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 is to start therapy with fluoxetine. Which of the following is an expected outcome for this client?
Correct Answer: D
Rationale: Fluoxetine, an SSRI, is expected to improve mood in clients with depression. This is its primary therapeutic effect, unlike reducing tremors or hallucinations.
Question 2 of 5
A nurse is collecting data from a client who is experiencing opioid withdrawal. Which of the following manifestations should the nurse expect?
Correct Answer: A
Rationale: Diarrhea is a common symptom of opioid withdrawal due to increased gastrointestinal motility. This reflects the body’s reaction to the absence of opioids.
Question 3 of 5
A nurse is caring for a client who is receiving acute care for the treatment of a substance use disorder. With which of the following actions is the nurse demonstrating the ethical principle of veracity?
Correct Answer: A
Rationale: Reinforcing information on the potential adverse effects of a medication demonstrates veracity, the principle of truthfulness. It ensures the client is fully informed, supporting ethical care and decision-making.
Question 4 of 5
A nurse is collecting data from an older adult client who was admitted with heart failure. The nurse should report which of the following findings to the provider as an indication of delirium?
Correct Answer: A
Rationale: A fluctuating level of orientation is a hallmark sign of delirium. Delirium is characterized by an acute and fluctuating course of altered mental status, including changes in attention and cognition, distinguishing it from depression or dementia.
Question 5 of 5
A nurse is caring for a client who becomes extremely agitated and asks if they can go to a separate room to be alone for an hour. The nurse should document which of the following de-escalation techniques in the client's medical record?
Correct Answer: D
Rationale: Timeout allows the client to have a moment away from stimuli to regain control and calm down, which is a recognized de-escalation technique. This matches the client’s request and supports de-escalation efforts.