ATI LPN
ATI LPN Mental Health Exam II Questions
Extract:
Question 1 of 5
A nurse is reinforcing education to a client who is prescribed clozapine. Which of the following findings should the nurse identify as consistent with agranulocytosis and instruct the client to monitor?
Correct Answer: C
Rationale: Sore throat and muscle aches indicate agranulocytosis, a serious clozapine side effect requiring monitoring. Restlessness, respiratory issues, or anxiety aren’t typical signs.
Question 2 of 5
A nurse in a mental health facility is reinforcing teaching to a newly licensed nurse about how to perform an Abnormal Involuntary Movement Scale (AIMS) test on a client. The charge nurse should identify that the AIMS test is used for which of the following conditions?
Correct Answer: C
Rationale: The AIMS test assesses tardive dyskinesia, a movement disorder from antipsychotics. It doesn’t evaluate lithium toxicity, alcohol, or opiate withdrawal, which have different assessment tools.
Question 3 of 5
A nurse is reinforcing discharge teaching with a client who has borderline personality disorder. The client reports being a single parent caring for two toddlers. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Offering information about a support group provides the client with resources to manage stress and improve parenting skills, which is appropriate without evidence of abuse or neglect. Notifying child protective services requires evidence of harm, suggesting relatives take the children is premature, and exposing toddlers to a psychiatric unit may be distressing.
Question 4 of 5
A nurse at a primary care clinic is collecting data on a client for manifestations of depression. Which of the following client statements should the nurse identify as being consistent with depression?
Correct Answer: D
Rationale: Insomnia and ruminative thoughts are core depression symptoms, impairing rest and mood. Alertness suggests mania, restlessness anxiety, and hypertension isn’t directly related.
Question 5 of 5
The nurse is assisting in the care of a client who is hyperactive pacing down the hallway and exhibiting poor concentration during group therapy. When collecting data the nurse should identify that which of the following is characteristic of the client's manifestations?
Correct Answer: D
Rationale: Hyperactivity, pacing, and poor concentration are hallmarks of mania, reflecting elevated mood and energy. Depression involves low energy, delusions are false beliefs, and hallucinations are sensory distortions.