ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching with a client who has peripheral vascular disease (PVD). The nurse should recognize that which of the following statements by the client indicates a need for further teaching?
Correct Answer: C
Rationale: Elastic-top stockings (
C) constrict blood flow in PVD, worsening circulation—indicating misunderstanding. Not going barefoot (
A), checking water temp (
B), and avoiding leg crossing (
D) are correct, protecting feet and circulation. C requires correction.
Question 2 of 5
A nurse is caring for a client who asks why she is being prescribed aspirin 325 mg daily following a myocardial infarction. The nurse should instruct the client that aspirin is prescribed for clients who have coronary artery disease for which of the following effects?
Correct Answer: A
Rationale: Aspirin’s antiplatelet effect prevents clotting post-MI, reducing further coronary occlusion risk. Analgesia (
B), fever reduction (
C), and inflammation control (
D) are secondary; clot prevention is primary for CAD management per guidelines.
Question 3 of 5
Which of the following is an impulse control disorder?
Correct Answer: D
Rationale: Deceitfulness: Deceitfulness is more associated with antisocial personality disorder rather than impulse control disorders. Aggressive conduct: Aggressive conduct is associated with conduct disorder, not specifically with impulse control disorders. Serious rule violations: Serious rule violations are characteristic of conduct disorder. Pyromania: Pyromania is an impulse control disorder characterized by the recurrent urge to set fires.
Question 4 of 5
A nurse is sitting in the day room at an acute care mental health facility with a group of clients who are watching television. Suddenly one of the client's jumps up screaming and runs out of the room. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Ignore the incident since it is an attention-seeking behavior: Ignoring the incident is not appropriate because the client may be in distress or at risk of harm. Stay with the group and ask another client to go and check on the situation: Asking another client to check on the situation is not appropriate, as it is the nurse's responsibility to ensure the safety of all clients. Follow the client to determine the cause of the behavior: Following the client allows the nurse to assess and intervene appropriately to ensure the client's safety and address the cause of the behavior. Ask the group what they think about the client's behavior: Discussing the behavior with the group is not appropriate in an emergency situation and does not address the immediate needs of the distressed client.
Question 5 of 5
The nurse should most suspect which of the following when presented with an older, mentally impaired woman who is depressed and underweight and has poor personal hygiene?
Correct Answer: A
Rationale: Neglect: Neglect is characterized by the failure to meet the basic needs of an individual, including food, shelter, clothing, and medical care. The signs of depression, underweight, and poor personal hygiene are consistent with neglect. Emotional abuse: Emotional abuse involves behaviors that harm an individual's self-worth or emotional well-being, such as name-calling, shaming, or isolating. While emotional abuse could be present, the physical signs of underweight and poor hygiene point more towards neglect. Physical abuse: Physical abuse involves causing physical harm through actions such as hitting, slapping, or burning. There are no direct signs of physical trauma mentioned in the scenario, making physical abuse less likely. Exploitation: Exploitation involves taking advantage of an individual for personal gain, often financially. The scenario does not provide information about financial or other forms of exploitation.