ATI LPN
ATI LPN Mental Health Level 4 Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is experiencing auditory hallucinations. Which of the following responses should the nurse make first?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: While the voices may be part of the illness, it is important to acknowledge the client's experience without dismissing it. Acknowledging the client's experience ('I know you hear the voices, but I do not') is important in establishing rapport and validating their reality. Asking how often the voices are heard can be useful, but acknowledging the client's perception should be the first priority. Asking what the voices are telling the client may come later, after the client's experience has been acknowledged.
Question 2 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 3 of 5
A nurse is caring for a client who is unable to make any decisions for themself and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Schizoid personality disorder involves detachment from social relationships, not an excessive need for reassurance. Dependent personality disorder is characterized by a pervasive need to be taken care of, resulting in submissive behavior and difficulty making decisions. Avoidant personality disorder involves social inhibition and fear of criticism, not the need for constant reassurance. Antisocial personality disorder involves disregard for the rights of others, rather than a need for constant reassurance.
Question 4 of 5
A nurse in an acute mental health unit is assisting with the admission of a client who has bipolar disorder. Which of the following findings indicates that the client is experiencing acute mania?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Disorganized speech is a symptom of acute mania, where the client may speak rapidly and jump from one topic to another. Auditory hallucinations (hearing voices) are not typical of acute mania; they are more commonly associated with psychosis or schizophrenia. Dressing in all black is not indicative of acute mania and could be a sign of depression. Weight gain is not a symptom of acute mania. Instead, it may be related to other factors such as medications or depression.
Question 5 of 5
A nurse on the mental health unit is caring for a client who has bipolar disorder and comes to the nurse's station at 0300 demanding to see the provider. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Sending the client back to their room without addressing their feelings might worsen anxiety and frustration. Dismissing the client's request could escalate the behavior and contribute to feelings of neglect. Telling the client to wait might not address the underlying issue or concern. Acknowledging the client's feelings and offering to listen is an empathetic response, which can help deescalate the situation and build trust.