ATI LPN
ATI LPN Mental Health Level 4 Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is discussing quality of life with a client who has schizophrenia. Which of the following statements should the nurse include?
Correct Answer: C
Rationale: The correct answer, indicated as C.
Rationale: Asking why the client doesn't see the value of treatment is confrontational and dismisses the client's experience. Suggesting a group home without addressing the client's personal goals or preferences could be perceived as dismissive. While complete symptom resolution is not guaranteed, focusing on improving the client's quality of life and continuing treatment is more realistic and supportive. The medical model of recovery emphasizes symptom management, but suggesting it works to eliminate all symptoms may be overly optimistic for someone with schizophrenia.
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 is preparing to administer buspirone 25 mg PO. Available is buspirone 10 mg scored tablets. How many tablets should the nurse plan to administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2.5
Rationale: The correct answer, indicated as 2.5.
Rationale:
To determine how many tablets to administer, divide the prescribed dose by the available dose per tablet: 25 mg / 10 mg/tablet = 2.5 tablets. Thus, the nurse should administer 2.5 tablets of buspirone.
Question 5 of 5
A nurse is caring for a client who has delusional behavior. The client states, 'I can’t go to group today. I am expecting a high level official to visit me!' Which of the following responses should the nurse make?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Acknowledge the client’s delusion while gently redirecting them to the necessary activity (group therapy). This approach maintains engagement without directly confronting the delusion. Ignoring the delusion and focusing only on group therapy may cause the client to feel unheard or dismissed. Dismissing the delusion is not therapeutic and could undermine trust. Asking 'why' could challenge the delusion, leading to defensiveness rather than productive conversation.