ATI LPN
ATI LPN Mental Health Level 4 Exam Questions
Extract:
Question 1 of 5
A nurse is collecting data on a client and finds that Ari is always manic but has had one depressive episode in the last year. Which of the following diagnosis should the nurse suspect?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Bipolar type is not a specific classification; the nurse needs to differentiate between bipolar I and II. Bipolar type I involves manic episodes that last for at least a week or require hospitalization, with possible depressive episodes. The presence of a depressive episode confirms bipolar type I. Bipolar mixed refers to simultaneous symptoms of both mania and depression, which is not described here. Anxiety is unrelated to the symptoms described.
Question 2 of 5
A nurse is assisting with the plan of care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse recommend to include?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Seclusion is not generally recommended for mania unless necessary for safety; it may increase feelings of isolation. Group activities are often not recommended for clients in the manic phase, as they may become overstimulated and disruptive. A stimulating environment may increase hyperactivity and agitation. Short rest periods are recommended for clients in a manic state to help manage their energy levels and prevent exhaustion.
Question 3 of 5
A nurse assisting in the care of a client who has a mood disorder. Which of the following client statements by the client indicates readiness for discharge?
Correct Answer: C
Rationale: The correct answer, indicated as C.
Rationale: This statement suggests dependency and a lack of readiness to take responsibility for self-care. While family support is important, the client should be able to demonstrate some level of independence for discharge readiness. Taking medications as prescribed and knowing who to contact in case of suicidal thoughts shows insight and preparedness for discharge. This statement reflects avoidance and a lack of motivation, indicating that the client is not yet ready for discharge.
Question 4 of 5
A nurse is caring for a client in a manic state of her Bipolar disorder. The client is dancing around the dayroom of the inpatient lounge. When she twirled her skirt it was obvious she was not wearing any underwear. The nurse enters the area and distracts her. She takes her to her room to put on underwear. Why did the nurse take this action?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: The nurse’s primary concern is preventing the client from embarrassing herself due to the impulsive and disinhibited behaviors typical of a manic episode. There is no indication that dancing is prohibited; the issue is with inappropriate behavior. The focus of the action is not on sexual behavior but on ensuring the client is appropriately dressed in a social setting. Following policy is important, but the nurse’s action is more about protecting the client from social embarrassment.
Question 5 of 5
In 2020 Mai had recurrent depressive episodes with recurrent hypomanic episodes. Which of the following is the appropriate diagnosis for this client?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Major depressive disorder does not include hypomanic episodes, which are a key feature of bipolar II disorder. Bipolar type II is characterized by recurrent depressive episodes and hypomanic episodes, as described. Bipolar mixed refers to simultaneous symptoms of both mania and depression, which is not indicated here. Bipolar type I involves manic episodes, which are not mentioned in this scenario.