ATI LPN
LPN ATI Mental Health Psychosocial Questions
Extract:
Question 1 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 2 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.
Question 3 of 5
In communicating with the psychiatric patient, which nurse responses could obstruct effective communication with a client? (Select all that apply)
Correct Answer: C,D
Rationale: Telling the patient what they should do (
C) and offering false reassurance (
D) can obstruct effective communication by dismissing the patient's feelings or imposing the nurse's opinions, rather than fostering open dialogue.
Question 4 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 5 of 5
A client reports to the nurse that her elderly mother has become increasingly angry and responds inappropriately to conversations within the past few months. She notes that her mother does not respond when the mother's back is turned. What is the best intervention for the nurse?
Correct Answer: B
Rationale: The mother’s behavior of not responding when her back is turned and increasing anger could be signs of hearing loss. A hearing evaluation would help determine if this is the case and allow for appropriate interventions.