ATI LPN
ATI PN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has depression and reports only sleeping a few hours each night. Which of the following instructions should the nurse give the client to promote sleep?
Correct Answer: C
Rationale: Limiting caffeine reduces sleep interference. Eating late (
A) causes discomfort, wine (
B) disrupts REM sleep, and napping (
D) affects nighttime rest.
Question 2 of 5
A nurse is caring for a newly admitted client who has obsessive-compulsive disorder. Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: Explaining response prevention, part of ERP therapy, targets OCD directly and is a priority. Medication (
B) and relaxation (
C) are secondary, and assessment (
D) follows intervention planning.
Question 3 of 5
A nurse is caring for a client who is receiving acute care for the treatment of a substance use disorder. With which of the following actions is the nurse demonstrating the ethical principle of veracity?
Correct Answer: B
Rationale: Veracity involves truth-telling; reinforcing medication adverse effects ensures informed decisions. A is beneficence, C is autonomy, and D is confidentiality.
Question 4 of 5
A nurse is reinforcing teaching about a new prescription for haloperidol with a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?
Correct Answer: D
Rationale: Photosensitivity is a haloperidol side effect; this shows understanding. Tinnitus (
A), incontinence (
B), and metallic taste (
C) are not typical.
Extract:
Nurses’ Notes
Admission:
• Gastrointestinal upset
• Uncoordinated gait
• Client fell asleep during assessment
12 hr later:
• Client reports blurred vision
• Pale, dry mucous membranes
• Urine output 40 mL/hr
Medical History
• History of bipolar disorder
• Water toxicity
Vital Signs
Admission:
• Temperature 37.7°C (99.9°F)
• Respiratory rate 18/min
• Pulse rate 84/min
• BP 130/84 mmHg
12 hr later:
• Temperature 37°C (98.6°F)
• Respiratory rate 16/min
• Pulse rate 96/min
• BP 88/50 mm Hg
Diagnostic Results
Admission:
• Lithium level 1.8 mEq/L (less than 1.5 mEq/L)
• Glucose level 90 mg/dL (74 to 106 mg/dL)
• Sodium 133 mEq/L (135 to 145 mEq/L)
12 hr later:
• Lithium level 1.2 mEq/L (less than 1.5 mEq/L)
• Glucose level 80 mg/dL (74 to 106 mg/dL)
• Sodium 134 mEq/L (135 to 145 mEq/L)
Question 5 of 5
The nurse is collecting data from the client 12 hr. later. How should the nurse interpret the following findings? For each potential finding, specify whether the finding is an indication of potential improvement or an indication of potential worsening condition.
| Options | indication of potential improvement | indication of potential worsening condition |
|---|---|---|
| Vital signs | ||
| Mucous membranes | ||
| Vision | ||
| Lithium level | ||
| Urine output |
Correct Answer:
Rationale: Low vital signs (
A), dry membranes (
B), and blurred vision (
C) suggest worsening (dehydration/toxicity). Lower lithium (
D) and normal urine (E) indicate improvement.