Questions 43

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ATI LPN Test Bank

ATI PN Mental Health Chamberlain 2023 Questions

Extract:


Question 1 of 5

A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: One-to-one observation (
D) ensures safety post-suicide attempt.
Toxicology (
A), scale (
B), and contract (
C) follow safety.

Question 2 of 5

A nurse is assisting in a group therapy meeting and is sharing a humorous story unrelated to anyone in the group. When the group laughs at the story, a client who has schizophrenia jumps up and runs out while yelling 'You are all making fun of me!' Which of the following behaviors is this client displaying?

Correct Answer: A

Rationale: Ideas of reference (
A) involve misinterpreting events as personal. Grandeur (
B) is inflated self-worth, somatic (
C) bodily delusions, and erotomania (
D) romantic delusions.

Question 3 of 5

A nurse is reinforcing teaching with a female client who is prescribed chlorpromazine. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer: A

Rationale: Chlorpromazine’s anticholinergic effects can cause urinary retention, requiring prompt reporting (
A). Menstrual changes (
B), breast atrophy (
C), and reduced infection risk (
D) are not typical effects.

Question 4 of 5

A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?

Correct Answer: D

Rationale: One-to-one observation (
D) ensures safety post-suicide attempt.
Toxicology (
A), scale (
B), and contract (
C) follow safety.

Question 5 of 5

A nurse in an acute care mental health facility is caring for a client who has major depression and states, 'Everyone will be much better off when I’m gone.' Which of the following actions should the nurse take first?

Correct Answer: C

Rationale: Constant supervision (
C) ensures immediate safety for suicidal ideation. Medication (
A) and informing the provider (
B) follow after securing safety.

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