ATI LPN
ATI LPN Mental Health 2023 II Questions
Extract:
Question 1 of 5
A nurse is caring for a newly admitted client who has obsessive-compulsive disorder. Which of the following actions should the nurse take first?
Correct Answer: D
Rationale: Calculating the Hamilton Rating Scale for Anxiety provides an initial assessment of the client's anxiety severity, guiding further interventions. This baseline data collection is the priority upon admission to tailor subsequent care.
Question 2 of 5
A nurse is reinforcing teaching with a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: B
Rationale: Clients retain the legal right to privacy of health information even after death, per HIPAA regulations. This statement reflects an accurate understanding of confidentiality principles.
Question 3 of 5
A nurse is contributing to the plan of care for a client who has bipolar disorder and whose admission was voluntary. For which of the following interventions should the nurse confirm that the client has given informed consent?
Correct Answer: B
Rationale: Experimental medications require informed consent due to the potential unknown effects and risks. Ensuring the client is fully informed about the experimental nature and possible side effects is crucial, unlike routine interventions like light therapy or therapy classes.
Question 4 of 5
A nurse is collecting data from an adult client in an outpatient mental health clinic. The nurse should identify which of the following events as a potential cause of a maturational crisis?
Correct Answer: D
Rationale: A child leaving for college represents a maturational crisis, tied to normal developmental transitions that cause stress. Unlike situational crises like job loss or divorce, it reflects life stage changes.
Extract:
Nurses' Notes
Admission: Client restless during the night, attempting to get out of bed and placing bedcovers on the floor. Has been incontinent of urine twice. Client instructed on use of urinal and told to call for assistance by using the call light. Confuses the call light with the television remote control. Disoriented to time, place, person, and situation. Unable to recall home address. Was unable to assist with bath this morning; when handed the washcloth to clean their face, client asked, "Do you want me to put this in the dryer?"
Medical History
A 76-year-old client fell at home, resulting in fractured humerus and multiple abrasions to arms. Client is unable to recall what precipitated the fall, and physical examination reveals no injury to the client's head. Client has a history of hypertension controlled with atenolol. Client lives with partner and adult children visit client every few months.
Question 5 of 5
A nurse is caring for a 76-year-old female client who experienced a fall.Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to collect data about the client's progress.
Correct Answer: B
Rationale: Alzheimer’s explains chronic confusion and task difficulty. Using symbols aids navigation, donepezil manages symptoms, and monitoring agnosia and familiar tasks tracks progression.