ATI LPN
ATI LPN Mental Health Level 4 Exam Questions
Extract:
Question 1 of 5
A nurse is assisting with the plan of care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse recommend to include?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Seclusion is not generally recommended for mania unless necessary for safety; it may increase feelings of isolation. Group activities are often not recommended for clients in the manic phase, as they may become overstimulated and disruptive. A stimulating environment may increase hyperactivity and agitation. Short rest periods are recommended for clients in a manic state to help manage their energy levels and prevent exhaustion.
Question 2 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.
Question 3 of 5
If a silence is heard between sounds when auscultating blood pressure, it is termed a(n)
Correct Answer: C
Rationale: The correct answer, indicated as C.
Rationale: A pulse deficit refers to a condition where there is a difference between the radial and apical pulse rates, not a phenomenon heard during blood pressure measurement. Diastolic pressure is the point at which sounds fade away or become muffled, but the silence between sounds refers to a different concept, not the actual diastolic pressure. An auscultatory gap is the term used to describe a silent interval between the systolic and diastolic sounds during blood pressure measurement. This can lead to inaccurately low readings if not identified. A widened pulse pressure refers to a larger-than-normal difference between systolic and diastolic pressure, which is not related to the auscultatory silence.
Question 4 of 5
A nurse in an acute mental health unit is assisting with the admission of a client who has bipolar disorder. Which of the following findings indicates that the client is experiencing acute mania?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Disorganized speech is a symptom of acute mania, where the client may speak rapidly and jump from one topic to another. Auditory hallucinations (hearing voices) are not typical of acute mania; they are more commonly associated with psychosis or schizophrenia. Dressing in all black is not indicative of acute mania and could be a sign of depression. Weight gain is not a symptom of acute mania. Instead, it may be related to other factors such as medications or depression.
Question 5 of 5
A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Telling parents not to talk about the attempt may reflect withdrawal or denial but does not necessarily indicate ongoing suicidal intent. Giving away personal possessions, such as a CD collection, is a common behavior in adolescents with suicidal intent, as they may believe they won't need these items in the future. Wanting to spend more time with peers than parents could indicate normal adolescent development, rather than a sign of suicidal intent. Preferring to eat meals while watching TV is not a concerning behavior in the context of suicide risk.