ATI LPN
ATI LPN Mental Health 2023 III 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: D
Rationale: Limiting decisions reduces stress in delirium clients with impaired cognition, unlike high stimulation or isolation, which can worsen symptoms.
Question 2 of 5
A nurse in a mental health facility is collecting a blood specimen from a client. The client is hallucinating and states, 'That looks like a snake, and I won’t let it take all of my blood.' Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Validating the client’s fear while gently correcting the hallucination builds trust and reduces distress, unlike dismissal or focus on procedure alone.
Question 3 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: B
Rationale: Fluctuating orientation, where alertness and confusion vary rapidly, is a hallmark of delirium, unlike the steady decline in dementia or consistent mood in depression. Obsessive behaviors may occur but aren’t specific to delirium.
Question 4 of 5
A nurse is caring for a client who is receiving treatment for alcohol detoxification. Which of the following medications should the nurse expect to administer during this phase of the client's care?
Correct Answer: B
Rationale: Diazepam belongs to the benzodiazepine class of medications and is commonly used during alcohol detoxification. Benzodiazepines help manage symptoms of alcohol withdrawal, including anxiety, tremors, agitation, and seizures. They work by enhancing the effects of gamma-aminobutyric acid (GAB
A), an inhibitory neurotransmitter in the brain. Buprenorphine is used for opioid dependence, Varenicline for smoking cessation, and Rimonabant, withdrawn from the market, was for weight loss, none of which are appropriate for alcohol detox.
Question 5 of 5
A nurse is collecting data from a client who has schizophrenia. Which of the following client statements indicates that the client is experiencing a command hallucination?
Correct Answer: C
Rationale: Command hallucinations involve voices giving direct orders, like stopping eating, unlike visual hallucinations or delusions in the other options.