ATI LPN
ATI LPN Mental Health Exam V Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has psychosis and is prescribed chlorpromazine. The client reports feelings of restlessness. The nurse should identify that the client should be monitored for which of the following adverse effects?
Correct Answer: D
Rationale: Restlessness suggests akathisia, which can precede oculogyric crisis with chlorpromazine. Shuffling, suicidal thoughts, and tardive dyskinesia are less acute.
Question 2 of 5
A nurse is caring for a client who has schizophrenia. Which of the following findings indicates that the client is in the prodromal phase?
Correct Answer: C
Rationale: Withdrawn behavior marks the prodromal phase. Incoherent speech, delusions, and hallucinations indicate active psychosis.
Question 3 of 5
A nurse is caring for a client who has psychosis and is prescribed chlorpromazine. The client reports feelings of restlessness. The nurse should identify that the client should be monitored for which of the following adverse effects?
Correct Answer: D
Rationale: Restlessness suggests akathisia, which can precede oculogyric crisis with chlorpromazine. Shuffling, suicidal thoughts, and tardive dyskinesia are less acute.
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 4 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.
Extract:
Question 5 of 5
A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?
Correct Answer: B
Rationale: Childhood physical abuse can normalize aggression. Fishing, parental abuse history, and occasional drinking are less directly linked.