ATI PN Mental Health 2023

Extract:

Question 1 of 5

A nurse is contributing to the plan of care for a client who has acute delirium. Which of the following interventions should the nurse include in the plan of care?

A. Provide a high-stimulation environment for the client.B. Limit the client’s need to make decisions.C. Discourage visitation from the client’s family.D. Keep the client’s room dark at night.

Correct Answer: B

Rationale: Limiting decisions reduces cognitive load and stress in delirium. High stimulation (
A) worsens symptoms, family visits (
C) aid orientation, and darkness (
D) increases disorientation.

Question 2 of 5

A nurse is assisting in the care of a client who is in restraints following an episode of violence. Which of the following information should the nurse document in the client’s medical record? (Select all that apply)

A. Observing range of motion of client’s extremitiesB. Providing opportunities for nutrition and toiletingC. Attempts at less restrictive interventionsD. Observation of the client once per hourE. Names of staff members caring for the client

Correct Answer: A,B,C,D,E

Rationale: All are required: range of motion (
A) prevents harm, nutrition/toileting (
B) meets needs, less restrictive attempts (
C) show justification, hourly observation (
D) ensures safety, and staff names (E) ensure accountability.

Question 3 of 5

A nurse is reinforcing teaching with a client who has bipolar disorder and has a new prescription for lithium. To address possible adverse effects, the nurse should include that which of the following laboratory values will be monitored while the client is taking this medication?

A. Sodium levelB. Liver enzymesC. Uric acidD. Erythrocyte sedimentation rate

Correct Answer: C

Rationale: Lithium can elevate uric acid, risking gout, requiring monitoring. Sodium (
A) affects lithium levels but isn’t primary, liver (
B) isn’t key, and ESR (
D) is unrelated.

Question 4 of 5

A nurse is collecting data from a client who has antisocial personality disorder. Which of the following findings should the nurse expect? (Select all that apply)

A. Lack of empathyB. Manipulative behaviorsC. SplittingD. Preoccupation with detailsE. Impulsiveness

Correct Answer: A,B,C,E

Rationale: Lack of empathy (
A), manipulative behaviors (
B), splitting (
C), and impulsiveness (E) align with antisocial personality disorder traits like disregard for others and impulsivity. Preoccupation with details (
D) is more typical of obsessive-compulsive personality disorder.

Question 5 of 5

A nurse is reinforcing teaching with a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A. A provider may speak to a client’s employer regarding a substance use disorder.'B. A client retains the legal right to privacy of health information even after they have died.'C. The provider must give consent to discuss health information with the client’s family.'D. I can discuss a client’s information with staff who have provided care in the past.'

Correct Answer: B

Rationale: Under HIPAA, privacy persists 50 years post-death, showing understanding. A violates consent rules, C misstates client consent requirements, and D breaches need-to-know principles.

ATI PN Mental Health 2023 | Nurselytic

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ATI LPN

ATI LPN