ATI LPN
ATI Mental Health PM 2023 Questions
Extract:
A nurse in a mental health facility is assessing a client.
• The client has a medical history of major depressive disorder for 20 years, anxiety
disorder, suicide ideation during teenage years, and psychotherapy for the past 10 years
with a therapist.
• The client's mother committed suicide when the client was 25 years of age, and the
father died of heart disease 10 years ago.
• The client has a history of alcohol misuse, attended in-patient rehabilitation 4 years ago
with no alcohol use since that time.
• The nurse notes indicate good physical health with no reported morbidities
Question 1 of 5
For each client assessment finding, specify if the finding is a potential risk for suicide or a protective factor against suicide
Correct Answer:
Rationale: Mental health support, good physical health, and support systems protect; family suicide history and lethal means increase risk; past alcohol misuse mitigated by abstinence.
Extract:
Question 2 of 5
A nurse at a mental health clinic is caring for a client.The client reports they have been overeating since they were 14 years old. The nurse is reviewing the client's medical record.Based on the information, which of the following actions should the nurse take?For each potential action, specify if the potential action is anticipated or contraindicated for the client
Correct Answer:
Rationale: Small meals, meal planning, and journaling address overeating; adjusting medication, daily weighing, and potassium lack evidence without further data.
Question 3 of 5
A nurse is assessing a client who has bipolar disorder and is taking lithium. Which of the following findings should the nurse report to the provider as an indication of lithium toxicity?
Correct Answer: A
Rationale: Blurred vision indicates lithium toxicity (levels >1.5 mEq/L), a serious symptom requiring immediate reporting, unlike fine tremors or thirst, which are common side effects.
Question 4 of 5
A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: Asking what the voices say helps assess content and risk (e.g., command hallucinations), guiding intervention, unlike dismissing or ignoring, which may increase distress.
Question 5 of 5
A nurse is teaching a group of clients about the use of cognitive behavioral therapy (CBT). Which of the following statements should the nurse include?
Correct Answer: B
Rationale: CBT helps clients identify and modify negative thought patterns to improve emotions and behaviors, unlike focusing solely on past experiences or requiring medication.