ATI LPN
ATI LPN Mental Health Level 4 Exam Questions
Extract:
Question 1 of 5
A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Antisocial personality disorder is characterized by disregard for rules and the rights of others. Clients with this disorder often challenge authority and refuse to follow rules. Schizotypal personality disorder involves eccentric behavior and thinking, but it is not associated with defiance of rules. Histrionic personality disorder is characterized by attention-seeking behavior, not by defiance of rules. Narcissistic personality disorder involves a sense of entitlement and superiority, but it does not necessarily involve direct defiance of rules.
Question 2 of 5
A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Antisocial personality disorder is characterized by disregard for rules and the rights of others. Clients with this disorder often challenge authority and refuse to follow rules. Schizotypal personality disorder involves eccentric behavior and thinking, but it is not associated with defiance of rules. Histrionic personality disorder is characterized by attention-seeking behavior, not by defiance of rules. Narcissistic personality disorder involves a sense of entitlement and superiority, but it does not necessarily involve direct defiance of rules.
Question 3 of 5
A nurse is preparing to administer diphenhydramine 35 mg IM to a client who has schizophrenia. Available is diphenhydramine for injection 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 0.7
Rationale: The correct answer, indicated as 0.7.
Rationale:
To determine how many mL to administer, use the formula: mL = Desired Dose / Available Dose per mL. mL = 35 mg / 50 mg/mL = 0.7 mL. Thus, the nurse should administer 0.7 mL of diphenhydramine.
Question 4 of 5
A nurse is collecting data from a client who has paranoid personality disorder. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Requiring frequent reassurance is not typical of paranoid personality disorder. This is more common in dependent or avoidant personality disorders. Lack of feelings of remorse is more characteristic of antisocial personality disorder. An inflated sense of self is more characteristic of narcissistic personality disorder. Suspiciousness of others is a hallmark of paranoid personality disorder. Clients with this disorder often exhibit distrust and suspicion of others, believing that others are plotting against them.
Question 5 of 5
A nurse in a community clinic is speaking to a parent who expresses concern for her adolescent son. Which of the following statements by the mother should indicate to the nurse that the adolescent is at risk for suicide?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Spending time with friends is generally a healthy social behavior. Being religious and attending services does not indicate suicidal risk. Sleeping 9 hours per night is within a normal range for an adolescent. The statement about the basketball coach committing suicide may indicate the adolescent is at risk for suicide, as exposure to suicide can increase the likelihood of suicidal behavior.