ATI LPN
ATI LPN Mental Health Exam V Questions
Extract:
History and Physical
Week 1:
Abdominal pain
Anorexia
Child has had seven hospitalizations in the past 6 months.
Nurses' Notes
Week 1:
Parent brings school-age child to clinic. States, "My child is always sick. Their stomach hurts all the time. Something is wrong with them. This has been going on for the past 3 months. We've been to several doctors, and they can't find anything wrong." Parent reports that child experiences frequent abdominal pain and has a fever. Child appears emaciated and withdrawn with eyes downcast and looking at floor. Skin is pale with decreased turgor.
Week 3:
Parent brings child back to clinic. Child is vomiting and holding abdomen. Child states, "My stomach hurts so bad." Child looking away from parent. Parent states, "I have taken my child out of school and am home schooling them now. They are too ill to go to school and require my care." Parent is defensive when asked questions related to child's manifestations. Parent is demanding that child be admitted to acute care facility to "have tests run."
Question 1 of 5
A nurse is caring for a school-age client in an outpatient clinic. Exhibits The nurse should identify which of the client findings are manifestations of a factitious disorder? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Withdrawn behavior, frequent hospitalizations, unexplained pain, and health preoccupation suggest factitious disorder, where clients seek medical attention for psychological reasons. Trauma is not specific.
Extract:
Question 2 of 5
A nurse is caring for a client who has been prescribed clozapine. Which of the following topics should the nurse prepare to discuss with the client?
Correct Answer: D
Rationale: Adherence prevents relapse. Tyramine applies to MAOIs, clozapine needs WBC monitoring, and fluid restriction isn’t standard.
Question 3 of 5
A nurse is caring for a client who has binge-eating disorder. Which of the following actions should the nurse plan to take during the termination phase of the nurse-client relationship?
Correct Answer: A
Rationale: Reviewing goals reinforces progress in termination. Discharge planning and data collection occur earlier, and sharing contact info blurs boundaries.
Question 4 of 5
A nurse is assisting in teaching a client who has been newly diagnosed with schizophrenia. Which of the following information should the nurse include?
Correct Answer: B
Rationale: Resource needs grow with schizophrenia progression. Diagnosis occurs earlier, co-occurring disorders are common, and life expectancy is reduced.
Question 5 of 5
A nurse is caring for a client who has factitious disorder. The client states "I am so tired of living like this. Maybe I should just end it all." Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Suicidal statements require immediate assessment for safety. Alter personalities apply to DID, and relaxation or therapy are secondary to risk evaluation.