ATI LPN Mental Health 2023 II

Extract:

Question 1 of 5

A nurse is reinforcing teaching with a newly licensed nurse about client confidentiality. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A. I can discuss a client's information with staff who have provided care in the past. B. A client retains the legal right to privacy of health information even after they have died. C. The provider must give consent to discuss health information with the client's family. D. A provider may speak to a client's employer regarding a substance use disorder.

Correct Answer: B

Rationale: Clients retain the legal right to privacy of health information even after death, per HIPAA regulations. This statement reflects an accurate understanding of confidentiality principles.

Question 2 of 5

A nurse is collecting data for a health history from a client who has antisocial personality disorder. Which of the following clinical findings is associated with this disorder?

A. Withdrawn behaviors. B. Blunted affect. C. Excessively anxious. D. Exploitive of others.

Correct Answer: D

Rationale: Exploitive of others is a key characteristic of antisocial personality disorder. Individuals often disregard others’ rights and manipulate them for personal gain, aligning with the disorder’s profile.

Question 3 of 5

A nurse is caring for multiple clients on a mental health unit. Which of the following clients should the nurse attend to first?

A. A client who is repeatedly approaching the nurses' station to request medication for his anxiety. B. A client who is standing in her room, yelling obscenities, and throwing her clothes. C. A client who has bipolar disorder and is continuously pacing at the end of the hall. D. A client in the dayroom who is screaming at other clients about what is on the television.

Correct Answer: B

Rationale: A client yelling obscenities and throwing clothes poses a more direct risk due to potential escalation to physical harm. This behavior requires immediate attention over anxiety, pacing, or verbal disruptions.

Question 4 of 5

A nurse is speaking with the sibling of a client who refuses to see visitors. Which of the following actions should the nurse take?

A. Arrange for the sibling to visit the client in the dayroom. B. Refer the sibling to the client's provider. C. Tell the sibling the client does not want visitors. D. Encourage the client to visit with the sibling.

Correct Answer: C

Rationale: Informing the sibling that the client does not want visitors respects the client’s wishes and maintains their autonomy and confidentiality. This action upholds the client’s rights without pressuring them.

Question 5 of 5

A nurse is collecting data from an adult client in an outpatient mental health clinic. The nurse should identify which of the following events as a potential cause of a maturational crisis?

A. Loss of job. B. Motor-vehicle crash. C. Divorce. D. A child leaving for college.

Correct Answer: D

Rationale: A child leaving for college represents a maturational crisis, tied to normal developmental transitions that cause stress. Unlike situational crises like job loss or divorce, it reflects life stage changes.

ATI LPN Mental Health 2023 II | Nurselytic

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ATI LPN

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