ATI LPN
ATI PN Mental Health 2023 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,C,D,E
Rationale: All are required: range of motion (
A) prevents harm, nutrition/toileting (
B) meets needs, less restrictive attempts (
C) show justification, hourly observation (
D) ensures safety, and staff names (E) ensure accountability.
Question 2 of 5
A nurse is caring for a client who has a depressive disorder following the recent death of their partner. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Inviting the client to share fosters therapeutic processing of grief. A dismisses uniqueness, C shifts focus, and D pushes prematurely.
Question 3 of 5
A nurse in a mental health facility is collecting a blood specimen from a client. The client is hallucinating and states, 'That looks like a snake, and I won’t let it take all of my blood.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: This empathetic response validates the client’s fear without reinforcing the hallucination, building trust. A dismisses the client’s state, B risks escalation by invalidating perception, and D denies the experience, potentially increasing distrust.
Question 4 of 5
A nurse is reinforcing teaching with a client who has bipolar disorder and has a new prescription for lithium. To address possible adverse effects, the nurse should include that which of the following laboratory values will be monitored while the client is taking this medication?
Correct Answer: C
Rationale: Lithium can elevate uric acid, risking gout, requiring monitoring. Sodium (
A) affects lithium levels but isn’t primary, liver (
B) isn’t key, and ESR (
D) is unrelated.
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 core to ASPD. Anxiety (
A), blunted affect (
C), and withdrawal (
D) align with other disorders.