ATI LPN
LPN ATI Mental Health Psychosocial Questions
Extract:
Question 1 of 5
A nurse is providing a community health education class about suicide prevention. Which of the following should the nurse identify as risk factors for suicide? (Select all that apply)
Correct Answer: B,C,D,F
Rationale: Schizophrenia (
B), alcohol use disorder (
C), substance use disorder (
D), and age greater than 65 (F) are significant risk factors for suicide due to their association with mental illness, impulsivity, and isolation. Pregnancy and marriage are generally protective factors.
Question 2 of 5
Haldol 2 mg IM stat has been ordered for the agitated client. Haldol is available in 5 mg/ml. How many ml's will you administer?
Correct Answer: B
Rationale:
Step 1 is to determine the amount of medication to administer. The order is for Haldol 2 mg IM stat. The available medication is Haldol 5 mg/ml.
To find out how many ml's to administer, you would divide the ordered dose by the available dose. So, 2 mg ÷ 5 mg/ml = 0.4 ml.
Question 3 of 5
A patient admitted to the medical-surgical unit was recently weaned from a mechanical ventilator and an IV infusion of lorazepam. The patient has been alert and oriented for 24 hours but is now experiencing confusion. The practical nurse assists the registered nurse with the evaluation of new-onset confusion by assessing the patient's sense of place and time, difficulty focusing, short-term memory loss, and increased lethargy. What condition does the practical nurse suspect in this patient?
Correct Answer: D
Rationale: Delirium is a sudden onset of confusion that can be caused by a variety of factors, including withdrawal from certain medications like lorazepam. Symptoms can include disorientation, difficulty focusing, short-term memory loss, and increased lethargy. Psychosis involves hallucinations or delusions, dementia is chronic, and amnesia primarily affects memory without sudden onset.
Question 4 of 5
The night nurse reports that the client, who is hospitalized with major depressive disorder, has been unable to sleep until late at night. The client gets up, paces the hallway, wrings their hands, and appears teary. Which interventions should the nurse advocate to add to the care plan? Select all that apply.
Correct Answer: C,D,E
Rationale: Arranging for the client to receive at least 20 minutes of natural sunlight each day can improve sleep patterns. Serving the client a glass of warm milk in the evening can promote comfort and relaxation to aid sleepiness. Suggesting that the client take a warm bath before going to bed can be a part of a relaxing activity before bedtime. Naps can disrupt sleep patterns, and exercise before bed can increase alertness.
Question 5 of 5
Which of the following actions is the best example of aggressive behavior?
Correct Answer: D
Rationale: Telling the medication nurse, 'I am not going to take that, or any other, medication you try to give me' can be considered an aggressive behavior. This statement shows a refusal to cooperate and a confrontational attitude, which are characteristics of aggressive behavior. Walking away to take a tray is not inherently aggressive; it could be a neutral action. Expressing anger assertively is not aggressive but rather a healthy communication of feelings. Crying and withdrawing reflect emotional distress, not aggression.