ATI LPN
LPN ATI Mental Health Psychosocial Questions
Extract:
Question 1 of 5
A patient has been admitted due to severe depression. What symptoms should the nurse anticipate during the assessment?
Correct Answer: D
Rationale: Feelings of hopelessness, worthlessness, and difficulty focusing are common symptoms of severe depression. Depression affects how a person feels, thinks, and handles daily activities.
Question 2 of 5
A client who just went through an upsetting divorce is threatening to commit suicide with a handgun. The client is voluntarily admitted to the psychiatric unit. Which of the following nursing diagnoses has the highest priority?
Correct Answer: D
Rationale: Risk for suicide related to a highly lethal plan is the highest priority due to the immediate threat to life posed by the client’s plan and means (handgun).
Question 3 of 5
Haldol 2 mg IM stat has been ordered for the agitated client. Haldol is available in 5 mg/ml. How many ml's will you administer?
Correct Answer: B
Rationale:
Step 1 is to determine the amount of medication to administer. The order is for Haldol 2 mg IM stat. The available medication is Haldol 5 mg/ml.
To find out how many ml's to administer, you would divide the ordered dose by the available dose. So, 2 mg ÷ 5 mg/ml = 0.4 ml.
Question 4 of 5
A patient returned from a procedure after receiving general anesthesia and is aggressive and confused. The nurse knows that the patient is experiencing:
Correct Answer: A
Rationale: A patient who returned from a procedure after receiving general anesthesia and is aggressive and confused is experiencing delirium. Delirium is a sudden, reversible state often triggered by factors like anesthesia.
Question 5 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.