ATI LPN
ATI LPN Mental Health Exam V Questions
Extract:
Question 1 of 5
A nurse is reviewing laboratory results for a client and notes a serum lithium level of 1.6 mEq/L. Which of the following manifestations should the nurse expect the client to report?
Correct Answer: B
Rationale: Lithium toxicity at 1.6 mEq/L causes neurological symptoms like blurred vision and tremors. Fever, tardive dyskinesia, and GI issues are less specific.
Question 2 of 5
A nurse is weighing a client who was recently admitted into the eating disorder program. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Predicting weight engages clients therapeutically. Demanding object removal is confrontational, fluid monitoring isn’t routine, and daily post-meal weighing increases anxiety.
Extract:
History and Physical
Week 1:
Abdominal pain
Anorexia
Child has had seven hospitalizations in the past 6 months.
Nurses' Notes
Week 1:
Parent brings school-age child to clinic. States, "My child is always sick. Their stomach hurts all the time. Something is wrong with them. This has been going on for the past 3 months. We've been to several doctors, and they can't find anything wrong." Parent reports that child experiences frequent abdominal pain and has a fever. Child appears emaciated and withdrawn with eyes downcast and looking at floor. Skin is pale with decreased turgor.
Week 3:
Parent brings child back to clinic. Child is vomiting and holding abdomen. Child states, "My stomach hurts so bad." Child looking away from parent. Parent states, "I have taken my child out of school and am home schooling them now. They are too ill to go to school and require my care." Parent is defensive when asked questions related to child's manifestations. Parent is demanding that child be admitted to acute care facility to "have tests run."
Question 3 of 5
A nurse is caring for a school-age client in an outpatient clinic. Exhibits The nurse should identify which of the client findings are manifestations of a factitious disorder? (Select all that apply.)
Correct Answer: A,B,C,D
Rationale: Withdrawn behavior, frequent hospitalizations, unexplained pain, and health preoccupation suggest factitious disorder, where clients seek medical attention for psychological reasons. Trauma is not specific.
Extract:
Question 4 of 5
A nurse on an inpatient unit is caring for a client who has somatic symptom disorder. The client comes to the nurse's station and reports chest pain. The nurse knows this is a new symptom for the client. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Assessing vital signs rules out medical emergencies for new chest pain. Relaxation, reassurance, or dismissing pain risks overlooking serious issues or damaging trust.
Question 5 of 5
A nurse is caring for a client who is crying and states they are depressed and feel like they are "going crazy." Which of the following client statements indicates the client is experiencing emotional abuse? (Select All that Apply.)
Correct Answer: A,B,E
Rationale: Body-shaming, belittling, and gaslighting indicate emotional abuse. Work changes, divorce, and grief are stressful but not abusive.