ATI LPN Mental Health 2023

Extract:

Question 1 of 5

A nurse is caring for a client who has delirium. Which of the following findings should the nurse expect?

A. Gradual onset B. Impaired judgment C. Difficulty swallowing D. Slowed, flat speech

Correct Answer: B

Rationale: Impaired judgment is a common finding in delirium. Clients with delirium often have fluctuating levels of consciousness, attention deficits, and disorganized thinking, all of which can contribute to poor judgment. This cognitive impairment can lead to unsafe behaviors and difficulty in making decisions.

Question 2 of 5

A nurse is collecting data from a client who reports cessation of nicotine use. Which of the following manifestations should the nurse expect? (Select all that apply.)

A. Weight gain B. Difficulty concentrating C. Diarrhea D. Restlessness E. Decreased appetite

Correct Answer: A,B

Rationale: Weight gain is a common manifestation after cessation of nicotine use due to increased appetite and caloric intake. Difficulty concentrating is another common symptom experienced during nicotine withdrawal due to the loss of nicotine's stimulant effects on the brain.

Question 3 of 5

A nurse is collecting data from a group of clients in an acute care mental health facility. For which of the following findings should the nurse be most concerned regarding individual client safety?

A. A client who has borderline personality disorder and acts impulsively B. A client who has avoidant personality disorder and becomes anxious in social situations C. A client who has dependent personality disorder and clings to nursing staff D. A client who has histrionic personality disorder and seeks constant attention

Correct Answer: A

Rationale: Clients with borderline personality disorder (BP
D) who act impulsively can be a significant safety concern. Impulsive behaviors in BPD can include self-harm, suicidal ideation, substance abuse, and other risky actions. These behaviors can pose immediate and severe threats to the client's safety and require close monitoring, intervention, and support.

Question 4 of 5

A nurse is caring for a client who has depressive disorder following the recent death of their partner. Which of the following responses should the nurse make?

A. I remember how depressed I was after my friend died. B. You should start participating in your usual activities. C. Everyone feels depressed during the grieving process. D. Tell me what your relationship with your partner was like.

Correct Answer: D

Rationale: This response opens a conversation about the client’s feelings and experiences, showing empathy and a willingness to understand their perspective. It helps build trust and rapport, allowing the nurse to provide appropriate support.

Question 5 of 5

A nurse is caring for a client who is combative and requires wrist restraints. Which of the following actions should the nurse take?

A. Use a quick-release tie to restrain the client. B. Renew the restraint prescription every 48 hr. C. Attach the restraints to the side rail of the client's bed. D. Maintain 1 fingerbreadth between the restraint and the client's skin.

Correct Answer: A

Rationale: Using a quick-release tie for restraints ensures that the nurse can quickly and easily release the client in case of an emergency. Quick-release ties are designed to provide safety and convenience, allowing healthcare providers to promptly respond to the client's needs without compromising safety.

ATI LPN Mental Health 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN