Questions 62

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ATI LPN Mental Health Exam IV Questions

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Question 1 of 5

A person who wants to die slashes his wrists and is critically injured but does not die. This is an example of which of the following?

Correct Answer: A

Rationale: Direct self-destructive behavior: Direct self-destructive behavior refers to actions taken with the intent to cause immediate harm or death, such as slashing one's wrists. Indirect self-destructive behavior: Indirect self-destructive behavior refers to actions that can harm oneself over time, such as substance abuse or reckless driving, without the immediate intention to die. Parasuicidal behavior: Parasuicidal behavior involves actions that are intended to cause self-harm but not necessarily result in death, often seen as a cry for help. Maladaptive self-destructive behavior: Maladaptive self-destructive behavior is a broader term that can include a variety of harmful actions, not necessarily with the intention of suicide.

Question 2 of 5

The most therapeutic caregiver intervention for a client with anger and aggression is which of the following?

Correct Answer: C

Rationale: Share findings with other caregivers. Sharing information with other caregivers is important for continuity of care but is not a direct intervention for managing anger and aggression. Set limits on client behaviors. Setting limits on behavior is necessary, but it should be done within the context of a trusting relationship. Establish and maintain a trusting relationship: Building a trusting relationship is the foundation for effective therapeutic interventions, including managing anger and aggression. Offer prn medication: Offering prn medication can help manage symptoms but should be part of a broader therapeutic strategy.

Question 3 of 5

A nurse should suspect which disorder when a client is able to move his arm in private but states to others that his arm is paralyzed?

Correct Answer: C

Rationale: Personality disorder: Personality disorders involve enduring patterns of behavior and inner experiences that deviate from the norm, but they do not typically include symptoms like claimed paralysis. Hypochondriasis: Hypochondriasis (now classified as illness anxiety disorder) involves excessive worry about having a serious illness but does not involve actual loss of function. Conversion disorder: Conversion disorder involves neurological symptoms that cannot be explained by medical evaluation. Symptoms can include paralysis, blindness, or other neurological deficits that are inconsistent with medical findings and often arise in response to psychological stress. Cyclothymic disorder: Cyclothymic disorder involves chronic fluctuating moods but does not typically include conversion symptoms like paralysis.

Question 4 of 5

A nurse is collecting data on a client who has bradycardia. Which of the following findings should the nurse expect?

Correct Answer: C

Rationale: Bradycardia (<60 BPM) reduces cardiac output, impairing cerebral perfusion and causing lightheadedness. Volume deficit may cause tachycardia, not bradycardia. Anxiety typically increases heart rate. Fever raises heart rate to meet metabolic demand, not lowers it. Lightheadedness reflects inadequate brain oxygenation.

Question 5 of 5

A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?

Correct Answer: A

Rationale: Planning to give his CD collection to his girlfriend: Giving away prized possessions is a common warning sign of suicidal intent, indicating that the person is preparing for their absence. Preferring to eat his meals while watching TV: This behavior is relatively normal and does not necessarily indicate suicidal intent. Stating that he wants to be with his peers more than with his parents: Wanting to spend time with peers is typical for adolescents and does not specifically indicate suicidal intent. Telling his parents that he doesn't want to talk about the attempt: Not wanting to discuss the attempt could be due to embarrassment, guilt, or other reasons, but it is not as direct an indicator of ongoing suicidal intent as giving away possessions.

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