ATI Mental Health PM 2023

Extract:

Question 1 of 5

A nurse in an acute care mental health facility is preparing to administer morning medication to a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?

A. Prepare for gastric lavage due to an extremely elevated lithium level. B. Administer the morning dose of lithium. C. Hold the medication and assess for early manifestations of toxicity. D. Check the client's medication record to assess whether the client has been refusing her lithium.

Correct Answer: B

Rationale: A lithium level of 1.0 mEq/L is within the therapeutic range (0.6-1.2 mEq/L), indicating it’s safe to administer the morning dose without concerns of toxicity or refusal.

Question 2 of 5

A mental health nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa and has a body mass index of 16.7. Which of the following actions should the nurse take? (Select all that apply.)

A. Monitor the client's weight daily B. Allow the client to choose the meals she will eat C. Allow the client to practice strenuous exercises D. Stay with the client during meals and for 2 hrs after meals E. Provide the client with small meals frequently.

Correct Answer: A,E

Rationale: Daily weight monitoring tracks progress, and small frequent meals manage nutrition without overwhelming the client, supporting recovery in anorexia nervosa.

Question 3 of 5

A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the mental health nurse plan to take regarding the client's compulsive behaviors?

A. Plan the client's schedule to allow time for rituals. B. Set strict limits on the behaviors so that the client can conform to the unit rules and schedules. C. Confront the client about the senseless nature of the repetitive behaviors. D. Isolate the client for a period of time.

Correct Answer: A

Rationale: Allowing time for rituals acknowledges the client’s needs, reduces anxiety initially, and builds trust, serving as a step toward gradual treatment like ERP.

Question 4 of 5

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following responses is an indication the client is in the denial phase of the grief process?

A. I can't believe the doctor graduated from medical school. He doesn't know a thing about treating cancer. B. Even though I am not hurting right now, I don't feel like I have the energy to get out of bed. C. The doctor says I only have a few months to live, but I know he is exaggerating to get me to take my medication. D. The doctor has been so good to me. I know he has tried everything he can. It is just my time.

Correct Answer: C

Rationale: Minimizing the diagnosis and attributing it to an ulterior motive, as in 'The doctor is exaggerating,' reflects denial by distorting reality to avoid the painful truth.

Question 5 of 5

A mental health nurse on a mental health unit is caring for a client who has generalized anxiety disorder (GAD). The client received a telephone call that was upsetting

A. and now the client is pacing up and down the corridors of the unit. Which of the following actions should the nurse take? B. Walk with the client at a gradually slower pace. C. Have a staff member escort the client to her room. D. Allow the client to pace alone until physically tired. E. Instruct the client to sit down and stop pacing.

Correct Answer: A

Rationale: Walking with the client at a slower pace provides support, regulates breathing, and distracts from anxiety, offering a calming effect without restricting movement.

ATI Mental Health PM 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN