ATI LPN
ATI LPN Mental Health Exam II Questions
Extract:
Question 1 of 5
A nurse manager is reviewing a recent client report related to a staff nurse. Which of the following behaviors by a nurse at work might be red flags for a substance use disorder?
Correct Answer: C
Rationale: Behaviors like avoiding witnesses when wasting narcotics and needing isolation in the medication room suggest drug diversion, a hallmark of substance use disorder. Cheerfulness, irritability, or emotional oversharing are less specific.
Question 2 of 5
A nurse is reinforcing discharge teaching with a client who has borderline personality disorder. The client reports being a single parent caring for two toddlers. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Offering information about a support group provides the client with resources to manage stress and improve parenting skills, which is appropriate without evidence of abuse or neglect. Notifying child protective services requires evidence of harm, suggesting relatives take the children is premature, and exposing toddlers to a psychiatric unit may be distressing.
Question 3 of 5
The nurse is assisting in the care of a client who is hyperactive pacing down the hallway and exhibiting poor concentration during group therapy. When collecting data the nurse should identify that which of the following is characteristic of the client's manifestations?
Correct Answer: D
Rationale: Hyperactivity, pacing, and poor concentration are hallmarks of mania, reflecting elevated mood and energy. Depression involves low energy, delusions are false beliefs, and hallucinations are sensory distortions.
Question 4 of 5
A nurse is reinforcing education to a newly licensed nurse about comorbidities associated with cluster B personality disorders. The nurse should identify which of the following disorders as a comorbidity?
Correct Answer: D
Rationale: Anorexia nervosa is comorbid with Cluster B disorders like borderline, due to emotional dysregulation. OCD and anxiety align with Cluster C, and schizophrenia with Cluster A.
Question 5 of 5
A nurse is caring for a client who has borderline personality disorder. Which of the following defense mechanisms is commonly used by clients who have this disorder and has the potential to create division amongst the healthcare team?
Correct Answer: A
Rationale: Splitting, viewing people as all good or bad, is common in borderline personality disorder and can divide healthcare teams. Other mechanisms don’t typically cause such conflict.