ATI LPN
ATI LPN Mental Health Exam V Questions
Extract:
Question 1 of 5
A nurse is providing care to a client who was admitted to the emergency department with superficial lacerations on their leg. The client states "I was feeling bored so I used a pair of gardening scissors to cut myself." The client denies current depression and suicidal thoughts. The client is demonstrating manifestations of which of the following disorders?
Correct Answer: C
Rationale: Self-harm for attention aligns with factitious disorder. Somatic symptom involves distress from symptoms, illness anxiety involves disease fear, and functional neurological involves involuntary deficits.
Question 2 of 5
A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select All that Apply.)
Correct Answer: A,D,E
Rationale: Hallucinations, flat affect, and disorganized behavior are core DSM-5 criteria. Inactivity, antisocial personality, and relationships are not required.
Extract:
History and Physical
Week 1:
Abdominal pain
Anorexia
Child has had seven hospitalizations in the past 6 months.
Nurses' Notes
Week 1:
Parent brings school-age child to clinic. States, "My child is always sick. Their stomach hurts all the time. Something is wrong with them. This has been going on for the past 3 months. We've been to several doctors, and they can't find anything wrong." Parent reports that child experiences frequent abdominal pain and has a fever. Child appears emaciated and withdrawn with eyes downcast and looking at floor. Skin is pale with decreased turgor.
Week 3:
Parent brings child back to clinic. Child is vomiting and holding abdomen. Child states, "My stomach hurts so bad." Child looking away from parent. Parent states, "I have taken my child out of school and am home schooling them now. They are too ill to go to school and require my care." Parent is defensive when asked questions related to child's manifestations. Parent is demanding that child be admitted to acute care facility to "have tests run."
Question 3 of 5
A nurse is caring for a school-age client in an outpatient clinic. Exhibits The nurse should identify which of the client findings are manifestations of a factitious disorder? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Withdrawn behavior, frequent hospitalizations, unexplained pain, and health preoccupation suggest factitious disorder, where clients seek medical attention for psychological reasons. Trauma is not specific.
Extract:
History and Physical
Week 1:
Client had open heart surgery 1 month ago. Had multiple cardiac surgeries prior to recent surgery.
History of:
Coronary artery disease
Hypertension
Hyperlipidemia
Type 2 diabetes mellitus
Anxiety
Somatic symptom disorder
Chronic back pain for 10 years
Nurses' Notes
Week 1:
Client reports feelings of anxiety and increased back pain. Client had open heart surgery 1 month ago. "Since I have had the surgery, I feel depressed."
Week 2:
Client reports fixation on health condition and inability to sleep. Client states, "I don't think the surgery helped. I still am short of breath and don't feel any better. I feel anxious and sick to my stomach. I think there is something wrong with me the doctor hasn't found yet."
Question 4 of 5
A nurse is caring for a client in an outpatient clinic. Exhibits: Select the 3 interventions the nurse should plan to take.
Correct Answer: B,C,E
Rationale: Helping distinguish anxiety from symptoms, providing relief, and suggesting tests address somatic concerns without dismissal. Positive thinking, denial, or lengthy exams are less effective.
Extract:
Question 5 of 5
A nurse is caring for a client who has been diagnosed with schizophrenia. The client has been wearing the same clothes for the past week and appears unkept and unbathed. Which of the following statements should the nurse make to the client?
Correct Answer: C
Rationale: Offering a clear directive with a simple choice promotes hygiene and autonomy, suitable for schizophrenia clients. Ignoring, confronting, or forcing can harm trust or escalate resistance.