ATI LPN
ATI LPN Mental Health Exam V Questions
Extract:
Question 1 of 5
A nurse is speaking with a client who experienced physical assault. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Letting the client control the conversation fosters safety and autonomy. Insisting, touching, or questioning can overwhelm or retraumatize.
Question 2 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 3 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:
Client had open heart surgery 1 month ago. Had multiple cardiac surgeries prior to recent surgery.
History of:
Coronary artery disease
Hypertension
Hyperlipidemia
Type 2 diabetes mellitus
Anxiety
Somatic symptom disorder
Chronic back pain for 10 years
Nurses' Notes
Week 1:
Client reports feelings of anxiety and increased back pain. Client had open heart surgery 1 month ago. "Since I have had the surgery, I feel depressed."
Week 2:
Client reports fixation on health condition and inability to sleep. Client states, "I don't think the surgery helped. I still am short of breath and don't feel any better. I feel anxious and sick to my stomach. I think there is something wrong with me the doctor hasn't found yet."
Question 4 of 5
A nurse is caring for a client in an outpatient clinic. Exhibits: Select the 3 interventions the nurse should plan to take.
Correct Answer: B,C,E
Rationale: Helping distinguish anxiety from symptoms, providing relief, and suggesting tests address somatic concerns without dismissal. Positive thinking, denial, or lengthy exams are less effective.
Extract:
Question 5 of 5
A nurse is caring for a young adult client who has somatic symptom disorder and is being evaluated for chest pain. The client's laboratory results are all within the expected reference ranges the ECG is unremarkable and the client has no identified cardiac risk factors. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Reassurance reduces anxiety without dismissing symptoms. Denying pain, pushing tests, or flooding therapy risks mistrust or inappropriate care.