ATI LPN
ATI Mental Health PM 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has anorexia nervosa. The client was admitted for medical stabilization due to a deteriorating condition that requires supervised refeeding. The client's weight is currently at 73% of ideal body weight. Select the three findings that require immediate follow-up:
Correct Answer: A,C,D
Rationale: Low magnesium, phosphate, and potassium levels (1.7 mg/dL, 2.5 mg/dL, 3.5 mmol/L) indicate electrolyte imbalances from malnutrition and refeeding risks, needing urgent follow-up.
Question 2 of 5
A nurse in a mental health unit is admitting a female client who has anorexia nervosa. The admission vital signs are as follows: Heart rate 52/min
Correct Answer: C
Rationale: Blood pressure of 84/50 mm Hg indicates hypotension, a critical issue in anorexia nervosa due to low blood volume, requiring immediate attention over bradycardia or hypothermia.
Question 3 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 4 of 5
A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose? (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: Desired dose (300 mg) divided by capsule strength (150 mg) equals 2 capsules per dose, rounded to the nearest whole number.
Extract:
A nurse in a mental health facility is assessing a client.
• The client has a medical history of major depressive disorder for 20 years, anxiety
disorder, suicide ideation during teenage years, and psychotherapy for the past 10 years
with a therapist.
• The client's mother committed suicide when the client was 25 years of age, and the
father died of heart disease 10 years ago.
• The client has a history of alcohol misuse, attended in-patient rehabilitation 4 years ago
with no alcohol use since that time.
• The nurse notes indicate good physical health with no reported morbidities
Question 5 of 5
For each client assessment finding, specify if the finding is a potential risk for suicide or a protective factor against suicide
Correct Answer:
Rationale: Mental health support, good physical health, and support systems protect; family suicide history and lethal means increase risk; past alcohol misuse mitigated by abstinence.