ATI LPN
ATI LPN Mental Health Exam I Questions
Extract:
Question 1 of 5
An elderly male client is hospitalized immediately after attempting suicide. Which of the following is implemented as a suicide precaution?
Correct Answer: B
Rationale: Facilitate time alone for the client. Allowing time alone is not appropriate for a suicidal client as it increases the risk of self-harm. Make a no self-harm contract. A no self-harm contract can be part of a suicide prevention plan, where the client agrees to not harm themselves and to seek help if they feel the urge to do so. Administer antianxiety medication: While medication can help with anxiety, it is not a primary intervention for immediate suicide prevention. Prevent family/friend visitation for 48 hours: Preventing visitation can increase feelings of isolation and is not an appropriate intervention for suicide prevention.
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 is caring for a client who becomes verbally abusive when the nurse enters her room. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Maintain eye contact until the behavior stops. Maintaining eye contact can be perceived as confrontational and may escalate the situation. Tell the client her behavior is disappointing. Telling the client her behavior is disappointing is judgmental and not therapeutic. Punish the client for the behavior. Punishing the client is not appropriate or therapeutic. Leave the client's room. Leaving the room can help de-escalate the situation by removing the immediate trigger for the client's anger.
Question 4 of 5
The use of cocaine is higher in which group of people?
Correct Answer: B
Rationale: Hispanic Americans: While substance use varies among populations, Hispanic Americans do not have the highest reported rates of cocaine use. Whites: In terms of drug use by race, White Americans have the highest rates of drug use and abuse. This is likely due to a variety of factors, including socio-economic status, access to drugs, and cultural factors. Asian Americans: Asian Americans typically report lower rates of cocaine use compared to other groups. African Americans: African Americans report lower lifetime use of cocaine, at 8.5%, compared to White Americans (17.6%) and Hispanics (11.1%).
Question 5 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.