ATI LPN
ATI LPN Mental Health Level 4 Exam 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: B
Rationale: The correct answer, indicated as B.
Rationale: Telling parents not to talk about the attempt may reflect withdrawal or denial but does not necessarily indicate ongoing suicidal intent. Giving away personal possessions, such as a CD collection, is a common behavior in adolescents with suicidal intent, as they may believe they won't need these items in the future. Wanting to spend more time with peers than parents could indicate normal adolescent development, rather than a sign of suicidal intent. Preferring to eat meals while watching TV is not a concerning behavior in the context of suicide risk.
Question 2 of 5
A nurse is reinforcing teaching with the family of a client who has a new diagnosis of borderline personality disorder about the disorder. Which of the following information should be the nurse's priority?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Medication compliance is important but does not address the most immediate concerns for individuals with borderline personality disorder, such as self-harm. Awareness of the potential for self-harm is the priority because individuals with borderline personality disorder often engage in self-destructive behaviors. Resources for group therapy in the community are valuable but secondary to ensuring immediate safety. Insurance coverage is important but not urgent compared to the immediate need for safety and awareness of self-harm risks.
Question 3 of 5
A nurse is preparing to administer clonazepam 1 mg PO. Available is clonazepam 0.5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: The correct answer, indicated as 2.
Rationale: The nurse needs to administer 1 mg of clonazepam, and since each tablet is 0.5 mg, the nurse should give 2 tablets to provide the correct dose. Calculation: 1 mg / 0.5 mg per tablet = 2 tablets.
Question 4 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 5 of 5
A nurse is contributing to the plan of care for a client who has severe depression following the loss of her spouse. When identifying client goals, which of the following goals should the nurse identify as the highest priority?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Identifying positive qualities about oneself is important but is not the immediate priority in someone at risk for self-harm. Contacting a staff member when the client feels she might hurt herself is the priority, as it directly addresses the risk of harm and safety. Identifying a reachable goal for the future is important but secondary to addressing immediate safety concerns. Identifying her position in the grief process can be helpful but does not address the most immediate concern, which is her safety.