ATI LPM Mental Health Quiz

Extract:

Question 1 of 5

A nurse is caring for a group of older adult clients. Which of the following client findings indicates delirium?

A. A client expresses dislike of orange juice after reporting earlier that it was a favorite juice. B. A client wants to know what type of poison the nurse placed in her medication. C. A client requests extra blankets when the thermostat in the room indicates 80°F. D. A client asks when family members will be arriving after visiting 1 hr earlier.

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 client who was admitted with delirium five days ago. The client seeks permission from the nurse before performing ADLs. Which of the following actions should the nurse take?

A. Quiz the client with orientation questions. B. Allow the client to function independently. C. Prepare the client for discharge. D. Determine the client's level of awareness.

Correct Answer: D

Rationale: Quizzing assesses but isn’t first. Independence is good but needs assessment first. Discharge is premature without evaluation. Determining awareness guides support, fitting delirium’s fluctuating nature.

Question 3 of 5

Which therapeutic intervention would the nurse include in a care plan for a client with Alzheimer's disease?

A. Avoid exercise because of the risk of falls. B. Frequently orient to time, place, and person C. Place client in group therapy with about 10 D. Provide a stimulating environment.

Correct Answer: B

Rationale: Exercise benefits Alzheimer’s clients, reducing fall risk with supervision. Frequent orientation maintains cognition and security. Large groups overwhelm due to cognitive limits. Over-stimulation causes confusion; moderate stimulation is better.

Question 4 of 5

A nurse is caring for a client who has an anxiety disorder. Which of the following findings should the nurse recognize as a manifestation of mild anxiety?

A. Incoherent speech B. Irritability C. Insomnia D. Chest pain

Correct Answer: B

Rationale: Incoherent speech indicates severe anxiety. Irritability is a mild anxiety sign, with maintained function. Insomnia suggests chronic anxiety. Chest pain aligns with severe anxiety or panic.

Question 5 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:

A. Important to the client B. Evaluated on a weekly basis C. Achievable by client discharge D. Approved by the physician

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.

ATI LPM Mental Health Quiz | Nurselytic

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ATI LPN

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