ATI LPN
ATI LPN Mental Health Level 4 Exam Questions
Extract:
Question 1 of 5
A nurse is contributing to the plan of care for a client who has severe depression following the loss of her spouse. When identifying client goals, which of the following goals should the nurse identify as the highest priority?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Identifying positive qualities about oneself is important but is not the immediate priority in someone at risk for self-harm. Contacting a staff member when the client feels she might hurt herself is the priority, as it directly addresses the risk of harm and safety. Identifying a reachable goal for the future is important but secondary to addressing immediate safety concerns. Identifying her position in the grief process can be helpful but does not address the most immediate concern, which is her safety.
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 collecting data from a client who has obsessive-compulsive personality disorder. Which of the following findings should the nurse include?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Obsessive-compulsive personality disorder is characterized by a preoccupation with orderliness, perfectionism, and a need for control. Believing achievements are superior is a hallmark of narcissistic personality disorder, not obsessive-compulsive personality disorder. Requiring excessive advice is more typical of dependent personality disorder. Using physical appearance to gain attention is characteristic of histrionic personality disorder.
Question 4 of 5
A nurse is preparing to administer clonazepam 1 mg PO. Available is clonazepam 0.5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: The correct answer, indicated as 2.
Rationale: The nurse needs to administer 1 mg of clonazepam, and since each tablet is 0.5 mg, the nurse should give 2 tablets to provide the correct dose. Calculation: 1 mg / 0.5 mg per tablet = 2 tablets.
Question 5 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.