ATI LPN
ATI LPN Mental Health Exam V Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkept and unbathed. Which of the following statements should the nurse make to the client?
Correct Answer: C
Rationale: Offering a clear directive with a simple choice promotes hygiene and autonomy, suitable for schizophrenia clients. Ignoring, confronting, or forcing can harm trust or escalate resistance.
Question 2 of 5
A nurse is assisting with a presentation about types of aggression to a group of residents at a community outreach center. One of the attendees states "I keep seeing the same person outside my apartment and they are leaving me items at my door." Which of the following types of aggression should the nurse identify the client is experiencing?
Correct Answer: B
Rationale: Repeated surveillance and leaving items indicate stalking. Bullying is social intimidation, assault is physical, and abandonment is neglect.
Question 3 of 5
A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?
Correct Answer: B
Rationale: Lithium toxicity at 1.6 mEq/L causes neurological symptoms like blurred vision and tremors. Fever, tardive dyskinesia, and GI issues are less specific.
Question 4 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.
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 5 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.