ATI LPN
ATI LPN Mental Health 2023 II Questions
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?
Correct Answer: A
Rationale: Limiting the client's need to make decisions helps reduce stress and confusion, which can exacerbate symptoms of delirium. Simplifying choices and providing a structured environment can aid in orientation and reduce cognitive overload.
Question 2 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?
Correct Answer: B
Rationale: Clients retain the legal right to privacy of health information even after death, per HIPAA regulations. This statement reflects an accurate understanding of confidentiality principles.
Question 3 of 5
A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's disease. The caregiver reports that the client awakens at night and wanders. Which of the following strategies should the nurse suggest?
Correct Answer: A
Rationale: Placing a lock at the top of doors helps prevent the client from wandering outside, ensuring safety. This is a practical, non-restrictive measure to manage nighttime wandering in Alzheimer’s.
Question 4 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
Correct Answer: B
Rationale: Sodium levels must be monitored while taking lithium because lithium can alter sodium and fluid balance. Changes in sodium levels can affect lithium levels and potentially lead to toxicity, making this a critical monitoring parameter.
Question 5 of 5
A nurse is beginning a therapeutic relationship with a client who has paranoid personality disorder. Which of the following strategies should the nurse plan to use?
Correct Answer: A
Rationale: Demonstrating a neutral demeanor helps build trust with a client who has paranoid personality disorder. This non-threatening approach avoids triggering suspicion, fostering a therapeutic relationship.