ATI PN Mental health DEC 2023

Extract:

Question 1 of 5

A nurse is reinforcing teaching with a newly licensed nurse about the Patient Self-Determination Act (PSDA). Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A. The PSDA becomes applicable when a client reaches 65 years of age.' B. Advance directives do not apply to clients receiving mental health care.' C. A witness is legally required to sign a client’s living will.' D. A client can verbally designate a durable power of attorney.'

Correct Answer: D

Rationale: The PSDA allows verbal designation of a durable power of attorney, reflecting client autonomy. A is false (applies to all adults), B is incorrect (applies to all care), and C is not a legal requirement.

Question 2 of 5

A nurse is contributing to the plan of care for a client who has acute delirium. Which of the following interventions should the nurse include in the plan of care?

A. Discourage visitation from the client’s family B. Provide a high-stimulation environment for the client C. Limit the client’s need to make decisions D. Keep the client’s room dark at night

Correct Answer: C

Rationale: Limiting decision-making reduces stress and confusion in delirium, aiding management. A increases isolation, B worsens delirium, and D disrupts sleep-wake cycles.

Question 3 of 5

A nurse is reinforcing behavior management techniques with the parent of a school-age child who has conduct disorder. Which of the following statements by the parent indicates an understanding of the redirection technique?

A. I should re-engage my child in an appropriate activity.' B. I should move closer to my child when they are agitated.' C. I should use role-playing to enhance new behavioral skills.' D. I should ignore attention-seeking behaviors.'

Correct Answer: A

Rationale: Re-engaging in an appropriate activity is redirection, shifting focus from negative to positive behavior. B may escalate, C is a different technique, and D may increase unwanted behavior.

Question 4 of 5

A nurse is collecting data from a client who has schizophrenia. Which of the following client statements indicates that the client is experiencing a command hallucination?

A. The aliens are going to abduct me tonight.' B. The voices told me to quit eating the food here.' C. Are you planning to kill me?' D. Can you see these spiders crawling all over me?'

Correct Answer: B

Rationale: Command hallucinations involve voices directing actions (e.g., quitting eating), a feature of schizophrenia. A is a delusion, C is paranoia, and D is a visual hallucination.

Question 5 of 5

A nurse is reinforcing teaching with a client who has bipolar disorder and has a new prescription for lithium. To address possible adverse effects, the nurse should include that which of the following laboratory values will be monitored while the client is taking this medication?

A. Liver enzymes B. Uric acid C. Sodium level D. Erythrocyte sedimentation rate

Correct Answer: C

Rationale: Lithium can affect sodium levels, requiring monitoring to prevent toxicity. A, B, and D are not typically impacted by lithium.

ATI PN Mental health DEC 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN