ATI LPN
ATI LPN Mental Health Exam II Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for a client who has been diagnosed with schizophrenia and appears confused and has distortions in their thinking and speech patterns. Which of the following is the priority nursing intervention for this client?
Correct Answer: A
Rationale: Ensuring safety and providing reassurance addresses the immediate risk of harm due to confusion and distorted thinking, which is the priority. Group activities may overwhelm the client, PRN medications require assessment first, and distraction does not address acute distress.
Question 3 of 5
A nurse is reinforcing teaching with a client about avoiding foods with tyramine. The client states "Thank you for all of this information but it's just not for me. I eat what I want when I want it." Which of the following stages of change is the client demonstrating?
Correct Answer: D
Rationale: The client’s dismissal reflects precontemplation, showing no intent to change. Preparation and contemplation involve planning or considering change, and action involves active steps.
Question 4 of 5
A nurse manager and a newly licensed nurse are engaged in an interview with a client. The newly licensed nurse tells the client,"You look like my sister. I love my sister and would do anything for her." Which of the following actions should the nurse manager take?
Correct Answer: D
Rationale: The nurse’s statement crosses professional boundaries by personalizing the relationship, risking objectivity. Reassigning the nurse prevents further issues, as the comment does not build trust, assess comfort, or demonstrate professionalism.
Question 5 of 5
A nurse is reviewing laboratory results for a client and notes a serum lithium level of $1.6 \mathrm{mEq} / \mathrm{L}$. Which of the following manifestations should the nurse expect the client to report?
Correct Answer: B
Rationale: A lithium level of $1.6 \mathrm{mEq} / \mathrm{L}$ indicates mild to moderate toxicity, typically causing gastrointestinal issues like nausea and neurological symptoms like poor coordination. Lip smacking relates to tardive dyskinesia, blurred vision and jerking movements occur in severe toxicity, and fever with blood pressure changes suggest other conditions.