ATI LPN
ATI Mental Health PM 2023 Questions
Extract:
Question 1 of 5
A nurse in an outpatient setting is caring for a client. The client presents with feelings of anxiety and depression. They recently started smoking marijuana as that is what their "new friends do all the time". They admit to using laxatives frequently and unning for 1 hr after eating a very large meal, which happens at least 9 times a week. They were recently arrested for stealing make-up from a local department store and acknowledge that this "is the first time I was caught". Complete the diagram by specifying what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
Correct Answer: B
Rationale: Bulimia nervosa fits the binge-purge and laxative use; actions include monitoring electrolyte levels and frequency of compensatory behaviors to assess progress and health risks.
Question 2 of 5
A nurse is discussing obsessive-compulsive disorder (OCD) with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the underlying reason clients with OCD perform ritualistic behaviors?
Correct Answer: A
Rationale: Ritualistic behaviors in OCD temporarily relieve anxiety caused by intrusive thoughts, forming a cycle of obsessions and compulsions, as supported by research on anxiety reduction.
Question 3 of 5
A nurse is caring for a client who requires a crisis intervention for acute anxiety. Which of the following actions should be the nurse's highest priority?
Correct Answer: A
Rationale: Protecting the client from injury addresses the imminent risk of harm due to impaired decision-making and physiological agitation in acute anxiety, prioritizing safety above other interventions.
Question 4 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?
Correct Answer: C
Rationale: Refusing to discuss the attempt may indicate unresolved distress or isolation, suggesting ongoing suicidal intent that requires further exploration.
Question 5 of 5
A nurse is preparing to administer fluoxetine 40 mg PO daily. The amount available is fluoxetine 20 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 10
Rationale: Desired dose (40 mg) divided by concentration (20 mg/5 mL) equals 2, then multiplied by 5 mL equals 10 mL, rounded to the nearest whole number.