ATI LPN
ATI LPN Mental Health 2023 III Questions
Extract:
Question 1 of 5
A nurse is assisting in the care of a client who is in restraints following an episode of violence. Which of the following information should the nurse document in the client’s medical record? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Documentation must include nutrition/toileting (
A), range of motion (
B), less restrictive attempts (
D), and staff names (E) for safety and accountability; hourly observation (
C) is insufficient—more frequent checks are standard.
Question 2 of 5
A nurse is contributing to the plan of care for a client who has acute delirium. Which of the following interventions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Limiting decisions reduces stress in delirium clients with impaired cognition, unlike high stimulation or isolation, which can worsen symptoms.
Question 3 of 5
A nurse is caring for a client who is receiving acute care for the treatment of a substance use disorder. With which of the following actions is the nurse demonstrating the ethical principle of veracity?
Correct Answer: A
Rationale: Veracity involves truthful communication; reinforcing medication adverse effects ensures the client is fully informed, aligning with this principle.
Question 4 of 5
A nurse is collecting data from an older adult client who was admitted with heart failure. The nurse should report which of the following findings to the provider as an indication of delirium?
Correct Answer: B
Rationale: Fluctuating orientation, where alertness and confusion vary rapidly, is a hallmark of delirium, unlike the steady decline in dementia or consistent mood in depression. Obsessive behaviors may occur but aren’t specific to delirium.
Question 5 of 5
A nurse is collecting data for a health history from a client who has antisocial personality disorder. Which of the following clinical findings is associated with this disorder?
Correct Answer: B
Rationale: Exploiting others is a core ASPD trait, reflecting manipulation for gain, unlike anxiety, withdrawal, or blunted affect, which are not characteristic.