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 must be alert when a client is giving away possessions, getting his/her life in order, or making vague goodbyes to people. Which of the following should the nurse be concerned about?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: A depressive state may involve feelings of hopelessness, but giving away possessions and saying goodbyes are signs of potential suicidal intent. Suicidal intent is the primary concern in this situation. These behaviors are commonly seen when a client is preparing to end their life. A plan to relocate would not typically involve giving away possessions or saying goodbyes in such a manner. Elopement with a partner is not a typical behavior associated with suicidal intent.
Question 3 of 5
A nurse is caring for a client who is unable to make any decisions for themself and needs constant reassurance. The nurse should identify that these are manifestations of which of the following personality disorders?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Schizoid personality disorder involves detachment from social relationships, not an excessive need for reassurance. Dependent personality disorder is characterized by a pervasive need to be taken care of, resulting in submissive behavior and difficulty making decisions. Avoidant personality disorder involves social inhibition and fear of criticism, not the need for constant reassurance. Antisocial personality disorder involves disregard for the rights of others, rather than a need for constant reassurance.
Question 4 of 5
A nurse is caring for a client who is experiencing auditory hallucinations. Which of the following responses should the nurse make first?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: While the voices may be part of the illness, it is important to acknowledge the client's experience without dismissing it. Acknowledging the client's experience ('I know you hear the voices, but I do not') is important in establishing rapport and validating their reality. Asking how often the voices are heard can be useful, but acknowledging the client's perception should be the first priority. Asking what the voices are telling the client may come later, after the client's experience has been acknowledged.
Question 5 of 5
In 2020 Mai had recurrent depressive episodes with recurrent hypomanic episodes. Which of the following is the appropriate diagnosis for this client?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Major depressive disorder does not include hypomanic episodes, which are a key feature of bipolar II disorder. Bipolar type II is characterized by recurrent depressive episodes and hypomanic episodes, as described. Bipolar mixed refers to simultaneous symptoms of both mania and depression, which is not indicated here. Bipolar type I involves manic episodes, which are not mentioned in this scenario.