ATI LPN
ATI LPN Mental Health Exam V Questions
Extract:
History and Physical
Week 1:
Client had open heart surgery 1 month ago. Had multiple cardiac surgeries prior to recent surgery.
History of:
Coronary artery disease
Hypertension
Hyperlipidemia
Type 2 diabetes mellitus
Anxiety
Somatic symptom disorder
Chronic back pain for 10 years
Nurses' Notes
Week 1:
Client reports feelings of anxiety and increased back pain. Client had open heart surgery 1 month ago. "Since I have had the surgery, I feel depressed."
Week 2:
Client reports fixation on health condition and inability to sleep. Client states, "I don't think the surgery helped. I still am short of breath and don't feel any better. I feel anxious and sick to my stomach. I think there is something wrong with me the doctor hasn't found yet."
Question 1 of 5
A nurse is caring for a client in an outpatient clinic. Exhibits: Select the 3 interventions the nurse should plan to take.
Correct Answer: B,C,E
Rationale: Helping distinguish anxiety from symptoms, providing relief, and suggesting tests address somatic concerns without dismissal. Positive thinking, denial, or lengthy exams are less effective.
Extract:
Question 2 of 5
A nurse is caring for a client who has a serious mental illness and has developed tardive dyskinesia from anti-psychotic medication use. Which of the following adverse effects from anti-psychotic medication use would be expected for the client?
Correct Answer: D
Rationale: Tardive dyskinesia causes involuntary facial movements like lip smacking. Nausea, hallucinations, and seizures are unrelated.
Question 3 of 5
A nurse is caring for a client who states "When I get in the car to drive to work in the morning my hands go numb. It is to the point where I can't grip the steering wheel." Which of the following conditions is the client likely experiencing?
Correct Answer: C
Rationale: Functional neurological symptom disorder causes involuntary neurological symptoms like numbness from stress. Amnesia affects memory, depersonalization involves detachment, and factitious involves intentional symptoms.
Question 4 of 5
A newly licensed nurse asks the charge nurse about functional neurological symptom disorder. Which of the following responses should the charge nurse make?
Correct Answer: D
Rationale: Symptoms worsen with stress and are involuntary, unlike conscious control, multiple personalities, or depersonalization.
Question 5 of 5
A nurse is speaking with a client who experienced physical assault. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Letting the client control the conversation fosters safety and autonomy. Insisting, touching, or questioning can overwhelm or retraumatize.