ATI LPN Mental Health 2023 III

Extract:

Question 1 of 5

A nurse is participating in a community program about eating disorders. Which of the following information about bulimia nervosa should the nurse include in the presentation?

A. Bulimia nervosa is difficult to notice because a person might be of average or ideal body weight. B. People who have bulimia nervosa eat an average amount of food on a daily basis. C. People who have bulimia nervosa are at risk for developing diabetes mellitus. D. As long as a person is not vomiting after eating, they do not have bulimia nervosa.

Correct Answer: A

Rationale: Bulimia often presents with normal weight, masking the disorder, unlike average eating, diabetes risk, or vomiting exclusivity, which misrepresent the condition.

Question 2 of 5

A nurse is reinforcing teaching with a newly licensed nurse about the Patient Self-Determination Act (PSDA). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A. The PSDA becomes applicable when a client reaches 65 years of age. B. A witness is legally required to sign a client’s living will. C. Advance directives do not apply to clients receiving mental health care. D. A client can verbally designate a durable power of attorney.

Correct Answer: D

Rationale: The PSDA allows verbal designation of a durable power of attorney, reflecting patient autonomy rights, unlike age limits, witness mandates, or mental health exclusions.

Question 3 of 5

A nurse is caring for a client who is receiving treatment for alcohol detoxification. Which of the following medications should the nurse expect to administer during this phase of the client's care?

A. Buprenorphine B. Diazepam C. Varenicline D. Rimonabant

Correct Answer: B

Rationale: Diazepam belongs to the benzodiazepine class of medications and is commonly used during alcohol detoxification. Benzodiazepines help manage symptoms of alcohol withdrawal, including anxiety, tremors, agitation, and seizures. They work by enhancing the effects of gamma-aminobutyric acid (GAB
A), an inhibitory neurotransmitter in the brain. Buprenorphine is used for opioid dependence, Varenicline for smoking cessation, and Rimonabant, withdrawn from the market, was for weight loss, none of which are appropriate for alcohol detox.

Question 4 of 5

A nurse is collecting data from a client who has anorexia nervosa. Which of the following findings should the nurse expect? (Select all that apply.)

A. Lanugo B. Cold extremities C. Hypotension D. Tooth erosion E. Diarrhea

Correct Answer: A,B,C,D,E

Rationale: Lanugo (
A) is fine hair that develops due to malnutrition in anorexia to regulate body temperature. Cold extremities (
B) result from reduced body fat and poor circulation. Hypotension (
C) occurs due to dehydration and electrolyte imbalances from malnutrition.
Tooth erosion (
D) is common in purging subtypes from stomach acid exposure during vomiting. Diarrhea (E) can occasionally occur due to malnutrition-related bowel changes, though constipation is more typical.

Question 5 of 5

A client is becoming increasingly agitated, anxious, and tense. The nurse notes a clenched jaw and a change in the pitch of the client's voice. Which of the following interventions should the nurse implement first?

A. Verbally de-escalate the client. B. Obtain a prescription for haloperidol. C. Place the client in restraints. D. Take the client to the seclusion room.

Correct Answer: A

Rationale: Verbal de-escalation is the first-line intervention for managing escalating behavior. It uses calm, non-confrontational communication to reduce agitation without resorting to physical or chemical restraints, which should be last resorts only if safety is imminently threatened and de-escalation fails.

ATI LPN Mental Health 2023 III | Nurselytic

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ATI LPN

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