ATI LPN Mental Health 2023

Extract:

Question 1 of 4

A nurse is caring for a client who has agreed to a verbal safety contract following a self-mutilation attempt. Which of the following behaviors indicates that the contract has been effective?

A. The client goes to their room alone when they feel overwhelmed. B. The client displaces their feelings of self-harm until they talk to the provider. C. The client suppresses their feelings when they are angry. D. The client notifies the nurse when they want to harm themselves.

Correct Answer: D

Rationale: Notifying the nurse when they want to harm themselves is a clear indication that the safety contract has been effective. The client is following the agreed-upon plan to seek help and communicate their feelings of self-harm, which is the primary goal of the safety contract. This behavior demonstrates that the client is taking steps to ensure their safety and seeking support from healthcare providers.

Question 2 of 4

A nurse is reinforcing teaching with a client about naltrexone. Which of the following statements by the client indicates an understanding of the teaching?

A. I will not experience alcohol withdrawal if I take this medication. B. The medication will allow me to gradually decrease my alcohol intake. C. If I drink alcohol with this medication, I will experience ringing in my ears. D. Taking this medication will reduce my cravings for alcohol.

Correct Answer: D

Rationale: This statement accurately reflects one of the primary effects of naltrexone. The medication helps reduce cravings for alcohol, making it easier for individuals to maintain abstinence and avoid relapse. By understanding this aspect of naltrexone, the client demonstrates a clear understanding of its purpose and use in alcohol dependence treatment.

Question 3 of 4

A nurse is collecting data from a client who is taking amitriptyline. Which of the following findings should the nurse report to the provider as an adverse effect of the medication?

A. A systolic blood pressure decrease of 15 mm Hg after standing B. Hypersalivation C. Tinnitus D. A weight loss of 3.6 kg (8 lb) over a 6-month time period

Correct Answer: A

Rationale: A decrease in systolic blood pressure of 15 mm Hg after standing could indicate orthostatic hypotension, which is a known adverse effect of amitriptyline. Orthostatic hypotension can lead to dizziness, lightheadedness, and falls, posing a significant risk to the patient's safety. Reporting this finding to the provider is crucial for assessing the need for dosage adjustments or alternative treatments.

Question 4 of 4

A nurse is assisting in the care of an adolescent who states

A. I hate living at home. It's impossible to please my parents. Which of the following responses should the nurse make? B. Your parents care for you and want what's best for you. C. Let's talk about your relationship with your parents. D. Why do you think your parents are hard to please? E. Things will get better as time goes on.

Correct Answer: B

Rationale: This response opens up a conversation about the adolescent's feelings and experiences regarding their relationship with their parents. It shows empathy and a willingness to understand the adolescent's perspective, which can help build trust and rapport. By exploring the relationship, the nurse can gather more information and provide appropriate support and guidance.

Question 5 of 4

A nurse is reinforcing teaching with a client who is to receive electroconvulsive therapy. Which of the following statements should the nurse include in the teaching?

A. You will be given an opioid analgesic before the procedure. B. Expect to be confused several hours after the procedure. C. You cannot eat or drink for 24 hours before the procedure. D. A consent form is not required to have this procedure.

Correct Answer: B

Rationale: Confusion and temporary memory loss are common side effects immediately following ECT. Clients should be informed to expect these cognitive effects, which can last for a few hours to days. Educating the client about these side effects helps prepare them for what to expect post-procedure and ensures they have appropriate support during their recovery period.

ATI LPN Mental Health 2023 | Nurselytic

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ATI LPN

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