ATI LPN
ATI LPN Mental Health Level 4 Exam Questions
Extract:
Question 1 of 5
A nurse is assisting with planning of care for a client following a suicide attempt. Which of the following interventions is an appropriate suicide precaution?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Assigning a private room may increase isolation, which is not conducive to a therapeutic environment. Tucking bedcovers over the client’s hands and arms could be a restrictive action, not appropriate for suicide prevention. Removing utensils is not necessary unless the client has direct access to harmful objects. Inspecting personal belongings ensures that the client does not have items that could be used for self-harm, which is a key suicide precaution.
Question 2 of 5
A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer, indicated as C.
Rationale: Asking why the client doesn't see the value of treatment is confrontational and dismisses the client's experience. Suggesting a group home without addressing the client's personal goals or preferences could be perceived as dismissive. While complete symptom resolution is not guaranteed, focusing on improving the client's quality of life and continuing treatment is more realistic and supportive. The medical model of recovery emphasizes symptom management, but suggesting it works to eliminate all symptoms may be overly optimistic for someone with schizophrenia.
Question 3 of 5
In 2020 Mai had recurrent depressive episodes with recurrent hypomanic episodes. Which of the following is the appropriate diagnosis for this client?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Major depressive disorder does not include hypomanic episodes, which are a key feature of bipolar II disorder. Bipolar type II is characterized by recurrent depressive episodes and hypomanic episodes, as described. Bipolar mixed refers to simultaneous symptoms of both mania and depression, which is not indicated here. Bipolar type I involves manic episodes, which are not mentioned in this scenario.
Question 4 of 5
A nurse is contributing to the plan of care for a client who has severe depression following the loss of her spouse. When identifying client goals, which of the following goals should the nurse identify as the highest priority?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Identifying positive qualities about oneself is important but is not the immediate priority in someone at risk for self-harm. Contacting a staff member when the client feels she might hurt herself is the priority, as it directly addresses the risk of harm and safety. Identifying a reachable goal for the future is important but secondary to addressing immediate safety concerns. Identifying her position in the grief process can be helpful but does not address the most immediate concern, which is her safety.
Question 5 of 5
A nurse is reinforcing discharge teaching with a client who has several new prescriptions for psychotropic medications. The client tells the nurse that she has always had trouble following a medication regimen. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Telling the client to 'work hard' to stay on schedule does not address the underlying difficulty with medication adherence. Saying not to worry about past issues may minimize the client's concerns and challenges. Asking 'why' the client finds it difficult to take medications might not encourage open communication and could make the client feel judged. Collaborating with the client to create a schedule that is convenient and achievable increases the likelihood of adherence and fosters a sense of control and partnership.