ATI LPN
ATI LPN Mental Health Level 4 Exam Questions
Extract:
Question 1 of 5
A nurse on the mental health unit is caring for a client who has bipolar disorder and comes to the nurse's station at 0300 demanding to see the provider. Which of the following responses should the nurse make?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Sending the client back to their room without addressing their feelings might worsen anxiety and frustration. Dismissing the client's request could escalate the behavior and contribute to feelings of neglect. Telling the client to wait might not address the underlying issue or concern. Acknowledging the client's feelings and offering to listen is an empathetic response, which can help deescalate the situation and build trust.
Question 2 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 3 of 5
The nurse is teaching the family of a client about the signs and symptoms of major depression prior to the discharge of their loved one from an inpatient stay after a suicide attempt. Which statement by a family member warrants further education by the nurse?
Correct Answer: C
Rationale: The correct answer, indicated as C.
Rationale: Encouraging physical activity, like a daily walk, is a positive way to support the client's mental health and can help with symptoms of depression. Setting timers for medications and meals is a helpful strategy to ensure the client adheres to the prescribed treatment plan. Letting the client have complete freedom without offering support or asking questions is a risky approach. The nurse should encourage family involvement and monitoring, as clients recovering from a suicide attempt need continued emotional support and guidance. Engaging with the client about their feelings and daily goals can help maintain communication and provide emotional support.
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 must be alert when a client is giving away possessions, getting his/her life in order, or making vague goodbyes to people. Which of the following should the nurse be concerned about?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: A depressive state may involve feelings of hopelessness, but giving away possessions and saying goodbyes are signs of potential suicidal intent. Suicidal intent is the primary concern in this situation. These behaviors are commonly seen when a client is preparing to end their life. A plan to relocate would not typically involve giving away possessions or saying goodbyes in such a manner. Elopement with a partner is not a typical behavior associated with suicidal intent.