ATI LPN
ATI LPM Mental Health Quiz Questions
Extract:
Question 1 of 5
A nurse is caring for a group of older adult clients. Which of the following client findings indicates delirium?
Correct Answer: B
Rationale: Preference changes aren’t delirium-specific. Suspecting poison indicates delusional confusion, a delirium sign. Blankets in warmth suggest sensory issues, not delirium. Time confusion fits delirium, but poisoning suspicion is more acute.
Question 2 of 5
A nurse is caring for a group of older adult clients. Which of the following client findings indicates delirium?
Correct Answer: C
Rationale: Changing preferences isn’t delirium-specific. Suspecting poison suggests delusion, not necessarily delirium. Confusion about recent events, like family visits, indicates delirium’s hallmark disorientation. Requesting blankets in a warm room may reflect sensory issues, not delirium directly.
Question 3 of 5
A client describes flashbacks of a terrifying car crash in which he saw his best friend die. Which disorder should the nurse suspect in this situation?
Correct Answer: C
Rationale: Panic disorder involves unexpected and repeated episodes of intense fear, often without a specific trigger, and isn’t typically linked to flashbacks. Obsessive-compulsive disorder is characterized by unwanted repeated thoughts (obsessions) and actions (compulsions), not trauma-related flashbacks. PTSD involves re-experiencing a traumatic event through flashbacks and nightmares, directly matching the client’s symptoms of reliving the car crash. Agoraphobia is an anxiety disorder involving fear of places or situations that might cause panic, not tied to specific traumatic memories.
Question 4 of 5
In developing a nursing care plan for an adult with a mental health disorder, the nurse knows the goals that are set must be:
Correct Answer: A
Rationale: Client-important goals boost engagement. Weekly evaluation is useful but not mandatory. Discharge-tied goals may not fit long-term needs. Physician approval is secondary to client-centered planning.
Question 5 of 5
A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Using an overhead loudspeaker can be disorienting or frightening for clients with dementia due to their sensitivity to loud noises and potential for confusion. A written schedule may not be helpful if the client has difficulty reading or understanding due to cognitive decline, which is common in dementia. While allowing choices is generally good, it can be overwhelming for someone with dementia depending on their cognitive ability, potentially leading to frustration or anxiety. A consistent daily routine helps provide structure and predictability, which can reduce confusion and anxiety in clients with dementia by creating a stable environment they can rely on.