ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has atrial fibrillation. When documenting the quality of the client’s pulse, which of the following terms should the nurse use?
Correct Answer: A
Rationale: Atrial fibrillation causes an irregular pulse due to chaotic atrial impulses, disrupting ventricular rhythm. Not palpable (
B) implies no pulse, bounding (
C) suggests strength, and regular (
D) contradicts AF’s irregularity. “Irregular” accurately describes AF’s pulse quality.
Question 2 of 5
A person who wants to die slashes his wrists and is critically injured but does not die. This is an example of which of the following?
Correct Answer: A
Rationale: Direct self-destructive behavior: Direct self-destructive behavior refers to actions taken with the intent to cause immediate harm or death, such as slashing one's wrists. Indirect self-destructive behavior: Indirect self-destructive behavior refers to actions that can harm oneself over time, such as substance abuse or reckless driving, without the immediate intention to die. Parasuicidal behavior: Parasuicidal behavior involves actions that are intended to cause self-harm but not necessarily result in death, often seen as a cry for help. Maladaptive self-destructive behavior: Maladaptive self-destructive behavior is a broader term that can include a variety of harmful actions, not necessarily with the intention of suicide.
Question 3 of 5
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Anxiety and diaphoresis: Anxiety and diaphoresis (excessive sweating) are common symptoms of alcohol withdrawal, along with tremors, agitation, and insomnia. Muscle aches and chills: Muscle aches and chills are not typical symptoms of alcohol withdrawal. They are more associated with other conditions, such as infections. Arrhythmia and respiratory depression: While severe alcohol withdrawal can lead to arrhythmias, respiratory depression is not a common symptom of alcohol withdrawal. Fatigue and depression: Fatigue and depression may occur after the acute withdrawal phase but are not primary symptoms of initial alcohol withdrawal.
Question 4 of 5
A person yells, curses, and strikes a bank teller for making her wait in line too long. This behavior is consistent with which of the following?
Correct Answer: B
Rationale: Adjustment disorder: Adjustment disorder involves emotional or behavioral symptoms in response to a stressor, but not typically to the extent of physical aggression. Intermittent explosive disorder: Intermittent explosive disorder is characterized by sudden episodes of unwarranted anger and impulsive, aggressive behavior that are grossly out of proportion to the provocation or stressor present is consistent with the described actions. Conduct disorder: Conduct disorder typically involves a pattern of behavior that violates societal norms and the rights of others, more commonly diagnosed in children and adolescents. Oppositional defiant disorder: Oppositional defiant disorder involves a pattern of angry, defiant behavior towards authority, but does not typically include physical aggression towards non-family members.
Question 5 of 5
A nurse is collecting data from a client who has atrial fibrillation. When documenting the quality of the client’s pulse, which of the following terms should the nurse use?
Correct Answer: A
Rationale: Atrial fibrillation causes an irregular pulse due to chaotic atrial impulses, disrupting ventricular rhythm. Not palpable (
B) implies no pulse, bounding (
C) suggests strength, and regular (
D) contradicts AF’s irregularity. “Irregular” accurately describes AF’s pulse quality.