ATI LPN Mental Health 2023 III

Extract:

Question 1 of 5

A nurse is assisting with the care of a client who has dementia. Which of the following actions should the nurse take?

A. Repeat orientation questions until the client gives a correct response. B. Make a personal introduction to the client at each interaction. C. Give the client a list of foods to choose from for dinner. D. Provide the client with a dark environment for sleeping.

Correct Answer: B

Rationale: Reintroducing oneself each time aids recognition in dementia clients with memory deficits, reducing confusion, unlike repetitive questioning or overwhelming choices.

Question 2 of 5

A nurse is reviewing the medical record of a client who is to receive electroconvulsive therapy. The nurse should notify the provider for which of the following findings?

A. Cardiac arrhythmia B. Crohn’s disease C. Asthma D. Renal colic

Correct Answer: A

Rationale: Cardiac arrhythmias pose a risk during ECT due to cardiovascular effects of stimulation, requiring stabilization before proceeding, unlike the other conditions.

Question 3 of 5

A nurse is caring for an adolescent who was recently sexually assaulted. Which of the following statements by the adolescent’s guardian represents the presence of a positive support system?

A. I can encourage my child to think about what they did that allowed this event to happen. B. I should encourage my child to focus solely on the future. C. I will have to do all I can to monitor my child’s relationships. D. I anticipate that my child will feel some self-blame.

Correct Answer: D

Rationale: Acknowledging potential self-blame shows empathy and readiness to support, unlike blaming, future-only focus, or overcontrol, which lack supportiveness.

Question 4 of 5

A nurse is providing information to a client about smoking cessation. Which of the following medications should the nurse include?

A. Risperidone B. Bupropion C. Aripiprazole D. Quetiapine

Correct Answer: B

Rationale: Bupropion is FDA-approved for smoking cessation, reducing cravings and withdrawal, unlike antipsychotics like risperidone, aripiprazole, or quetiapine.

Question 5 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?

A. You must be mistaken. Snakes cannot be in the clinic. B. Your provider requires this blood specimen. C. I’m using a syringe to obtain your blood, not a snake. D. I don’t see a snake, but that must be scary for you.

Correct Answer: D

Rationale: Validating the client’s fear while gently correcting the hallucination builds trust and reduces distress, unlike dismissal or focus on procedure alone.

ATI LPN Mental Health 2023 III | Nurselytic

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ATI LPN

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