ATI LPN
ATI LPN Mental Health Level 4 Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is preparing to administer buspirone 25 mg PO. Available is buspirone 10 mg scored tablets. How many tablets should the nurse plan to administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2.5
Rationale: The correct answer, indicated as 2.5.
Rationale:
To determine how many tablets to administer, divide the prescribed dose by the available dose per tablet: 25 mg / 10 mg/tablet = 2.5 tablets. Thus, the nurse should administer 2.5 tablets of buspirone.
Question 3 of 5
In 2020 Mai had recurrent depressive episodes with recurrent hypomanic episodes. Which of the following is the appropriate diagnosis for this client?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Major depressive disorder does not include hypomanic episodes, which are a key feature of bipolar II disorder. Bipolar type II is characterized by recurrent depressive episodes and hypomanic episodes, as described. Bipolar mixed refers to simultaneous symptoms of both mania and depression, which is not indicated here. Bipolar type I involves manic episodes, which are not mentioned in this scenario.
Question 4 of 5
A nurse is preparing to administer diphenhydramine 35 mg IM to a client who has schizophrenia. Available is diphenhydramine for injection 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.7
Rationale: The correct answer, indicated as 0.7.
Rationale:
To determine how many mL to administer, use the formula: mL = Desired Dose / Available Dose per mL. mL = 35 mg / 50 mg/mL = 0.7 mL. Thus, the nurse should administer 0.7 mL of diphenhydramine.
Question 5 of 5
A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Antisocial personality disorder is characterized by disregard for rules and the rights of others. Clients with this disorder often challenge authority and refuse to follow rules. Schizotypal personality disorder involves eccentric behavior and thinking, but it is not associated with defiance of rules. Histrionic personality disorder is characterized by attention-seeking behavior, not by defiance of rules. Narcissistic personality disorder involves a sense of entitlement and superiority, but it does not necessarily involve direct defiance of rules.