ATI LPN
ATI LPN Mental Health Level 4 Exam Questions
Extract:
Question 1 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 2 of 5
A nurse is reinforcing discharge teaching with a client who has several new prescriptions for psychotropic medications. The client tells the nurse that she has always had trouble following a medication regimen. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Telling the client to 'work hard' to stay on schedule does not address the underlying difficulty with medication adherence. Saying not to worry about past issues may minimize the client's concerns and challenges. Asking 'why' the client finds it difficult to take medications might not encourage open communication and could make the client feel judged. Collaborating with the client to create a schedule that is convenient and achievable increases the likelihood of adherence and fosters a sense of control and partnership.
Question 3 of 5
A nurse on the mental health unit is caring for a client who has bipolar disorder and comes to the nurse's station at 0300 demanding to see the provider. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Sending the client back to their room without addressing their feelings might worsen anxiety and frustration. Dismissing the client's request could escalate the behavior and contribute to feelings of neglect. Telling the client to wait might not address the underlying issue or concern. Acknowledging the client's feelings and offering to listen is an empathetic response, which can help deescalate the situation and build trust.
Question 4 of 5
A nurse is preparing to administer diphenhydramine 35 mg IM to a client who has schizophrenia. Available is diphenhydramine for injection 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.7
Rationale: The correct answer, indicated as 0.7.
Rationale:
To determine how many mL to administer, use the formula: mL = Desired Dose / Available Dose per mL. mL = 35 mg / 50 mg/mL = 0.7 mL. Thus, the nurse should administer 0.7 mL of diphenhydramine.
Question 5 of 5
The nurse is teaching the family of a client about the signs and symptoms of major depression prior to the discharge of their loved one from an inpatient stay after a suicide attempt. Which statement by a family member warrants further education by the nurse?
Correct Answer: C
Rationale: The correct answer, indicated as C.
Rationale: Encouraging physical activity, like a daily walk, is a positive way to support the client's mental health and can help with symptoms of depression. Setting timers for medications and meals is a helpful strategy to ensure the client adheres to the prescribed treatment plan. Letting the client have complete freedom without offering support or asking questions is a risky approach. The nurse should encourage family involvement and monitoring, as clients recovering from a suicide attempt need continued emotional support and guidance. Engaging with the client about their feelings and daily goals can help maintain communication and provide emotional support.