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 has a new prescription for lithium. Which of the following interventions should the nurse recommend?
Correct Answer: B
Rationale: Administering lithium with meals reduces GI upset, a common side effect. Potassium (
A) isn’t affected, caloric intake (
C) isn’t indicated, and hypoglycemia (
D) isn’t a lithium risk.
Question 2 of 5
A nurse is obtaining a health history from a client who reports a recent suicide attempt. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: This open-ended response encourages sharing and support. A assumes, B blames, and C minimizes the client’s experience.
Extract:
Vital Signs
• Heart rate 115/min
• Respiratory rate 20/min
• BP 90/65 mm Hg
• Temperature 38.6°C (101.5°F)
Nurses’ Notes
0800:
Client is 3 days postoperative. Currently disoriented to time and place, oriented to self. Client is displaying disorganized thinking, a lack of attention when spoken to, and rambling speech that is incoherent at times. Client attempts to get out of bed without assistance. Changes in client’s behavior began the prior evening and client has been awake most of the night. Client has refused to eat or drink since the previous day.
Intake and output from previous day: 250 mL intake, 2,500 mL output.
Call placed to provider to report findings.
0830:
IV fluids initiated by RN. Urine and blood samples collected per provider’s prescription. Client continues to be restless.
Question 3 of 5
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to collect data about the client’s progress.
Correct Answer:
Rationale: Delirium (
A) fits postoperative symptoms. Monitor fluids (
A) addresses dehydration, family stay (E) aids orientation. Fall risk (
A) and sleep-wake (E) track progress.
Extract:
Question 4 of 5
A nurse is reinforcing teaching with a newly licensed nurse about the Patient Self-Determination Act (PSDA). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
Correct Answer: D
Rationale: The PSDA allows verbal designation of a power of attorney, reflecting autonomy. A varies by state, B misstates applicability, and C is false as directives apply universally.
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?
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.