ATI LPN
ATI LPN Mental Health Exam I Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is threatening to commit suicide. Which of the following questions should the nurse ask?
Correct Answer: D
Rationale: What will you accomplish by taking your life?' This question is not therapeutic and may be perceived as judgmental or dismissive. 'What happened to you in the past to make you so desperate?' This question focuses on past events and may not address the immediate crisis. 'Why do you feel depressed enough to end your life?' This question is less direct and may not elicit a specific plan, which is crucial for assessing risk. 'How will you carry out your plan?' This question is direct and helps to determine if the client has a specific plan, which is a key factor in assessing the immediacy and severity of the suicide risk.
Question 2 of 5
Which method of suicide is more characteristic of women?
Correct Answer: D
Rationale: Drowning: Drowning is not a common method of suicide among women. Gunshot: Gunshot is more commonly associated with men as a method of suicide. Hanging: Hanging is more commonly associated with men as a method of suicide. Overdose with pills: Women are more likely to attempt suicide using pills or other medications, which is often seen as a less violent method compared to others.
Question 3 of 5
An abuser with severe aggression is prescribed medication for his condition. Which of the following may be prescribed?
Correct Answer: A
Rationale: Atypical antipsychotic: Atypical antipsychotics can be used to manage severe aggression and agitation, especially in individuals with underlying psychiatric disorders. Hypnotic: Hypnotics are used for sleep disorders and are not indicated for managing aggression. Antipyretics: Antipyretics are used to reduce fever and are not relevant to treating aggression. Antabuse: Antabuse (disulfiram) is used to treat alcohol dependence and is not indicated for managing aggression.
Question 4 of 5
The nurse should most suspect which of the following when presented with an older, mentally impaired woman who is depressed and underweight and has poor personal hygiene?
Correct Answer: A
Rationale: Neglect: Neglect is characterized by the failure to meet the basic needs of an individual, including food, shelter, clothing, and medical care. The signs of depression, underweight, and poor personal hygiene are consistent with neglect. Emotional abuse: Emotional abuse involves behaviors that harm an individual's self-worth or emotional well-being, such as name-calling, shaming, or isolating. While emotional abuse could be present, the physical signs of underweight and poor hygiene point more towards neglect. Physical abuse: Physical abuse involves causing physical harm through actions such as hitting, slapping, or burning. There are no direct signs of physical trauma mentioned in the scenario, making physical abuse less likely. Exploitation: Exploitation involves taking advantage of an individual for personal gain, often financially. The scenario does not provide information about financial or other forms of exploitation.
Question 5 of 5
An out-of-control client is verbally abusive and physically aggressive with staff members who are at increased risk for injury. Which intervention is most appropriate?
Correct Answer: D
Rationale: Take a time-out: A time-out is generally used for de-escalating situations in less severe cases and may not be effective if the client is already physically aggressive and a risk to staff. Administer oral medication: Administering oral medication can help to calm the client, but it may not be immediately effective if the client is already aggressive and out of control. Call a family member or friend: Calling a family member or friend may provide emotional support, but it is not a direct intervention to address immediate physical aggression. Apply restraints: When a client is physically aggressive and poses a risk of injury to themselves or others, applying restraints may be necessary to ensure safety. This should be done following proper protocols and as a last resort.