ATI LPN
ATI LPN Mental Health Level 4 Exam Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who has bipolar disorder with mania. Which of the following findings is the nurse's priority?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Hostility and sarcasm are concerning, but they are not as urgent as the risk of injury associated with hyperactivity. Pacing in the hallway during the day and night is indicative of extreme restlessness and may lead to exhaustion or self-harm. The nurse should address this behavior to prevent harm. Giving money away may be problematic, but it is a less immediate risk compared to physical safety. Flight of ideas is a common symptom of mania, but it is less dangerous than pacing and hyperactivity, which can lead to physical harm.
Question 2 of 5
A nurse is caring for a client who has major depressive disorder and has experienced a recent loss. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: While crying may be a normal expression of grief, determining the client’s stage of grief is more important for assessing the client’s emotional needs. Determining the client’s stage of grief is the first step to understanding the client’s emotional state and providing appropriate support. Encouraging expression is important, but first, understanding the client’s grief stage will guide the intervention. Spiritual support is valuable, but first, understanding the client’s emotional response is necessary before offering this type of assistance.
Question 3 of 5
A nurse is reinforcing discharge teaching with a client who has several new prescriptions for psychotropic medications. The client tells the nurse that she has always had trouble following a medication regimen. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Telling the client to 'work hard' to stay on schedule does not address the underlying difficulty with medication adherence. Saying not to worry about past issues may minimize the client's concerns and challenges. Asking 'why' the client finds it difficult to take medications might not encourage open communication and could make the client feel judged. Collaborating with the client to create a schedule that is convenient and achievable increases the likelihood of adherence and fosters a sense of control and partnership.
Question 4 of 5
A nurse is collecting data from a client who has histrionic personality disorder. Which of the following characteristics should the nurse expect?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: People with histrionic personality disorder do not have difficulty identifying with the feelings of others; instead, they seek attention through dramatic or exaggerated behavior. A person with histrionic personality disorder does not typically view themselves as inferior. They tend to overvalue their attractiveness and seek admiration. Manipulating others for personal gain is more characteristic of narcissistic personality disorder, not histrionic personality disorder. Clients with histrionic personality disorder often use physical appearance and behavior to draw attention to themselves. This is a key characteristic of the disorder.
Question 5 of 5
A nurse is caring for a client who has delusional behavior. The client states, 'I can’t go to group today. I am expecting a high level official to visit me!' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Acknowledge the client’s delusion while gently redirecting them to the necessary activity (group therapy). This approach maintains engagement without directly confronting the delusion. Ignoring the delusion and focusing only on group therapy may cause the client to feel unheard or dismissed. Dismissing the delusion is not therapeutic and could undermine trust. Asking 'why' could challenge the delusion, leading to defensiveness rather than productive conversation.