ATI LPN
ATI LPN Mental Health Exam II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has schizophrenia. The client suddenly moves to the corner of the room and shouts,"Get it away from me! Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Asking the client to describe the hallucination assesses its nature and guides interventions without dismissing their experience. Denying the hallucination, touching without consent, or removing them may escalate distress.
Question 2 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 3 of 5
The nurse is assisting in the care of a client who is hyperactive pacing down the hallway and exhibiting poor concentration during group therapy. When collecting data the nurse should identify that which of the following is characteristic of the client's manifestations?
Correct Answer: D
Rationale: Hyperactivity, pacing, and poor concentration are hallmarks of mania, reflecting elevated mood and energy. Depression involves low energy, delusions are false beliefs, and hallucinations are sensory distortions.
Question 4 of 5
A nurse is caring for a client who has avoidant personality disorder. Which of the following types of therapy should the nurse anticipate for the client?
Correct Answer: C
Rationale: Interpersonal therapy improves social skills and self-esteem in avoidant personality disorder. Dialectical behavior therapy targets borderline issues, and medications aren’t primary treatments.
Question 5 of 5
A nurse manager is reviewing a recent client report related to a staff nurse. Which of the following behaviors by a nurse at work might be red flags for a substance use disorder?
Correct Answer: C
Rationale: Behaviors like avoiding witnesses when wasting narcotics and needing isolation in the medication room suggest drug diversion, a hallmark of substance use disorder. Cheerfulness, irritability, or emotional oversharing are less specific.