ATI LPN
ATI LPM Mental Health Quiz Questions
Extract:
Question 1 of 5
A nurse in an assisted-living facility is caring for a client who is in early stages of dementia. The client has been oriented to name and place and is usually cooperative. Which of the following nursing actions is appropriate if the client refuses to take morning medications?
Correct Answer: B
Rationale: Competence evaluation follows understanding refusal. Asking reasons respects autonomy and informs care. Crushing pills without consent is unethical and risky. Coercion dismisses client rights; understanding is better.
Question 2 of 5
Which of the following is a physical clinical finding of depression in older adults?
Correct Answer: D
Rationale: Increased anxiety is a psychological symptom, not a physical finding, though it may accompany depression. Slowed memory and intellect are cognitive symptoms related to depression’s impact on thinking, not physical manifestations. Physical symptoms of depression can include changes in sleep, appetite, or pain, such as headaches, which are commonly reported in older adults as a somatic expression of the disorder.
Question 3 of 5
Which of the following mental health disorders commonly occurs in older adults?
Correct Answer: B
Rationale: Personality disorders are lifelong, not age-specific. Depression is prevalent in older adults due to health and social changes. Somatoform disorders aren’t age-specific. Schizophrenia onset is earlier, not typical in later life.
Question 4 of 5
Which medication would the nurse expect to be prescribed for a client with moderate stages of Alzheimer's disease?
Correct Answer: C
Rationale: Risperidone is an antipsychotic used for behavioral issues in dementia, not cognitive decline. Alprazolam is an anxiolytic, not indicated for Alzheimer’s cognitive symptoms. Donepezil is a cholinesterase inhibitor commonly prescribed to improve cognition and slow symptom progression in moderate Alzheimer’s. Haloperidol, an antipsychotic, treats agitation but doesn’t enhance cognition and has higher side effect risks.
Question 5 of 5
A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Using an overhead loudspeaker can be disorienting or frightening for clients with dementia due to their sensitivity to loud noises and potential for confusion. A written schedule may not be helpful if the client has difficulty reading or understanding due to cognitive decline, which is common in dementia. While allowing choices is generally good, it can be overwhelming for someone with dementia depending on their cognitive ability, potentially leading to frustration or anxiety. A consistent daily routine helps provide structure and predictability, which can reduce confusion and anxiety in clients with dementia by creating a stable environment they can rely on.