ATI Mental Health PM 2023

Extract:

Question 1 of 5

A nurse is caring for a client who requires a crisis intervention for acute anxiety. Which of the following actions should be the nurse's highest priority?

A. Protecting the client from injury B. Identifying the client's coping skills C. Ensuring that the client feels safe D. Determining the cause of the client's anxiety.

Correct Answer: A

Rationale: Protecting the client from injury addresses the imminent risk of harm due to impaired decision-making and physiological agitation in acute anxiety, prioritizing safety above other interventions.

Question 2 of 5

A nurse manager is discussing suicide with nursing staff. Which of the following should the manager identify as risk factors for suicide? (Select all that apply.)

A. Bachelor's degree B. Male gender C. Recent marriage D. Age greater than 55 E. Diagnosis of schizophrenia.

Correct Answer: B,D,E

Rationale: Male gender, age over 55, and schizophrenia increase suicide risk due to help-seeking reluctance, isolation, and severe mental illness, respectively. Education and recent marriage are not direct risk factors.

Question 3 of 5

A nurse in an acute care mental health facility is preparing to administer morning medication to a client who has been taking lithium for 2 weeks and has a current lithium level of 1.0 mEq/L. Which of the following actions should the nurse take?

A. Prepare for gastric lavage due to an extremely elevated lithium level. B. Administer the morning dose of lithium. C. Hold the medication and assess for early manifestations of toxicity. D. Check the client's medication record to assess whether the client has been refusing her lithium.

Correct Answer: B

Rationale: A lithium level of 1.0 mEq/L is within the therapeutic range (0.6-1.2 mEq/L), indicating it’s safe to administer the morning dose without concerns of toxicity or refusal.

Question 4 of 5

A mental health nurse on an inpatient eating disorders unit is caring for a client who has anorexia nervosa and has a body mass index of 16.7. Which of the following actions should the nurse take? (Select all that apply.)

A. Monitor the client's weight daily B. Allow the client to choose the meals she will eat C. Allow the client to practice strenuous exercises D. Stay with the client during meals and for 2 hrs after meals E. Provide the client with small meals frequently.

Correct Answer: A,E

Rationale: Daily weight monitoring tracks progress, and small frequent meals manage nutrition without overwhelming the client, supporting recovery in anorexia nervosa.

Question 5 of 5

A nurse in a mental health facility is planning care for a client who has obsessive-compulsive disorder (OCD) and is newly admitted to the unit. Which of the following actions should the mental health nurse plan to take regarding the client's compulsive behaviors?

A. Plan the client's schedule to allow time for rituals. B. Set strict limits on the behaviors so that the client can conform to the unit rules and schedules. C. Confront the client about the senseless nature of the repetitive behaviors. D. Isolate the client for a period of time.

Correct Answer: A

Rationale: Allowing time for rituals acknowledges the client’s needs, reduces anxiety initially, and builds trust, serving as a step toward gradual treatment like ERP.

ATI Mental Health PM 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN