ATI PN Mental Health Chamberlain 2023

Extract:

Question 1 of 5

A nurse in an acute care mental health facility is caring for a client who begins to yell and scream at staff members. Which of the following actions is the nurse’s priority?

A. Place the client in restraints. B. Administer haloperidol IM to the client. C. Ask the client to talk about his feelings. D. Move the client to a seclusion room with continuous observation

Correct Answer: D

Rationale: Seclusion with observation (
D) de-escalates safely and prioritizes monitoring. Restraints (
A) and medication (
B) are last resorts, and talking (
C) is ineffective during agitation.

Question 2 of 5

A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?

A. Stating that he wants to be with his peers more than with his parents. B. Telling his parents that he doesn’t want to talk about the attempt. C. Preferring to eat his meals while watching TV. D. Planning to give his CD collection to his girlfriend.

Correct Answer: D

Rationale: Giving away possessions (
D) signals suicidal intent. Peer preference (
A), silence (
B), and TV meals (
C) are less concerning.

Question 3 of 5

A nurse is assisting in a group therapy meeting and is sharing a humorous story unrelated to anyone in the group. When the group laughs at the story, a client who has schizophrenia jumps up and runs out while yelling 'You are all making fun of me!' Which of the following behaviors is this client displaying?

A. Ideas of reference. B. Grandeur. C. Somatic delusion. D. Erotomania.

Correct Answer: A

Rationale: Ideas of reference (
A) involve misinterpreting events as personal. Grandeur (
B) is inflated self-worth, somatic (
C) bodily delusions, and erotomania (
D) romantic delusions.

Question 4 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?

A. He spends much of his time with his school friends.' B. He has slept 9 hours each night for the past 2 years.' C. He is very religious and attends services twice a week.' D. His basketball coach committed suicide last month.'

Correct Answer: D

Rationale: A coach’s suicide (
D) increases risk via exposure. Friends (
A), sleep (
B), and religion (
C) are protective or neutral.

Question 5 of 5

A nurse is caring for a client who has schizophrenia and is taking haloperidol. The nurse should monitor the client for which of the following adverse effects?

A. Increased salivation. B. Serotonin syndrome. C. Increased menstrual bleeding. D. Tardive dyskinesia.

Correct Answer: D

Rationale: Tardive dyskinesia (
D) is a serious, potentially irreversible haloperidol effect. Salivation (
A) is minor, serotonin syndrome (
B) rare, and bleeding (
C) unrelated.

ATI PN Mental Health Chamberlain 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN