ATI Mental Health PM 2023

Extract:

Question 1 of 5

A nurse is reviewing the medical histories of four clients. Which of the following clients may develop extrapyramidal symptoms from medication therapy?

A. A client who has schizophrenia and is taking antipsychotic medication. B. An older adult client who has pancreatitis and is taking enzymes. C. An adult client who has type 2 diabetes mellitus and is taking insulin. D. A client who is in the third trimester of pregnancy and taking iron supplements.

Correct Answer: A

Rationale: Antipsychotics, used for schizophrenia, block dopamine, leading to extrapyramidal symptoms like akathisia or dystonia, unlike enzymes, insulin, or iron supplements.

Question 2 of 5

A school registered nurse is speaking to the father of a 15-year-old male adolescent. The father has concerns about his son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?

A. He spends much of his time with his best school friends. B. He is very religious and attends church services every week. C. He has slept 8 hours each night for the past 3 years. D. His favorite teen actor committed suicide a week ago.

Correct Answer: D

Rationale: The recent suicide of a favorite actor increases suicide risk via social contagion, especially in vulnerable adolescents, necessitating immediate assessment.

Question 3 of 5

A nurse asks a client who is suicidal to make a safety contract

A. but the client declines. Which of the following actions should the nurse identify as the priority? B. Lock the doors to the unit and secure windows so they cannot be opened. C. Remove any objects from the client's environment that could be used for self-harm. D. Assign a staff member to stay with the client at all times. E. Provide the client with plastic eating utensils for meals.

Correct Answer: C

Rationale: Assigning a staff member for constant supervision prioritizes safety, monitors behavior, and provides support, addressing the immediate risk of self-harm effectively.

Question 4 of 5

A nurse is caring for a client who was involved in heavy combat and observed war casualties. The nurse should suspect that the client is suffering from posttraumatic stress disorder (PTSD) if the client makes which of the following statements?

A. I check any room I enter because the enemy is still after me and could be hiding anywhere. B. I killed four enemy soldiers with my bare hands and saved my entire battalion. C. In my dreams, all I can see are the wounded reaching out and trying to grab me. D. My child was born with a birth defect due to an exposure I had overseas.

Correct Answer: C

Rationale: Recurring nightmares about trauma, like seeing the wounded in dreams, are a hallmark PTSD symptom, reflecting re-experiencing of the event.

Question 5 of 5

A client with paranoid schizophrenia believes evil spirits are being summoned by a local minister and verbally threatens to bomb a local church. The psychiatric nurse notifies the local minister. The psychiatric nurse has:

A. Released the client's information without proper authorization. B. Avoided charges of malpractice. C. Demonstrated the duty to warn and protect. D. Violated the patient's privacy and confidentiality.

Correct Answer: C

Rationale: Notifying the minister fulfills the duty to warn and protect, a legal and ethical obligation to prevent harm when a credible threat is made, superseding confidentiality.

ATI Mental Health PM 2023 | Nurselytic

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ATI LPN

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