ATI LPN
ATI PN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has antisocial personality disorder. Which of the following findings should the nurse expect? (Select all that apply)
Correct Answer: A,B,C,E
Rationale: Lack of empathy (
A), manipulative behaviors (
B), splitting (
C), and impulsiveness (E) align with antisocial personality disorder traits like disregard for others and impulsivity. Preoccupation with details (
D) is more typical of obsessive-compulsive personality disorder.
Question 2 of 5
A nurse is caring for a client who becomes extremely agitated. The nurse should document which of the following de-escalation techniques?
Correct Answer: C
Rationale: Diversion redirects the client’s attention to reduce agitation, a recognized de-escalation technique. Therapeutic hold (
A) and restraint (
B) are restrictive measures, not de-escalation, and time-out (
D) involves isolation rather than active de-escalation.
Question 3 of 5
A nurse is assisting with teaching a group of older adult clients about behavioral expectations. Which of the following actions should the nurse take to help eliminate barriers to learning?
Correct Answer: C
Rationale: Using 'I' statements fosters a non-threatening environment, reducing defensiveness and enhancing learning. Longer sessions (
A) may fatigue older adults, long-term goals (
B) don’t directly address barriers, and bedtime timing (
D) reduces concentration.
Question 4 of 5
A nurse is collecting data from a client who is taking lithium. Which of the following findings should the nurse identify as early manifestations of lithium toxicity? (Select all that apply)
Correct Answer: A,B,D,E
Rationale: Early lithium toxicity includes confusion (
A), nausea (
B), polyuria (
D), and incoordination (E) due to its effects on the CNS, GI tract, kidneys, and neuromuscular system. Convulsions (
C) indicate severe toxicity, not an early sign.
Question 5 of 5
A nurse in a mental health facility is collecting a blood specimen from a client. The client is hallucinating and states, 'That looks like a snake, and I won’t let it take all of my blood.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: This empathetic response validates the client’s fear without reinforcing the hallucination, building trust. A dismisses the client’s state, B risks escalation by invalidating perception, and D denies the experience, potentially increasing distrust.