ATI LPN Mental Health 2023 II

Extract:

Question 1 of 5

A nurse in a mental health facility is caring for an adolescent who is newly admitted for an overdose of prescription pain medication. The client has prescriptions for an anxiolytic and an SSRI antidepressant. Which of the following precautions should the nurse take?

A. Implement 24-hr one-to-one nursing observation. B. Document the client's behavior every 2 hr. C. Restrict interactions with other clients. D. Administer prescribed medication via the IM route.

Correct Answer: A

Rationale: Implementing 24-hr one-to-one nursing observation is crucial for ensuring the safety of a client who has overdosed and is at risk of self-harm. This provides constant monitoring given the high-risk situation.

Question 2 of 5

A nurse in a mental health facility is collecting a blood specimen from a client. The client is hallucinating and states

A. That looks like a snake B. and I won't let it take all of my blood.' Which of the following responses should the nurse make? C. I don’t see a snake, but that must be scary for you. D. I’m using a syringe to obtain your blood, not a snake. E. Your provider requires this blood specimen. F. You must be mistaken.

Correct Answer: A

Rationale: Acknowledging the client's fear and providing reassurance without confirming the hallucination helps build trust and reduce anxiety. This empathetic response supports the client’s emotional state.

Question 3 of 5

A nurse is caring for a client who has depressive disorder following the recent death of their partner. Which of the following responses should the nurse make?

A. Everyone feels depressed during the grieving process. B. I remember how depressed I was after my friend died. C. You should start participating in your usual activities. D. Tell me what your relationship with your partner was like.

Correct Answer: D

Rationale: Asking about the client’s relationship encourages them to express their feelings and helps the nurse understand their experience to provide support. This fosters a therapeutic dialogue.

Question 4 of 5

A nurse is reinforcing teaching with a newly licensed nurse about the Patient Self-Determination Act (PSDA). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A. The PSDA becomes applicable when a client reaches 65 years of age. B. A client can verbally designate a durable power of attorney. C. Advance directives do not apply to clients receiving mental health care. D. A witness is legally required to sign a client's living will.

Correct Answer: D

Rationale: A witness is legally required to sign a client’s living will to validate the document, ensuring it’s the client’s voluntary decision. This reflects an accurate understanding of PSDA requirements.

Question 5 of 5

A nurse is participating in a community program about eating disorders. Which of the following information about bulimia nervosa should the nurse include in the presentation?

A. People who have bulimia nervosa are at risk for developing diabetes mellitus. B. Bulimia nervosa is difficult to notice because a person might be of average or ideal body weight. C. People who have bulimia nervosa eat an average amount of food on a daily basis. D. As long as a person is not vomiting after eating, they do not have bulimia nervosa.

Correct Answer: B

Rationale: Individuals with bulimia nervosa often maintain an average or ideal body weight, making the disorder less visible. This highlights a key characteristic for community education.

ATI LPN Mental Health 2023 II | Nurselytic

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ATI LPN

ATI LPN