ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is caring for a client who becomes verbally abusive when the nurse enters her room. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Maintain eye contact until the behavior stops. Maintaining eye contact can be perceived as confrontational and may escalate the situation. Tell the client her behavior is disappointing. Telling the client her behavior is disappointing is judgmental and not therapeutic. Punish the client for the behavior. Punishing the client is not appropriate or therapeutic. Leave the client's room. Leaving the room can help de-escalate the situation by removing the immediate trigger for the client's anger.
Question 2 of 5
A nurse is caring for a client who recently had surgery for the insertion of a permanent pacemaker. Which of the following prescriptions should the nurse question?
Correct Answer: C
Rationale: MRI’s magnetic fields can interfere with pacemakers unless MRI-safe, making it questionable post-insertion. Low sodium (
A) manages fluid, enzyme levels (
B) check heart damage, and PT (
D) aids recovery—all appropriate. MRI poses a safety risk.
Question 3 of 5
A nurse is reinforcing teaching with a client who has peripheral vascular disease. Which of the following instructions should the nurse include in the teaching?
Correct Answer: A
Rationale: Walking improves circulation and promotes collateral vessel growth in peripheral vascular disease (PV
D), reducing claudication. While compression stockings, leg elevation, and morning shoe shopping are beneficial, the document specifies A as correct, emphasizing walking’s direct circulatory benefit. Stockings reduce edema, elevation aids venous return, and morning shopping prevents fit issues from swelling, but walking is foundational.
Question 4 of 5
A nurse is collecting data from a client who has venous insufficiency. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: Pitting edema is a hallmark of venous insufficiency due to fluid leakage from high venous pressure. Thickened toenails (
A) are fungal-related, shiny skin (
B) and dusky color (
C) indicate arterial insufficiency. Edema reflects venous stasis.
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: A
Rationale: Planning to give his CD collection to his girlfriend: Giving away prized possessions is a common warning sign of suicidal intent, indicating that the person is preparing for their absence. Preferring to eat his meals while watching TV: This behavior is relatively normal and does not necessarily indicate suicidal intent. Stating that he wants to be with his peers more than with his parents: Wanting to spend time with peers is typical for adolescents and does not specifically indicate suicidal intent. Telling his parents that he doesn't want to talk about the attempt: Not wanting to discuss the attempt could be due to embarrassment, guilt, or other reasons, but it is not as direct an indicator of ongoing suicidal intent as giving away possessions.