ATI LPN
ATI LPN Mental Health Exam I Questions
Extract:
Question 1 of 5
A nurse is sitting in the day room at an acute care mental health facility with a group of clients who are watching television. Suddenly one of the client's jumps up screaming and runs out of the room. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Ignore the incident since it is an attention-seeking behavior: Ignoring the incident is not appropriate because the client may be in distress or at risk of harm. Stay with the group and ask another client to go and check on the situation: Asking another client to check on the situation is not appropriate, as it is the nurse's responsibility to ensure the safety of all clients. Follow the client to determine the cause of the behavior: Following the client allows the nurse to assess and intervene appropriately to ensure the client's safety and address the cause of the behavior. Ask the group what they think about the client's behavior: Discussing the behavior with the group is not appropriate in an emergency situation and does not address the immediate needs of the distressed client.
Question 2 of 5
Which method of suicide is more characteristic of women?
Correct Answer: D
Rationale: Drowning: Drowning is not a common method of suicide among women. Gunshot: Gunshot is more commonly associated with men as a method of suicide. Hanging: Hanging is more commonly associated with men as a method of suicide. Overdose with pills: Women are more likely to attempt suicide using pills or other medications, which is often seen as a less violent method compared to others.
Question 3 of 5
A nurse is reinforcing teaching about alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: B
Rationale: Disulfiram will prevent my cravings for alcohol.' Disulfiram (Antabuse) is a medication that causes a severe adverse reaction when alcohol is consumed, acting as a deterrent. It does not prevent cravings for alcohol. 'One should expect hand tremors to start less than 24 hours after I stop drinking.' Hand tremors are one of the early signs of alcohol withdrawal and typically begin within 6 to 12 hours after the last drink. 'Withdrawal symptoms should last about 5 to 7 days once they begin.' Alcohol withdrawal symptoms usually peak within 24 to 48 hours and can last up to 72 hours, though some symptoms may persist longer in severe cases. 'It is important that I take Vitamin C to prevent liver cirrhosis or other liver damage.' While vitamin supplementation is important for overall health, taking Vitamin C does not specifically prevent liver cirrhosis or other liver damage.
Question 4 of 5
A person yells, curses, and strikes a bank teller for making her wait in line too long. This behavior is consistent with which of the following?
Correct Answer: B
Rationale: Adjustment disorder: Adjustment disorder involves emotional or behavioral symptoms in response to a stressor, but not typically to the extent of physical aggression. Intermittent explosive disorder: Intermittent explosive disorder is characterized by sudden episodes of unwarranted anger and impulsive, aggressive behavior that are grossly out of proportion to the provocation or stressor present is consistent with the described actions. Conduct disorder: Conduct disorder typically involves a pattern of behavior that violates societal norms and the rights of others, more commonly diagnosed in children and adolescents. Oppositional defiant disorder: Oppositional defiant disorder involves a pattern of angry, defiant behavior towards authority, but does not typically include physical aggression towards non-family members.
Question 5 of 5
A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?
Correct Answer: A
Rationale: Planning to give his CD collection to his girlfriend: Giving away prized possessions is a common warning sign of suicidal intent, indicating that the person is preparing for their absence. Preferring to eat his meals while watching TV: This behavior is relatively normal and does not necessarily indicate suicidal intent. Stating that he wants to be with his peers more than with his parents: Wanting to spend time with peers is typical for adolescents and does not specifically indicate suicidal intent. Telling his parents that he doesn't want to talk about the attempt: Not wanting to discuss the attempt could be due to embarrassment, guilt, or other reasons, but it is not as direct an indicator of ongoing suicidal intent as giving away possessions.