ATI LPN Mental Health 2023 II

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

Correct Answer: C

Rationale: Hypokalemia, low potassium levels, is a common finding in bulimia nervosa due to repeated vomiting and laxative use. These behaviors lead to significant electrolyte imbalances, posing serious health risks.

Question 2 of 5

A nurse is caring for a client who is receiving acute care for the treatment of a substance use disorder. With which of the following actions is the nurse demonstrating the ethical principle of veracity?

A. Reinforcing information on the potential adverse effects of a medication with the client. B. Encouraging the client to attend a daily exercise program on the unit. C. Respecting the client's right to refuse to attend a group therapy session. D. Maintaining the client's confidentiality about a substance use disorder.

Correct Answer: A

Rationale: Reinforcing information on the potential adverse effects of a medication demonstrates veracity, the principle of truthfulness. It ensures the client is fully informed, supporting ethical care and decision-making.

Question 3 of 5

A nurse is reinforcing teaching with a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A. I can discuss a client's information with staff who have provided care in the past. B. A client retains the legal right to privacy of health information even after they have died. C. The provider must give consent to discuss health information with the client's family. D. A provider may speak to a client's employer regarding a substance use disorder.

Correct Answer: B

Rationale: Clients retain the legal right to privacy of health information even after death, per HIPAA regulations. This statement reflects an accurate understanding of confidentiality principles.

Question 4 of 5

A nurse is collecting data for a health history from a client who has antisocial personality disorder. Which of the following clinical findings is associated with this disorder?

A. Withdrawn behaviors. B. Blunted affect. C. Excessively anxious. D. Exploitive of others.

Correct Answer: D

Rationale: Exploitive of others is a key characteristic of antisocial personality disorder. Individuals often disregard others’ rights and manipulate them for personal gain, aligning with the disorder’s profile.

Question 5 of 5

A nurse is caring for multiple clients on a mental health unit. Which of the following clients should the nurse attend to first?

A. A client who is repeatedly approaching the nurses' station to request medication for his anxiety. B. A client who is standing in her room, yelling obscenities, and throwing her clothes. C. A client who has bipolar disorder and is continuously pacing at the end of the hall. D. A client in the dayroom who is screaming at other clients about what is on the television.

Correct Answer: B

Rationale: A client yelling obscenities and throwing clothes poses a more direct risk due to potential escalation to physical harm. This behavior requires immediate attention over anxiety, pacing, or verbal disruptions.

ATI LPN Mental Health 2023 II | Nurselytic

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