ATI LPN
ATI PN Mental Health 2023 Questions
Extract:
Question 1 of 5
A nurse on a mental health unit is assisting with developing an in-service for staff members about legal issues. Which of the following examples should the nurse include as an example of libel?
Correct Answer: D
Rationale: Libel is written defamation; false documentation fits this. A is negligence, B is battery, and C is assault.
Question 2 of 5
A nurse is assisting in the care of a client who has bipolar disorder and is experiencing mania. Which of the following actions should the nurse take to promote a therapeutic environment?
Correct Answer: C
Rationale: Specific explanations provide structure and reduce confusion in mania. Dayroom time (
A) may overstimulate, free choice (
B) risks poor decisions, and exercise (
D) needs control.
Question 3 of 5
A nurse on a mental health unit is assisting with developing an in-service for staff members about legal issues. Which of the following examples should the nurse include as an example of libel?
Correct Answer: D
Rationale: Libel is written defamation; false documentation fits this. A is negligence, B is battery, and C is assault.
Extract:
Nurses’ Notes
Admission:
• Gastrointestinal upset
• Uncoordinated gait
• Client fell asleep during assessment
12 hr later:
• Client reports blurred vision
• Pale, dry mucous membranes
• Urine output 40 mL/hr
Medical History
• History of bipolar disorder
• Water toxicity
Vital Signs
Admission:
• Temperature 37.7°C (99.9°F)
• Respiratory rate 18/min
• Pulse rate 84/min
• BP 130/84 mmHg
12 hr later:
• Temperature 37°C (98.6°F)
• Respiratory rate 16/min
• Pulse rate 96/min
• BP 88/50 mm Hg
Diagnostic Results
Admission:
• Lithium level 1.8 mEq/L (less than 1.5 mEq/L)
• Glucose level 90 mg/dL (74 to 106 mg/dL)
• Sodium 133 mEq/L (135 to 145 mEq/L)
12 hr later:
• Lithium level 1.2 mEq/L (less than 1.5 mEq/L)
• Glucose level 80 mg/dL (74 to 106 mg/dL)
• Sodium 134 mEq/L (135 to 145 mEq/L)
Question 4 of 5
The nurse is collecting data from the client 12 hr. later. How should the nurse interpret the following findings? For each potential finding, specify whether the finding is an indication of potential improvement or an indication of potential worsening condition.
| Options | indication of potential improvement | indication of potential worsening condition |
|---|---|---|
| Vital signs | ||
| Mucous membranes | ||
| Vision | ||
| Lithium level | ||
| Urine output |
Correct Answer:
Rationale: Low vital signs (
A), dry membranes (
B), and blurred vision (
C) suggest worsening (dehydration/toxicity). Lower lithium (
D) and normal urine (E) indicate improvement.
Extract:
Provider’s Note
0230:
Client diagnosis: delirium secondary to a urinary tract infection and dehydration.
Laboratory Results
0230:
Serum toxicology screen:
Alcohol: 60 mg/dL (80 to 200 mg/dL mild to moderate intoxication)
Vital Signs
0200:
Temperature 38.6°C (101.5°F)
Heart rate 104/min
Respiratory rate 18/min
Blood pressure 158/96 mm Hg
Oxygen saturation 98% on room air
Nurses’ Notes
0205:
Client brought to the ED by police after being found wandering on the street. Client able to provide identity to police but not able to identify place or time. Family notified.
Client confused and agitated. Appearance is disheveled. Mucous membranes dry. Lungs clear and equal, heart rhythm regular.
During data collection, client states, “Can you ask that person to leave my room?” Client is pointing to an empty chair.
0230:
Client’s adult child arrived to the ED and went to client’s room. Client identified family member. Client is pacing and agitated, and states, “I don’t understand why I am here.” Adult child asks nurse to talk outside of room and states, “I don’t know why they are so confused. They are not normally like this.” Adult child states client has past medical history of hypertension and alcohol-related cirrhosis. Upon returning to room, client voided 250 mL of dark yellow, cloudy urine.
Question 5 of 5
The nurse has reviewed the nurses’ notes, provider’s note, and laboratory results at 0230. Exhibits For each client finding, click to specify if the finding is consistent with delirium or Alzheimer’s disease. Each finding may support more than one disease process.
| Options | Delirium | Alzheimer’s Disease |
|---|---|---|
| Agitation | ||
| Current medical diagnosis | ||
| Sudden onset of confusion | ||
| Hallucinations |
Correct Answer:
Rationale: Agitation (
A) and hallucinations (
D) occur in both; diagnosis (
B) of delirium and sudden confusion (
C) are delirium-specific, unlike Alzheimer’s gradual onset.