ATI LPN Mental Health 2023

Extract:

Question 1 of 5

A nurse is assisting with the involuntary admission of a client who has an anxiety disorder and is unable to meet their basic physical needs. Which of the following statements should the nurse make to the client?

A. You have the right to refuse medications prescribed during your stay. B. Your admission status allows you to leave the facility at any time. C. Your health care team will review your admission status in 90 days. D. You will automatically have a legal guardian appointed during this admission.

Correct Answer: A

Rationale: Clients who are involuntarily admitted to a psychiatric facility retain certain rights, including the right to refuse medications. This is an important part of patient autonomy and informed consent. Even though the client is involuntarily admitted, they must still be provided with information about their treatment options and have the right to make decisions about their medications unless there is a court order stating otherwise.

Question 2 of 5

A nurse is caring for a client who has delirium. Which of the following findings should the nurse expect?

A. Gradual onset B. Impaired judgment C. Difficulty swallowing D. Slowed, flat speech

Correct Answer: B

Rationale: Impaired judgment is a common finding in delirium. Clients with delirium often have fluctuating levels of consciousness, attention deficits, and disorganized thinking, all of which can contribute to poor judgment. This cognitive impairment can lead to unsafe behaviors and difficulty in making decisions.

Question 3 of 5

A nurse is collecting data from a client who reports cessation of nicotine use. Which of the following manifestations should the nurse expect? (Select all that apply.)

A. Weight gain B. Difficulty concentrating C. Diarrhea D. Restlessness E. Decreased appetite

Correct Answer: A,B

Rationale: Weight gain is a common manifestation after cessation of nicotine use due to increased appetite and caloric intake. Difficulty concentrating is another common symptom experienced during nicotine withdrawal due to the loss of nicotine's stimulant effects on the brain.

Question 4 of 5

A nurse is collecting data from a group of clients in an acute care mental health facility. For which of the following findings should the nurse be most concerned regarding individual client safety?

A. A client who has borderline personality disorder and acts impulsively B. A client who has avoidant personality disorder and becomes anxious in social situations C. A client who has dependent personality disorder and clings to nursing staff D. A client who has histrionic personality disorder and seeks constant attention

Correct Answer: A

Rationale: Clients with borderline personality disorder (BP
D) who act impulsively can be a significant safety concern. Impulsive behaviors in BPD can include self-harm, suicidal ideation, substance abuse, and other risky actions. These behaviors can pose immediate and severe threats to the client's safety and require close monitoring, intervention, and support.

Question 5 of 5

A nurse is caring for a client who has depressive disorder following the recent death of their partner. Which of the following responses should the nurse make?

A. I remember how depressed I was after my friend died. B. You should start participating in your usual activities. C. Everyone feels depressed during the grieving process. D. Tell me what your relationship with your partner was like.

Correct Answer: D

Rationale: This response opens a conversation about the client’s feelings and experiences, showing empathy and a willingness to understand their perspective. It helps build trust and rapport, allowing the nurse to provide appropriate support.

ATI LPN Mental Health 2023 | Nurselytic

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