ATI LPN
ATI LPN Mental Health 2023 III 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: Explaining response prevention, a key OCD therapy, establishes a treatment foundation after initial assessment, prior to medication or secondary interventions like relaxation.
Question 2 of 5
A nurse is assisting in the care of a client who is in restraints following an episode of violence. Which of the following information should the nurse document in the client’s medical record? (Select all that apply.)
Correct Answer: A,B,D,E
Rationale: Documentation must include nutrition/toileting (
A), range of motion (
B), less restrictive attempts (
D), and staff names (E) for safety and accountability; hourly observation (
C) is insufficient—more frequent checks are standard.
Question 3 of 5
A nurse is reviewing the medical record of a client who is to receive electroconvulsive therapy. The nurse should notify the provider for which of the following findings?
Correct Answer: A
Rationale: Cardiac arrhythmias pose a risk during ECT due to cardiovascular effects of stimulation, requiring stabilization before proceeding, unlike the other conditions.
Question 4 of 5
A nurse is reinforcing behavior management techniques with the parent of a school-age child who has conduct disorder. Which of the following statements by the parent indicates an understanding of the redirection technique?
Correct Answer: D
Rationale: Redirection involves shifting a child’s focus from negative to positive activities, which 're-engaging in an appropriate activity' reflects accurately.
Question 5 of 5
A nurse is collecting data from a client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: A,B,C,D,E
Rationale: Lanugo (
A) is fine hair that develops due to malnutrition in anorexia to regulate body temperature. Cold extremities (
B) result from reduced body fat and poor circulation. Hypotension (
C) occurs due to dehydration and electrolyte imbalances from malnutrition.
Tooth erosion (
D) is common in purging subtypes from stomach acid exposure during vomiting. Diarrhea (E) can occasionally occur due to malnutrition-related bowel changes, though constipation is more typical.