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 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 is preparing to administer diphenhydramine 35 mg IM to a client who has schizophrenia. Available is diphenhydramine for injection 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.7
Rationale: The correct answer, indicated as 0.7.
Rationale:
To determine how many mL to administer, use the formula: mL = Desired Dose / Available Dose per mL. mL = 35 mg / 50 mg/mL = 0.7 mL. Thus, the nurse should administer 0.7 mL of diphenhydramine.
Question 4 of 5
A nurse is collecting data from a client who has histrionic personality disorder. Which of the following characteristics should the nurse expect?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: People with histrionic personality disorder do not have difficulty identifying with the feelings of others; instead, they seek attention through dramatic or exaggerated behavior. A person with histrionic personality disorder does not typically view themselves as inferior. They tend to overvalue their attractiveness and seek admiration. Manipulating others for personal gain is more characteristic of narcissistic personality disorder, not histrionic personality disorder. Clients with histrionic personality disorder often use physical appearance and behavior to draw attention to themselves. This is a key characteristic of the disorder.
Question 5 of 5
If a silence is heard between sounds when auscultating blood pressure, it is termed a(n)
Correct Answer: C
Rationale: The correct answer, indicated as C.
Rationale: A pulse deficit refers to a condition where there is a difference between the radial and apical pulse rates, not a phenomenon heard during blood pressure measurement. Diastolic pressure is the point at which sounds fade away or become muffled, but the silence between sounds refers to a different concept, not the actual diastolic pressure. An auscultatory gap is the term used to describe a silent interval between the systolic and diastolic sounds during blood pressure measurement. This can lead to inaccurately low readings if not identified. A widened pulse pressure refers to a larger-than-normal difference between systolic and diastolic pressure, which is not related to the auscultatory silence.