ATI PN Mental Health 2023

Extract:

Question 1 of 5

A nurse is collecting data from a client who has bulimia nervosa. Which of the following findings should the nurse expect?

A. Hypomagnesemia B. Muscle wasting C. Lanugo D. Hypokalemia

Correct Answer: A,B,D

Rationale: Hypomagnesemia (
A), muscle wasting (
B), and hypokalemia (
D) stem from purging in bulimia. Lanugo (
C) is specific to anorexia’s extreme weight loss.

Question 2 of 5

A nurse is collecting data from a client who has schizophrenia. Which of the following client statements indicates that the client is experiencing a command hallucination?

A. The voices told me to quit eating the food here.' B. The aliens are going to abduct me tonight.' C. Can you see these spiders crawling all over me?' D. Are you planning to kill me?'

Correct Answer: A

Rationale: Command hallucinations direct actions, like quitting eating (
A). B is a delusion, C is a visual hallucination, and D is paranoia, not commands.

Question 3 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. A witness is legally required to sign a client’s living will.' B. The PSDA becomes applicable when a client reaches 65 years of age.' 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 power of attorney, reflecting autonomy. A varies by state, B misstates applicability, and C is false as directives apply universally.

Question 4 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. Access to guns in the home B. A history of suicide attempts C. Currently married D. Alcohol use disorder E. Terminal cancer

Correct Answer: A,B,D,E

Rationale: Guns (
A), past attempts (
B), alcohol disorder (
D), and terminal illness (E) increase suicide risk. Marriage (
C) is typically protective unless troubled.

Question 5 of 5

A nurse is caring for a client who was placed in four-point restraints by the nursing staff following an episode of violent behavior. Which of the following actions should the nurse take?

A. Document the client’s behavior in the medical record every 1 hour. B. Provide range of motion exercises to all extremities every 2 hours. C. Keep staff interactions with the client to a minimum. D. Request the provider renew the prescription in 24 hours.

Correct Answer: A

Rationale: Hourly documentation ensures safety and legal compliance, though B (every 2 hours) is also correct per guidelines; A is prioritized for monitoring frequency. C neglects care, and D delays reassessment beyond typical 4-hour reviews.

ATI PN Mental Health 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN