ATI LPN
ATI LPN Mental Health Exam V Questions
Extract:
Question 1 of 5
A nurse is reviewing the DSM-5 diagnostic criteria for schizophrenia. Which of the following symptoms must be present for a client to be diagnosed with schizophrenia? (Select All that Apply.)
Correct Answer: A,D,E
Rationale: Hallucinations, flat affect, and disorganized behavior are core DSM-5 criteria. Inactivity, antisocial personality, and relationships are not required.
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 Child appears emaciated and withdrawn with eyes downcast and looking at floor.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 2 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Rationale: Withdrawn behavior, frequent hospitalizations, unexplained pain, and health preoccupation suggest factitious disorder, where clients seek medical attention for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 3 of 5
A nurse is assisting with a presentation about types of aggression to a group of residents at a community outreach center. One of the attendees states "I keep seeing the same person outside my apartment and they are leaving me items at my door." Which of the following types of aggression should the nurse identify the client is experiencing?
Correct Answer: B
Rationale: Repeated surveillance and leaving items indicate stalking. Bullying is social intimidation, assault is physical, and abandonment is neglect.
Question 4 of 5
A nurse is providing care to a client who was admitted to the emergency department with superficial lacerations on their leg. The client states "I was feeling bored so I used a pair of gardening scissors to cut myself." The client denies current depression and suicidal thoughts. The client is demonstrating manifestations of which of the following disorders?
Correct Answer: C
Rationale: Self-harm for attention aligns with factitious disorder. Somatic symptom involves distress from symptoms, illness anxiety involves disease fear, and functional neurological involves involuntary deficits.
Question 5 of 5
A nurse is discussing schizophrenia spectrum disorders with a client. The client states "My friend says that before I started hearing voices I stopped hanging out with them. Why is that?" Which of the following responses should the nurse make?
Correct Answer: D
Rationale: Social withdrawal is a prodromal sign of schizophrenia, educating the client appropriately. Blaming, uncertainty, or introversion focus miss the mark.