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 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 2 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 3 of 5
A nurse is collecting data from a client who is taking chlorpromazine. Which of the following findings should the nurse identify as extrapyramidal symptoms (EPS)? (Select all that apply.)
Correct Answer: A,C
Rationale: The correct answer, indicated as A, C.
Rationale: Impaired gait is a classic extrapyramidal symptom, which includes issues like dystonia or bradykinesia. Fidgeting behavior is more related to anxiety or restlessness rather than EPS. Muscle contractions of the neck, known as torticollis, are common signs of EPS caused by antipsychotic medications such as chlorpromazine. Fluctuating vital signs are not directly linked to EPS but may indicate another underlying issue. Sexual dysfunction is a side effect of chlorpromazine but not classified as an EPS.
Question 4 of 5
A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Telling parents not to talk about the attempt may reflect withdrawal or denial but does not necessarily indicate ongoing suicidal intent. Giving away personal possessions, such as a CD collection, is a common behavior in adolescents with suicidal intent, as they may believe they won't need these items in the future. Wanting to spend more time with peers than parents could indicate normal adolescent development, rather than a sign of suicidal intent. Preferring to eat meals while watching TV is not a concerning behavior in the context of suicide risk.
Question 5 of 5
A nurse is reinforcing teaching with the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Medication compliance is important but does not address the most immediate concerns for individuals with borderline personality disorder, such as self-harm. Awareness of the potential for self-harm is the priority because individuals with borderline personality disorder often engage in self-destructive behaviors. Resources for group therapy in the community are valuable but secondary to ensuring immediate safety. Insurance coverage is important but not urgent compared to the immediate need for safety and awareness of self-harm risks.