ATI LPN
LPN Custom Mental Health Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who is scheduled to receive electroconvulsive therapy (ECT). Which of the following statements should the nurse include in the teaching?
Correct Answer: D
Rationale: You may experience muscle cramping from the induced seizure.' While muscle stiffness is possible, the term 'muscle cramping' might not accurately describe the postictal state after ECT. 'The most common adverse effects of ECT are related to anesthesia.' While anesthesia is used during ECT, the most common adverse effects are related to the ECT procedure itself, such as confusion, memory loss, and headache. 'You should expect to have ECT once per week for 6 weeks.' The frequency and duration of ECT treatments vary based on the individual's response and treatment plan. This statement provides a specific schedule that may not apply to all patients. 'You might feel a bit confused and disoriented when you first wake up.' This statement accurately reflects a common and expected postictal effect of ECT. Patients undergoing ECT commonly experience confusion and disorientation upon awakening. This is a temporary and expected side effect of the treatment. It's important for the patient to be aware of this possibility as part of the informed consent process.
Extract:
Diagnostic Results: Sodium: 135 mEq/L (expected reference range 136 to 145 mEq/L), Potassium 2.9 mEq/L (expected reference range 3.5 to 5 mEq/L), Chloride: 94 mEq/L (expected reference range 98 to 106 mEq/L), Phosphate: 3.1 mg/dL (expected reference range 3 to 4.5 mg/dL), Magnesium: 2 mg/dL (expected reference range 1.3 to 2.1 mg/dL), Glucose 74 mg/dL (expected reference range 74 to 106 mg/dL).
Question 2 of 5
A nurse working in a mental health facility is admitting a client. Exhibits: A nurse is assisting with initiating the client's plan of care. Complete the following sentence by using the list of options (Separate using a comma). The nurse should first address the client's ___ followed by the client's ___
Correct Answer: A,B
Rationale: The nurse should first address the client's cardiac status followed by the client's nutritional status. Cardiac status: Potassium levels are critically low, which can significantly impact cardiac function. Nutritional status: The client has multiple electrolyte imbalances, which could be related to nutrition or absorption issues.
Extract:
Question 3 of 5
A nurse is caring for a client who reports a state of increasing anxiety and the inability to sleep and concentrate. Which of the following is an appropriate response by the nurse?
Correct Answer: C
Rationale: Everyone has trouble sleeping at times' minimizes the client's concerns and may not address the underlying issues contributing to their anxiety. 'Why do you think you are so anxious?' might come across as judgmental or confrontational, and it may not create a supportive environment for the client to open up about their feelings. 'Have you talked to your provider about this yet?' This response encourages the client to seek professional help and addresses the issue of increasing anxiety and difficulty sleeping. It is supportive and guides the client toward discussing their concerns with a healthcare provider who can assess the situation and provide appropriate interventions. 'It sounds like you're having a difficult time' acknowledges the client's distress but does not guide them toward seeking professional help. Encouraging a conversation with a healthcare provider is a more direct and helpful approach.
Question 4 of 5
A nurse is caring for a group of clients at a mental health facility. The nurse should identify that which of the following clients is exhibiting a warning sign of suicide?
Correct Answer: D
Rationale: Requesting an appointment to discuss depression is an indication that the client is seeking help, which is a positive step. It does not necessarily indicate an immediate risk of suicide. Stating that they are stopping their medication raises concerns about treatment compliance, but it does not provide a clear indication of suicidal intent. It is important to assess the reasons for discontinuing medication and address any concerns. Sleeping 12 hours a day can be a symptom of depression, but it does not necessarily indicate an immediate risk of suicide. It is crucial to assess the client's overall mental health and functioning. A client who is giving away their possessions. Giving away possessions can be a warning sign of suicidal intent. This behavior may indicate that the individual is preparing for the possibility of not needing those belongings in the future. It is crucial for the nurse to assess and intervene promptly if a client is exhibiting signs of suicidality.
Question 5 of 5
A nurse is caring for a client who witnessed her brother's homicide and has posttraumatic stress disorder (PTSD). Which of the following findings should the nurse expect?
Correct Answer: B
Rationale: Constantly talking about the traumatic experience is a symptom of intrusive thoughts and re-experiencing, which is characteristic of PTSD. The client is easily startled by loud voices. Individuals with PTSD often experience heightened arousal and increased reactivity to stimuli. Being easily startled by loud voices is a common symptom of hypervigilance and increased arousal seen in PTSD. Reporting satisfying personal relationships with family and close friends is less likely in individuals with PTSD. PTSD can negatively impact interpersonal relationships due to symptoms such as emotional numbing, avoidance, and hypervigilance. Constant drowsiness and sleeping 11-12 hours daily are not typical findings in PTSD. Individuals with PTSD may experience sleep disturbances, such as insomnia, nightmares, or hyperarousal-related sleep problems.