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ATI LPN Mental Health Exam I Questions

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Question 1 of 5

A nurse recognizes unexplained fussiness and irritability in an infant, as well as unexplained injuries. The nurse should suspect which of the following?

Correct Answer: D

Rationale: Sexual abuse: While sexual abuse can cause physical and emotional symptoms, the combination of unexplained injuries and fussiness/irritability is more suggestive of physical trauma. Neglect: Neglect involves failure to provide for the child's basic needs, which can lead to developmental issues, but is less likely to cause unexplained injuries. Munchausen syndrome by proxy: Munchausen syndrome by proxy involves a caregiver fabricating or inducing illness in a child for attention. It can cause unexplained injuries, but the focus is more on medical symptoms. Shaken baby syndrome: Shaken baby syndrome results from violently shaking an infant, leading to physical injuries, irritability, and fussiness. It fits the description of unexplained injuries and behavioral changes.

Question 2 of 5

Which of the following is an impulse control disorder?

Correct Answer: A

Rationale: Pyromania: Pyromania is an impulse control disorder characterized by the recurrent urge to set fires. Deceitfulness: Deceitfulness is more associated with antisocial personality disorder rather than impulse control disorders. Aggressive conduct: Aggressive conduct is associated with conduct disorder, not specifically with impulse control disorders. Serious rule violations: Serious rule violations are characteristic of conduct disorder.

Question 3 of 5

A nurse is assisting with planning of care for a client following a suicide attempt. Which of the following interventions is an appropriate suicide precaution?

Correct Answer: A

Rationale: Inspect the client's personal belongings. Inspecting the client's personal belongings helps to ensure that the client does not have access to items that could be used for self-harm, such as sharp objects or medications. Assign the client to a private room. Assigning a client who has attempted suicide to a private room can increase isolation and the risk of self-harm, as they are not easily observed. Tuck bedcovers over client's hands and arms. This intervention is not effective and could potentially restrict the client's movement, increasing feelings of distress. Remove utensils from the client's meal trays. Removing utensils, especially sharp ones, from meal trays helps to prevent the client from using them to harm themselves.

Question 4 of 5

The nurse should most suspect which of the following when presented with an older, mentally impaired woman who is depressed and underweight and has poor personal hygiene?

Correct Answer: A

Rationale: Neglect: Neglect is characterized by the failure to meet the basic needs of an individual, including food, shelter, clothing, and medical care. The signs of depression, underweight, and poor personal hygiene are consistent with neglect. Emotional abuse: Emotional abuse involves behaviors that harm an individual's self-worth or emotional well-being, such as name-calling, shaming, or isolating. While emotional abuse could be present, the physical signs of underweight and poor hygiene point more towards neglect. Physical abuse: Physical abuse involves causing physical harm through actions such as hitting, slapping, or burning. There are no direct signs of physical trauma mentioned in the scenario, making physical abuse less likely. Exploitation: Exploitation involves taking advantage of an individual for personal gain, often financially. The scenario does not provide information about financial or other forms of exploitation.

Question 5 of 5

A nurse is reinforcing teaching about alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates an understanding of the teaching?

Correct Answer: B

Rationale: Disulfiram will prevent my cravings for alcohol.' Disulfiram (Antabuse) is a medication that causes a severe adverse reaction when alcohol is consumed, acting as a deterrent. It does not prevent cravings for alcohol. 'One should expect hand tremors to start less than 24 hours after I stop drinking.' Hand tremors are one of the early signs of alcohol withdrawal and typically begin within 6 to 12 hours after the last drink. 'Withdrawal symptoms should last about 5 to 7 days once they begin.' Alcohol withdrawal symptoms usually peak within 24 to 48 hours and can last up to 72 hours, though some symptoms may persist longer in severe cases. 'It is important that I take Vitamin C to prevent liver cirrhosis or other liver damage.' While vitamin supplementation is important for overall health, taking Vitamin C does not specifically prevent liver cirrhosis or other liver damage.

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