ATI LPN
LPN ATI Mental Health Psychosocial Questions
Extract:
Question 1 of 5
A patient admitted to the medical-surgical unit was recently weaned from a mechanical ventilator and an IV infusion of lorazepam. The patient has been alert and oriented for 24 hours but is now experiencing confusion. The practical nurse assists the registered nurse with the evaluation of new-onset confusion by assessing the patient's sense of place and time, difficulty focusing, short-term memory loss, and increased lethargy. What condition does the practical nurse suspect in this patient?
Correct Answer: D
Rationale: Delirium is a sudden onset of confusion that can be caused by a variety of factors, including withdrawal from certain medications like lorazepam. Symptoms can include disorientation, difficulty focusing, short-term memory loss, and increased lethargy. Psychosis involves hallucinations or delusions, dementia is chronic, and amnesia primarily affects memory without sudden onset.
Question 2 of 5
A confused older adult patient in a skilled nursing facility was asleep when unlicensed assistive personnel (UAP) entered the room quietly and touched the bed to see if it was wet. The patient awakened and hit the UAP in the face. Which statement best explains the patient's action?
Correct Answer: A
Rationale: The patient likely interpreted the UAP's behavior as potentially harmful. This is a common reaction in confused older adults, especially when awakened unexpectedly, leading to a defensive response out of fear or confusion.
Question 3 of 5
A 60-year-old individual strays from a football game during halftime and is discovered 48 hours later, sleeping on a park bench 100 miles away. The individual is brought to the emergency department by the police. The individual can state their name and address but has no memory of the past 2 days. What is the priority nursing action?
Correct Answer: C
Rationale: Assessing vital signs is the priority nursing action. The individual has been missing for 48 hours, potentially exposed to harsh conditions, and may be dehydrated or hypothermic. Physical health must be stabilized first.
Question 4 of 5
A patient is pacing the hall near the nurse's station, swearing loudly. What would be an appropriate initial intervention for the nurse?
Correct Answer: B
Rationale: By expressing a desire to understand the patient's feelings, the nurse opens up a line of communication and shows empathy. This can help de-escalate the situation and make the patient feel heard and understood.
Question 5 of 5
During the mental status examination, the nurse observes that the client rapidly shifts from one idea to another related thought. Which disordered thinking process is the client displaying?
Correct Answer: C
Rationale: Flight of ideas is a symptom of a thought disorder that causes a rapid shift from one idea to another, often seen in manic episodes of bipolar disorder. This matches the described behavior.