ATI LPN Mental Health 2023 III

Extract:

Question 1 of 5

A nurse is caring for an adolescent who was recently sexually assaulted. Which of the following statements by the adolescent’s guardian represents the presence of a positive support system?

A. I can encourage my child to think about what they did that allowed this event to happen.B. I should encourage my child to focus solely on the future.C. I will have to do all I can to monitor my child’s relationships.D. I anticipate that my child will feel some self-blame.

Correct Answer: D

Rationale: Acknowledging potential self-blame shows empathy and readiness to support, unlike blaming, future-only focus, or overcontrol, which lack supportiveness.

Question 2 of 5

A nurse is reinforcing teaching with a newly licensed nurse about the Patient Self-Determination Act (PSDA). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A. The PSDA becomes applicable when a client reaches 65 years of age.B. A witness is legally required to sign a client’s living will.C. Advance directives do not apply to clients receiving mental health care.D. A client can verbally designate a durable power of attorney.

Correct Answer: D

Rationale: The PSDA allows verbal designation of a durable power of attorney, reflecting patient autonomy rights, unlike age limits, witness mandates, or mental health exclusions.

Question 3 of 5

A nurse is contributing to the plan of care for a client who has a new prescription for lithium. Which of the following interventions should the nurse recommend?

A. Decrease the client's dietary potassium.B. Increase the client's daily caloric intake.C. Monitor the client for hypoglycemia.D. Administer the medication with meals.

Correct Answer: D

Rationale: Administering lithium with meals reduces gastrointestinal side effects like nausea and stabilizes absorption, minimizing peak serum levels. Potassium adjustment, calorie increase, and hypoglycemia monitoring are not standard lithium interventions.

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?

A. I should use role-playing to enhance new behavioral skills.B. I should move closer to my child when they are agitated.C. I should ignore attention-seeking behaviors.D. I should re-engage my child in an appropriate activity.

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 in a mental health clinic is collecting data from a client to determine the client's risk for suicide. Which of the following findings should the nurse identify as a risk factor for suicide? (Select all that apply.)

A. Currently marriedB. Alcohol use disorderC. Sibling history of suicideD. Access to guns in the homeE. Terminal liver cancer

Correct Answer: B,C,D,E

Rationale: Alcohol use disorder (
B) impairs judgment, sibling history (
C) increases perceived acceptability, gun access (
D) heightens lethality risk, and terminal illness (E) fosters despair—all suicide risk factors. Marriage (
A) is protective.

ATI LPN Mental Health 2023 III | Nurselytic

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