ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is discussing with a client who knows someone taking metoprolol for blood pressure management. The client inquires whether metoprolol would be suitable for her as well. Based on the client's medical record, which of the following should the nurse recognize as a contraindication to metoprolol?
Correct Answer: D
Rationale: Metoprolol, a beta-blocker, lowers heart rate, making sinus bradycardia (<60 BPM) a contraindication due to risk of severe bradycardia or heart block. Pneumonia and diabetes aren’t direct contraindications; tadalafil requires caution but isn’t absolute. Bradycardia poses the greatest risk.
Question 2 of 5
A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize that which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Elastic-top stockings (
C) constrict blood flow in PVD, worsening circulation—indicating misunderstanding. Not going barefoot (
A), checking water temp (
B), and avoiding leg crossing (
D) are correct, protecting feet and circulation. C requires correction.
Question 3 of 5
A nurse is preparing to administer digoxin to a client who has left-sided heart failure. Which of the following clinical manifestations should the nurse expect to see in this client? (Select all that apply.)
Correct Answer: A, C, D
Rationale: Left-sided heart failure causes pulmonary congestion:
A) Dyspnea from fluid in lungs;
C) Orthopnea from lying flat, worsening lung fluid;
D) Crackles from alveolar fluid.
B) Jugular vein distention is right-sided failure’s systemic congestion sign. A, C, D reflect left-sided pathology.
Question 4 of 5
Which method of suicide is more characteristic of women?
Correct Answer: D
Rationale: Drowning: Drowning is not a common method of suicide among women. Gunshot: Gunshot is more commonly associated with men as a method of suicide. Hanging: Hanging is more commonly associated with men as a method of suicide. Overdose with pills: Women are more likely to attempt suicide using pills or other medications, which is often seen as a less violent method compared to others.
Question 5 of 5
A nurse should suspect which disorder when a client is able to move his arm in private but states to others that his arm is paralyzed?
Correct Answer: C
Rationale: Personality disorder: Personality disorders involve enduring patterns of behavior and inner experiences that deviate from the norm, but they do not typically include symptoms like claimed paralysis. Hypochondriasis: Hypochondriasis (now classified as illness anxiety disorder) involves excessive worry about having a serious illness but does not involve actual loss of function. Conversion disorder: Conversion disorder involves neurological symptoms that cannot be explained by medical evaluation. Symptoms can include paralysis, blindness, or other neurological deficits that are inconsistent with medical findings and often arise in response to psychological stress. Cyclothymic disorder: Cyclothymic disorder involves chronic fluctuating moods but does not typically include conversion symptoms like paralysis.