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 obsessive-compulsive personality disorder. Which of the following findings should the nurse include?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Obsessive-compulsive personality disorder is characterized by a preoccupation with orderliness, perfectionism, and a need for control. Believing achievements are superior is a hallmark of narcissistic personality disorder, not obsessive-compulsive personality disorder. Requiring excessive advice is more typical of dependent personality disorder. Using physical appearance to gain attention is characteristic of histrionic personality disorder.
Question 2 of 5
A nurse is assisting with planning of care for a client following a suicide attempt. Which of the following interventions is an appropriate suicide precaution?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Assigning a private room may increase isolation, which is not conducive to a therapeutic environment. Tucking bedcovers over the client’s hands and arms could be a restrictive action, not appropriate for suicide prevention. Removing utensils is not necessary unless the client has direct access to harmful objects. Inspecting personal belongings ensures that the client does not have items that could be used for self-harm, which is a key suicide precaution.
Question 3 of 5
A nurse in a community clinic is speaking to a parent who expresses concern for her adolescent son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Spending time with friends is generally a healthy social behavior. Being religious and attending services does not indicate suicidal risk. Sleeping 9 hours per night is within a normal range for an adolescent. The statement about the basketball coach committing suicide may indicate the adolescent is at risk for suicide, as exposure to suicide can increase the likelihood of suicidal behavior.
Question 4 of 5
A nurse on the mental health unit is caring for a client who has bipolar disorder and comes to the nurse's station at 0300 demanding to see the provider. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Sending the client back to their room without addressing their feelings might worsen anxiety and frustration. Dismissing the client's request could escalate the behavior and contribute to feelings of neglect. Telling the client to wait might not address the underlying issue or concern. Acknowledging the client's feelings and offering to listen is an empathetic response, which can help deescalate the situation and build trust.
Question 5 of 5
A nurse is reinforcing teaching with the spouse of a client about how to take a blood pressure. Which of the following actions by the spouse indicates a need for further instruction?
Correct Answer: C
Rationale: The correct answer, indicated as C.
Rationale: Wrapping the blood pressure cuff snugly around the arm is correct, as the cuff needs to be secure to ensure an accurate reading. Centering the cuff bladder over the brachial artery is correct, as this is necessary for accurate blood pressure measurement. Placing the client's arm above the level of the heart is incorrect. The arm should be at heart level to ensure the accuracy of the reading. If the arm is elevated, it could result in a falsely low reading. Checking the instrument gauge to ensure the reading starts at zero is correct. This step is important to ensure the accuracy of the measurement.