ATI LPN
ATI PN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for a client who is to start therapy with fluoxetine. Which of the following is an expected outcome for this client?
Correct Answer: D
Rationale: Fluoxetine, an SSRI, improves mood in depression. It doesn’t primarily target hallucinations (
A), tremors (
B), or seizures (
C).
Question 2 of 5
A nurse is caring for a client who has a depressive disorder following the recent death of their partner. Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Inviting the client to share fosters therapeutic processing of grief. A dismisses uniqueness, C shifts focus, and D pushes prematurely.
Question 3 of 5
A nurse in a mental health clinic is collecting data from a client to determine the client’s risk for suicide. Which of the following findings should the nurse identify as a risk factor for suicide? (Select all that apply)
Correct Answer: A,B,D,E
Rationale: Guns (
A), past attempts (
B), alcohol disorder (
D), and terminal illness (E) increase suicide risk. Marriage (
C) is typically protective unless troubled.
Extract:
Provider’s Note
0230:
Client diagnosis: delirium secondary to a urinary tract infection and dehydration.
Laboratory Results
0230:
Serum toxicology screen:
Alcohol: 60 mg/dL (80 to 200 mg/dL mild to moderate intoxication)
Vital Signs
0200:
Temperature 38.6°C (101.5°F)
Heart rate 104/min
Respiratory rate 18/min
Blood pressure 158/96 mm Hg
Oxygen saturation 98% on room air
Nurses’ Notes
0205:
Client brought to the ED by police after being found wandering on the street. Client able to provide identity to police but not able to identify place or time. Family notified.
Client confused and agitated. Appearance is disheveled. Mucous membranes dry. Lungs clear and equal, heart rhythm regular.
During data collection, client states, “Can you ask that person to leave my room?” Client is pointing to an empty chair.
0230:
Client’s adult child arrived to the ED and went to client’s room. Client identified family member. Client is pacing and agitated, and states, “I don’t understand why I am here.” Adult child asks nurse to talk outside of room and states, “I don’t know why they are so confused. They are not normally like this.” Adult child states client has past medical history of hypertension and alcohol-related cirrhosis. Upon returning to room, client voided 250 mL of dark yellow, cloudy urine.
Question 4 of 5
The nurse has reviewed the nurses’ notes, provider’s note, and laboratory results at 0230. Exhibits For each client finding, click to specify if the finding is consistent with delirium or Alzheimer’s disease. Each finding may support more than one disease process.
| Options | Delirium | Alzheimer’s Disease |
|---|---|---|
| Agitation | ||
| Current medical diagnosis | ||
| Sudden onset of confusion | ||
| Hallucinations |
Correct Answer:
Rationale: Agitation (
A) and hallucinations (
D) occur in both; diagnosis (
B) of delirium and sudden confusion (
C) are delirium-specific, unlike Alzheimer’s gradual onset.
Extract:
Question 5 of 5
A nurse is reinforcing behavior management techniques with the parent of a school-age child who has conduct disorder. Which of the following statements by the parent indicates an understanding of the redirection technique?
Correct Answer: A
Rationale: Re-engaging in an appropriate activity redirects the child from negative behavior, aligning with redirection principles. B comforts, C teaches via role-play, and D ignores behavior, none of which are redirection.