam 1 mg IV
Laboratory Results:
0230:
Serum toxicology screen:
Alcohol: 60 mg/dL (80 to 200 mg intoxication)
Vital Signs:0200:
Temperature 38.6°C (101.5°F)
Heart rate 104/min
Respiratory rate 18/min
Blood pressure 158/96 mm Hg
Oxygen saturation 98% on room air
0415:
Temperature 38.6°C (101.5°F)
Heart rate 108/min
Respiratory rate 20/min
Blood pressure 148/94 mm Hg
Oxygen saturation 98% on room air
1400:
Temperature 37.2°C (98.9°F)
Heart rate 78/min
Respiratory rate 16/min
Blood pressure 128/84 mm Hg
Question 5 of 5
The nurse has reviewed the nurses’ notes, medication administration record, and vital signs at 1400.Based on the findings, which of the following client findings indicate an improvement in the client’s condition? (Select all that apply)
Correct Answer: A,B,D,E,F
Rationale: Decreased temperature (
A), no hallucinations (
B), lower heart rate (
D), improved orientation (E), and normalized BP (F) show improvement. Stable oxygen (
C) doesn’t change.