ATI PN Mental Health Chamberlain 2023

Extract:

Question 1 of 5

A nurse is collecting data from a middle-aged client whose partner died seven months ago. Which of the following findings indicate that the client is experiencing maladaptive grieving?

A. The client has lost 10 lb. B. The client visits his partner's grave each month. C. The client has been unable to return to work. D. The client has difficulty sleeping

Correct Answer: C

Rationale: Inability to return to work (
C) suggests severe functional impairment. Weight loss (
A) and sleep issues (
D) are common, and grave visits (
B) are normal grieving.

Question 2 of 5

A nurse in an acute care mental health facility is caring for a client who is experiencing an acute manic episode. Which of the following is the nurse's priority intervention?

A. Protect the client and others from impulsive behavior. B. Maintain the client's contact with family members. C. Discourage the client's inappropriate sexual expression. D. Control the client's use of loud and vulgar language.

Correct Answer: A

Rationale: Protecting from impulsive behavior (
A) prioritizes safety in mania. Family contact (
B), sexual expression (
C), and language (
D) are secondary to immediate risk.

Question 3 of 5

A nurse in an acute care mental health facility is caring for a client who has major depression and states, 'Everyone will be much better off when I’m gone.' Which of the following actions should the nurse take first?

A. Administer a prescribed anti-anxiety medication, instituting mouth checks to assure it is swallowed. B. Inform the provider about the client's statement. C. Assure that a staff member stays with the client at all times.

Correct Answer: C

Rationale: Constant supervision (
C) ensures immediate safety for suicidal ideation. Medication (
A) and informing the provider (
B) follow after securing safety.

Question 4 of 5

A nurse is reviewing the admission laboratory values for a client who has a history of bulimia nervosa. Which of the following findings is the nurse's priority?

A. Hgb 11 g/dL B. Potassium 2.8 mEq/L C. Serum chloride 96 mEq/L D. Serum amylase 240 units/L

Correct Answer: B

Rationale: Severe hypokalemia (
B) at 2.8 mEq/L risks cardiac arrhythmias, making it urgent. Mild anemia (
A), low chloride (
C), and elevated amylase (
D) are less immediate.

Question 5 of 5

A nurse is in the day room of an acute care mental health facility with a group of clients who are watching television. Suddenly, one of the clients jumps up screaming and runs out of the room. What should the nurse do next?

A. Ask the group what they think about the client's behavior. B. Stay with the group and ask another client to go and check on the situation. C. Follow the client to determine the cause of the behavior. D. Ignore the incident since it is an attention-seeking behavior.

Correct Answer: C

Rationale: Following the client (
C) assesses safety and cause. Asking the group (
A) breaches confidentiality, delegating (
B) is unsafe, and ignoring (
D) neglects duty.

ATI PN Mental Health Chamberlain 2023 | Nurselytic

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ATI LPN

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