ATI LPN
ATI LPN Mental Health Level 4 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has major depressive disorder and has experienced a recent loss. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: While crying may be a normal expression of grief, determining the client’s stage of grief is more important for assessing the client’s emotional needs. Determining the client’s stage of grief is the first step to understanding the client’s emotional state and providing appropriate support. Encouraging expression is important, but first, understanding the client’s grief stage will guide the intervention. Spiritual support is valuable, but first, understanding the client’s emotional response is necessary before offering this type of assistance.
Question 2 of 5
A nurse is reinforcing discharge teaching with a client who has several new prescriptions for psychotropic medications. The client tells the nurse that she has always had trouble following a medication regimen. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Telling the client to 'work hard' to stay on schedule does not address the underlying difficulty with medication adherence. Saying not to worry about past issues may minimize the client's concerns and challenges. Asking 'why' the client finds it difficult to take medications might not encourage open communication and could make the client feel judged. Collaborating with the client to create a schedule that is convenient and achievable increases the likelihood of adherence and fosters a sense of control and partnership.
Question 3 of 5
A nurse is assisting with planning of care for a client following a suicide attempt. Which of the following interventions is an appropriate suicide precaution?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Assigning a private room may increase isolation, which is not conducive to a therapeutic environment. Tucking bedcovers over the client’s hands and arms could be a restrictive action, not appropriate for suicide prevention. Removing utensils is not necessary unless the client has direct access to harmful objects. Inspecting personal belongings ensures that the client does not have items that could be used for self-harm, which is a key suicide precaution.
Question 4 of 5
A nurse is collecting data from a client who has histrionic personality disorder. Which of the following characteristics should the nurse expect?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: People with histrionic personality disorder do not have difficulty identifying with the feelings of others; instead, they seek attention through dramatic or exaggerated behavior. A person with histrionic personality disorder does not typically view themselves as inferior. They tend to overvalue their attractiveness and seek admiration. Manipulating others for personal gain is more characteristic of narcissistic personality disorder, not histrionic personality disorder. Clients with histrionic personality disorder often use physical appearance and behavior to draw attention to themselves. This is a key characteristic of the disorder.
Question 5 of 5
A nurse is collecting data on a client and finds that Ari is always manic but has had one depressive episode in the last year. Which of the following diagnosis should the nurse suspect?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Bipolar type is not a specific classification; the nurse needs to differentiate between bipolar I and II. Bipolar type I involves manic episodes that last for at least a week or require hospitalization, with possible depressive episodes. The presence of a depressive episode confirms bipolar type I. Bipolar mixed refers to simultaneous symptoms of both mania and depression, which is not described here. Anxiety is unrelated to the symptoms described.