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 paranoid personality disorder. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Requiring frequent reassurance is not typical of paranoid personality disorder. This is more common in dependent or avoidant personality disorders. Lack of feelings of remorse is more characteristic of antisocial personality disorder. An inflated sense of self is more characteristic of narcissistic personality disorder. Suspiciousness of others is a hallmark of paranoid personality disorder. Clients with this disorder often exhibit distrust and suspicion of others, believing that others are plotting against them.
Question 2 of 5
A nurse must be alert when a client is giving away possessions, getting his/her life in order, or making vague goodbyes to people. Which of the following should the nurse be concerned about?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: A depressive state may involve feelings of hopelessness, but giving away possessions and saying goodbyes are signs of potential suicidal intent. Suicidal intent is the primary concern in this situation. These behaviors are commonly seen when a client is preparing to end their life. A plan to relocate would not typically involve giving away possessions or saying goodbyes in such a manner. Elopement with a partner is not a typical behavior associated with suicidal intent.
Question 3 of 5
A nurse in an acute mental health unit is assisting with the admission of a client who has bipolar disorder. Which of the following findings indicates that the client is experiencing acute mania?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Disorganized speech is a symptom of acute mania, where the client may speak rapidly and jump from one topic to another. Auditory hallucinations (hearing voices) are not typical of acute mania; they are more commonly associated with psychosis or schizophrenia. Dressing in all black is not indicative of acute mania and could be a sign of depression. Weight gain is not a symptom of acute mania. Instead, it may be related to other factors such as medications or depression.
Question 4 of 5
A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Antisocial personality disorder is characterized by disregard for rules and the rights of others. Clients with this disorder often challenge authority and refuse to follow rules. Schizotypal personality disorder involves eccentric behavior and thinking, but it is not associated with defiance of rules. Histrionic personality disorder is characterized by attention-seeking behavior, not by defiance of rules. Narcissistic personality disorder involves a sense of entitlement and superiority, but it does not necessarily involve direct defiance of rules.
Question 5 of 5
A nurse is caring for a client who is experiencing auditory hallucinations. Which of the following responses should the nurse make first?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: While the voices may be part of the illness, it is important to acknowledge the client's experience without dismissing it. Acknowledging the client's experience ('I know you hear the voices, but I do not') is important in establishing rapport and validating their reality. Asking how often the voices are heard can be useful, but acknowledging the client's perception should be the first priority. Asking what the voices are telling the client may come later, after the client's experience has been acknowledged.