ATI LPN
LPN Custom Mental Health Questions
Extract:
Question 1 of 5
A nurse overhears a client who has schizophrenia talking to herself. The client keeps stating 'The muxtranks are coming. The muntranks are coming.' The nurse correctly recognizes the client's use of the word mazuka as an example of which of the following alterations in speech?
Correct Answer: A
Rationale: Neologism. Neologism is a language disturbance in which the individual creates new, idiosyncratic words that have meaning only to the individual. In this case, the client's use of 'mazuka' is an example of a neologism as it is a made-up word that holds significance only for the client. Clang association involves the association of words based on sound rather than meaning. Echolalia is the repetition of words or phrases spoken by others. Word salad refers to a jumble of words and phrases that lack coherent meaning or logical connection.
Extract:
Diagnostic Results: Sodium: 135 mEq/L (expected reference range 136 to 145 mEq/L), Potassium 2.9 mEq/L (expected reference range 3.5 to 5 mEq/L), Chloride: 94 mEq/L (expected reference range 98 to 106 mEq/L), Phosphate: 3.1 mg/dL (expected reference range 3 to 4.5 mg/dL), Magnesium: 2 mg/dL (expected reference range 1.3 to 2.1 mg/dL), Glucose 74 mg/dL (expected reference range 74 to 106 mg/dL).
Question 2 of 5
A nurse working in a mental health facility is admitting a client. Exhibits: A nurse is assisting with initiating the client's plan of care. Complete the following sentence by using the list of options (Separate using a comma). The nurse should first address the client's ___ followed by the client's ___
Correct Answer: A,B
Rationale: The nurse should first address the client's cardiac status followed by the client's nutritional status. Cardiac status: Potassium levels are critically low, which can significantly impact cardiac function. Nutritional status: The client has multiple electrolyte imbalances, which could be related to nutrition or absorption issues.
Extract:
Question 3 of 5
A nurse is conducting a home health visit for an older adult client who lives with family members. The nurse notices that the client has multiple unusual bruises, and, based on several other factors, the nurse suspects that the client has been physically abused. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Checking the bruises at the next visit may delay necessary intervention. If abuse is suspected, immediate action, such as reporting, is essential to protect the client. Following the agency's guidelines for reporting suspected abuse is the priority when abuse is suspected. Reporting abuse to the appropriate authorities, such as adult protective services or law enforcement, is crucial to ensure the safety and well-being of the older adult. Instituting more frequent visits to the client's home might be part of a safety plan, but it should not be the first action. Reporting suspected abuse is the priority to involve the appropriate authorities. Arranging a referral for family therapy is not the first step in suspected elder abuse. Safety and protection of the older adult take precedence. Once the immediate safety concerns are addressed, additional interventions, such as family therapy, may be considered.
Question 4 of 5
A nurse is reinforcing teaching with a client about manifestations of lithium toxicity. Which of the following manifestations should the nurse include in the teaching?
Correct Answer: B
Rationale: Loss of appetite is not a specific manifestation of lithium toxicity. However, gastrointestinal symptoms like nausea and vomiting can contribute to a decreased appetite. Vomiting and diarrhea. Lithium is a mood stabilizer commonly used in the treatment of bipolar disorder.
Toxicity can occur, and symptoms can range from mild to severe. Vomiting and diarrhea are common early signs of lithium toxicity. As toxicity progresses, it can lead to more severe symptoms, such as tremors, confusion, and potentially life-threatening complications. Increased flatulence is not a typical manifestation of lithium toxicity. Gastrointestinal symptoms associated with lithium toxicity are more likely to include nausea, vomiting, and diarrhea. Increased urination is not a typical manifestation of lithium toxicity. Lithium can affect renal function, leading to decreased urine output, but it does not typically cause increased urination as a sign of toxicity.
Question 5 of 5
A nurse is caring for a client who has bipolar disorder and states that his latest computer project is 'revolutionizing the industry.' Which of the following behaviors is the client exhibiting?
Correct Answer: A
Rationale: Grandiosity. Grandiosity is a symptom commonly seen in the manic phase of bipolar disorder. It involves an inflated sense of self-importance, unrealistic beliefs in one's abilities, and a perception of being involved in activities that are revolutionary or of great significance. In this scenario, the client's statement about revolutionizing the industry reflects grandiosity. Clang associations involve the association of words based on sound rather than meaning and are often seen in individuals with thought disorders. Flight of ideas refers to a rapid flow of thoughts, often manifested by speech that is difficult to interrupt, with topics changing rapidly. Confabulation is the creation of false or distorted memories without the intention to deceive. It is not a characteristic behavior of mania in bipolar disorder.