ATI LPN
ATI LPN Mental Health Level 4 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client in a manic state of her Bipolar disorder. The client is dancing around the dayroom of the inpatient lounge. When she twirled her skirt it was obvious she was not wearing any underwear. The nurse enters the area and distracts her. She takes her to her room to put on underwear. Why did the nurse take this action?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: The nurse’s primary concern is preventing the client from embarrassing herself due to the impulsive and disinhibited behaviors typical of a manic episode. There is no indication that dancing is prohibited; the issue is with inappropriate behavior. The focus of the action is not on sexual behavior but on ensuring the client is appropriately dressed in a social setting. Following policy is important, but the nurse’s action is more about protecting the client from social embarrassment.
Question 2 of 5
A nurse is reinforcing teaching with the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Medication compliance is important but does not address the most immediate concerns for individuals with borderline personality disorder, such as self-harm. Awareness of the potential for self-harm is the priority because individuals with borderline personality disorder often engage in self-destructive behaviors. Resources for group therapy in the community are valuable but secondary to ensuring immediate safety. Insurance coverage is important but not urgent compared to the immediate need for safety and awareness of self-harm risks.
Question 3 of 5
A nurse is preparing to administer clonazepam 1 mg PO. Available is clonazepam 0.5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: The correct answer, indicated as 2.
Rationale: The nurse needs to administer 1 mg of clonazepam, and since each tablet is 0.5 mg, the nurse should give 2 tablets to provide the correct dose. Calculation: 1 mg / 0.5 mg per tablet = 2 tablets.
Question 4 of 5
A nurse is caring for a client who is unable to make any decisions for themself and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Schizoid personality disorder involves detachment from social relationships, not an excessive need for reassurance. Dependent personality disorder is characterized by a pervasive need to be taken care of, resulting in submissive behavior and difficulty making decisions. Avoidant personality disorder involves social inhibition and fear of criticism, not the need for constant reassurance. Antisocial personality disorder involves disregard for the rights of others, rather than a need for constant reassurance.
Question 5 of 5
A nurse assisting in the care of a client who has a mood disorder. Which of the following client statements by the client indicates readiness for discharge?
Correct Answer: C
Rationale: The correct answer, indicated as C.
Rationale: This statement suggests dependency and a lack of readiness to take responsibility for self-care. While family support is important, the client should be able to demonstrate some level of independence for discharge readiness. Taking medications as prescribed and knowing who to contact in case of suicidal thoughts shows insight and preparedness for discharge. This statement reflects avoidance and a lack of motivation, indicating that the client is not yet ready for discharge.