ATI LPN
ATI LPN Mental Health Exam I Questions
Extract:
Question 1 of 5
A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?
Correct Answer: A
Rationale: Planning to give his CD collection to his girlfriend: Giving away prized possessions is a common warning sign of suicidal intent, indicating that the person is preparing for their absence. Preferring to eat his meals while watching TV: This behavior is relatively normal and does not necessarily indicate suicidal intent. Stating that he wants to be with his peers more than with his parents: Wanting to spend time with peers is typical for adolescents and does not specifically indicate suicidal intent. Telling his parents that he doesn't want to talk about the attempt: Not wanting to discuss the attempt could be due to embarrassment, guilt, or other reasons, but it is not as direct an indicator of ongoing suicidal intent as giving away possessions.
Question 2 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.
Question 3 of 5
A person who wants to die slashes his wrists and is critically injured but does not die. This is an example of which of the following?
Correct Answer: A
Rationale: Direct self-destructive behavior: Direct self-destructive behavior refers to actions taken with the intent to cause immediate harm or death, such as slashing one's wrists. Indirect self-destructive behavior: Indirect self-destructive behavior refers to actions that can harm oneself over time, such as substance abuse or reckless driving, without the immediate intention to die. Parasuicidal behavior: Parasuicidal behavior involves actions that are intended to cause self-harm but not necessarily result in death, often seen as a cry for help. Maladaptive self-destructive behavior: Maladaptive self-destructive behavior is a broader term that can include a variety of harmful actions, not necessarily with the intention of suicide.
Question 4 of 5
The use of cocaine is higher in which group of people?
Correct Answer: B
Rationale: Hispanic Americans: While substance use varies among populations, Hispanic Americans do not have the highest reported rates of cocaine use. Whites: In terms of drug use by race, White Americans have the highest rates of drug use and abuse. This is likely due to a variety of factors, including socio-economic status, access to drugs, and cultural factors. Asian Americans: Asian Americans typically report lower rates of cocaine use compared to other groups. African Americans: African Americans report lower lifetime use of cocaine, at 8.5%, compared to White Americans (17.6%) and Hispanics (11.1%).
Question 5 of 5
An out-of-control client is verbally abusive and physically aggressive with staff members who are at increased risk for injury. Which intervention is most appropriate?
Correct Answer: D
Rationale: Take a time-out: A time-out is generally used for de-escalating situations in less severe cases and may not be effective if the client is already physically aggressive and a risk to staff. Administer oral medication: Administering oral medication can help to calm the client, but it may not be immediately effective if the client is already aggressive and out of control. Call a family member or friend: Calling a family member or friend may provide emotional support, but it is not a direct intervention to address immediate physical aggression. Apply restraints: When a client is physically aggressive and poses a risk of injury to themselves or others, applying restraints may be necessary to ensure safety. This should be done following proper protocols and as a last resort.