ATI LPN
ATI LPN Mental Health Exam II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has been brought into an emergency department of a large hospital. The client's family state that the client "took some kind of drugs." The client is dizzy has recently vomited and is experiencing paranoia yelling "Stay away from me! You are going to kill me!" The client alternates yelling with mumbling and gesturing. Their eyes are darting back and forth as they are talking to the wall. The nurse should suspect the client has used which of the following substances?
Correct Answer: C
Rationale: Hallucinogens like LSD cause paranoia, visual hallucinations, and erratic behavior, matching the client’s symptoms. Stimulants cause agitation, opioids depress the system, and steroids don’t induce hallucinations.
Question 2 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following defense mechanisms is commonly used by clients who have this disorder and has the potential to create division amongst the healthcare team?
Correct Answer: A
Rationale: Splitting, viewing people as all good or bad, is common in borderline personality disorder and can divide healthcare teams. Other mechanisms don’t typically cause such conflict.
Question 3 of 5
A nurse on an inpatient mental health unit is assisting with the care of a client who is experiencing panic level anxiety. Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Depersonalization, feeling detached from reality, is typical in panic-level anxiety. Voice tremors, shakiness, and poor concentration occur in milder anxiety states.
Question 4 of 5
Which of the following phases of Selye's General Adaptation Syndrome (GAS) reflects a nurse's ability to successfully perform duties during a prolonged period of stress lasting weeks to months without any indication of observable impairment?
Correct Answer: C
Rationale: The resistance phase allows sustained performance under prolonged stress without impairment. Exhaustion leads to burnout, alarm is short-term, and adaptive phase isn’t part of GAS.
Question 5 of 5
A nurse is caring for a client who screams "I can read your minds!" The nurse should identify this finding as a manifestation of which of the following personality disorders?
Correct Answer: D
Rationale: Schizotypal personality disorder includes magical thinking, like believing one can read minds. Paranoid involves suspicion, antisocial lacks empathy, and avoidant shows social fear.