ATI LPN
ATI LPN Mental Health Exam V Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has schizophrenia. In which of the following phases of the nurse-client relationship should the nurse suggest a guided therapy session?
Correct Answer: B
Rationale: The exploitation phase is ideal for therapy, as clients engage resources. Identification and orientation focus on trust, resolution on termination.
Extract:
History and Physical
Week 1:
Abdominal pain
Anorexia
Child has had seven hospitalizations in the past 6 months.
Nurses' Notes
Week 1:
Parent brings school-age child to clinic. States, "My child is always sick. Their stomach hurts all the time. Something is wrong with them. This has been going on for the past 3 months. We've been to several doctors, and they can't find anything wrong." Parent reports that child experiences frequent abdominal pain and has a fever. Child appears emaciated and withdrawn with eyes downcast and looking at floor. Skin is pale with decreased turgor.
Week 3:
Parent brings child back to clinic. Child is vomiting and holding abdomen. Child states, "My stomach hurts so bad." Child looking away from parent. Parent states, "I have taken my child out of school and am home schooling them now. They are too ill to go to school and require my care." Parent is defensive when asked questions related to child's manifestations. Parent is demanding that child be admitted to acute care facility to "have tests run."
Question 2 of 5
A nurse is caring for a school-age client in an outpatient clinic. Exhibits The nurse should identify which of the client findings are manifestations of a factitious disorder? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Withdrawn behavior, frequent hospitalizations, unexplained pain, and health preoccupation suggest factitious disorder, where clients seek medical attention for psychological reasons. Trauma is not specific.
Extract:
Question 3 of 5
A nurse is caring for a young adult client who has somatic symptom disorder and is being evaluated for chest pain. The client's laboratory results are all within the expected reference ranges the ECG is unremarkable and the client has no identified cardiac risk factors. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Reassurance reduces anxiety without dismissing symptoms. Denying pain, pushing tests, or flooding therapy risks mistrust or inappropriate care.
Question 4 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 5 of 5
A nurse in the emergency department is caring for a client who reports having experienced sexual abuse. The nurse should identify that which of the following findings are consistent with the client's report? (Select All that Apply.)
Correct Answer: A,B,C,D,E
Rationale: Pelvic soreness, chlamydia, anal bleeding, bruising, and bloody underwear suggest recent assault. Scars are not specific to recent abuse.