ATI LPN
ATI Mental Health PM 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a 19-year-old client in the emergency department who reports passing out while at school. The vital signs are as follows: BP 84/48 mm Hg, Pulse rate 48/min, Respiratory rate 16/min, Temperature 36.4° C (97.5 F). A nurse is assessing the client for manifestations of anorexia nervosa.Which of the following findings should the nurse expect?
Correct Answer: A,B,D,E
Rationale: Brittle hair, lanugo, food preoccupation, and fatigue are expected in anorexia nervosa due to malnutrition and psychological focus, unlike self-perceived thinness.
Question 2 of 5
A nurse is assessing a client who has bipolar disorder and is taking lithium. Which of the following findings should the nurse report to the provider as an indication of lithium toxicity?
Correct Answer: A
Rationale: Blurred vision indicates lithium toxicity (levels >1.5 mEq/L), a serious symptom requiring immediate reporting, unlike fine tremors or thirst, which are common side effects.
Question 3 of 5
A nurse is assessing a client who has a new diagnosis of anorexia nervosa. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Bradycardia, a slow heart rate, is expected in anorexia nervosa as the body conserves energy due to malnutrition, unlike hyperactive bowels or hypertension.
Question 4 of 5
A client with paranoid schizophrenia believes evil spirits are being summoned by a local minister and verbally threatens to bomb a local church. The psychiatric nurse notifies the local minister. The psychiatric nurse has:
Correct Answer: C
Rationale: Notifying the minister fulfills the duty to warn and protect, a legal and ethical obligation to prevent harm when a credible threat is made, superseding confidentiality.
Question 5 of 5
A nurse is caring for a client who requires a crisis intervention for acute anxiety. Which of the following actions should be the nurse's highest priority?
Correct Answer: A
Rationale: Protecting the client from injury addresses the imminent risk of harm due to impaired decision-making and physiological agitation in acute anxiety, prioritizing safety above other interventions.