ATI PN Mental Health Chamberlain 2023

Extract:

Question 1 of 5

A nurse is caring for an older adult client who has a prescription for lorazepam 0.5 mg. Which of the following findings should the nurse report to the provider immediately?

A. Disorientation B. Increased anxiety C. Blurred vision D. Anorexia

Correct Answer: A

Rationale: Disorientation (
A) in older adults on lorazepam signals serious CNS depression, needing urgent reporting. Anxiety (
B), vision (
C), and anorexia (
D) are less critical.

Question 2 of 5

A nurse is contributing to the plan of care for a client who has schizophrenia and experiences paranoia with aggressive behavior. Which of the following interventions should the nurse recommend to be included in the plan of care?

A. Place the client in seclusion if she is experiencing visual hallucinations. B. Minimize staff supervision of the client’s interactions with others. C. Directly tell the client that delusions are not real. D. Limit the client’s participation in group activities.

Correct Answer: A

Rationale: Seclusion for hallucinations (
A) ensures safety if aggression escalates. Minimizing supervision (
B) risks harm, denying delusions (
C) invalidates, and limiting groups (
D) is secondary.

Question 3 of 5

A nurse in an acute care mental health facility is caring for a client who begins to yell and scream at staff members. Which of the following actions is the nurse’s priority?

A. Place the client in restraints. B. Administer haloperidol IM to the client. C. Ask the client to talk about his feelings. D. Move the client to a seclusion room with continuous observation

Correct Answer: D

Rationale: Seclusion with observation (
D) de-escalates safely and prioritizes monitoring. Restraints (
A) and medication (
B) are last resorts, and talking (
C) is ineffective during agitation.

Question 4 of 5

A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?

A. Stating that he wants to be with his peers more than with his parents. B. Telling his parents that he doesn’t want to talk about the attempt. C. Preferring to eat his meals while watching TV. D. Planning to give his CD collection to his girlfriend.

Correct Answer: D

Rationale: Giving away possessions (
D) signals suicidal intent. Peer preference (
A), silence (
B), and TV meals (
C) are less concerning.

Question 5 of 5

A nurse is assisting in a group therapy meeting and is sharing a humorous story unrelated to anyone in the group. When the group laughs at the story, a client who has schizophrenia jumps up and runs out while yelling 'You are all making fun of me!' Which of the following behaviors is this client displaying?

A. Ideas of reference. B. Grandeur. C. Somatic delusion. D. Erotomania.

Correct Answer: A

Rationale: Ideas of reference (
A) involve misinterpreting events as personal. Grandeur (
B) is inflated self-worth, somatic (
C) bodily delusions, and erotomania (
D) romantic delusions.

ATI PN Mental Health Chamberlain 2023 | Nurselytic

Nurselytic

ATI LPN

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