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 collecting data from a client who has obsessive-compulsive personality disorder. Which of the following findings should the nurse include?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Obsessive-compulsive personality disorder is characterized by a preoccupation with orderliness, perfectionism, and a need for control. Believing achievements are superior is a hallmark of narcissistic personality disorder, not obsessive-compulsive personality disorder. Requiring excessive advice is more typical of dependent personality disorder. Using physical appearance to gain attention is characteristic of histrionic personality disorder.
Question 3 of 5
A nurse is collecting data from a client who is taking chlorpromazine. Which of the following findings should the nurse identify as extrapyramidal symptoms (EPS)? (Select all that apply.)
Correct Answer: A,C
Rationale: The correct answer, indicated as A, C.
Rationale: Impaired gait is a classic extrapyramidal symptom, which includes issues like dystonia or bradykinesia. Fidgeting behavior is more related to anxiety or restlessness rather than EPS. Muscle contractions of the neck, known as torticollis, are common signs of EPS caused by antipsychotic medications such as chlorpromazine. Fluctuating vital signs are not directly linked to EPS but may indicate another underlying issue. Sexual dysfunction is a side effect of chlorpromazine but not classified as an EPS.
Question 4 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 5 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.