ATI LPN
ATI LPN Mental Health Exam II Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client about avoiding foods with tyramine. The client states "Thank you for all of this information but it's just not for me. I eat what I want when I want it." Which of the following stages of change is the client demonstrating?
Correct Answer: D
Rationale: The client’s dismissal reflects precontemplation, showing no intent to change. Preparation and contemplation involve planning or considering change, and action involves active steps.
Question 2 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: Awareness of self-harm risk is critical due to impulsivity and emotional instability in BPD. Medication, insurance, and therapy are secondary to immediate safety concerns.
Question 3 of 5
A nurse is reinforcing teaching with a client about avoiding foods with tyramine. The client states "Thank you for all of this information but it's just not for me. I eat what I want when I want it." Which of the following stages of change is the client demonstrating?
Correct Answer: D
Rationale: The client’s dismissal reflects precontemplation, showing no intent to change. Preparation and contemplation involve planning or considering change, and action involves active steps.
Question 4 of 5
A nurse is discussing schizophrenia spectrum disorders with a client. The client states,My friend says that before I started hearing voices, I stopped hanging out with them. Why is that? Which of the following responses should the nurse make?
Correct Answer: B
Rationale: Social withdrawal is a prodromal sign of schizophrenia, reflecting early cognitive or emotional changes. Linking it to introversion or voices is inaccurate, and uncertainty dismisses the client’s need for clarity.
Question 5 of 5
A nurse is reviewing laboratory results for a client and notes a serum lithium level of $1.6 \mathrm{mEq} / \mathrm{L}$. Which of the following manifestations should the nurse expect the client to report?
Correct Answer: B
Rationale: A lithium level of $1.6 \mathrm{mEq} / \mathrm{L}$ indicates mild to moderate toxicity, typically causing gastrointestinal issues like nausea and neurological symptoms like poor coordination. Lip smacking relates to tardive dyskinesia, blurred vision and jerking movements occur in severe toxicity, and fever with blood pressure changes suggest other conditions.