ATI LPN
ATI LPM Mental Health Quiz Questions
Extract:
Question 1 of 5
For several days, an elderly client becomes confused and agitated after supper. This is an example of which of the following?
Correct Answer: A
Rationale: Sundown syndrome is increased confusion and agitation in the evening, matching the pattern. Dementia is broader and not time-specific. Age-associated memory impairment is mild and doesn’t include agitation. Delirium is acute and not tied to a daily cycle.
Question 2 of 5
A nurse is contributing to the plan of care for a client who has dementia. Which of the following actions should the nurse include in the plan of care?
Correct Answer: D
Rationale: Using an overhead loudspeaker can be disorienting or frightening for clients with dementia due to their sensitivity to loud noises and potential for confusion. A written schedule may not be helpful if the client has difficulty reading or understanding due to cognitive decline, which is common in dementia. While allowing choices is generally good, it can be overwhelming for someone with dementia depending on their cognitive ability, potentially leading to frustration or anxiety. A consistent daily routine helps provide structure and predictability, which can reduce confusion and anxiety in clients with dementia by creating a stable environment they can rely on.
Question 3 of 5
Which therapeutic intervention would the nurse include in a care plan for a client with Alzheimer's disease?
Correct Answer: B
Rationale: Exercise benefits Alzheimer’s clients, reducing fall risk with supervision. Frequent orientation maintains cognition and security. Large groups overwhelm due to cognitive limits. Over-stimulation causes confusion; moderate stimulation is better.
Question 4 of 5
A nurse is caring for a client who has depression and states that she is too tired to get out of bed or dress. Which of the following statements by the nurse is appropriate?
Correct Answer: C
Rationale: Threatening to withhold meals is coercive. Enforcing rules dismisses the client’s fatigue. Offering help supports the client’s engagement without pressure, addressing depression’s lethargy. Encouraging rest may reinforce withdrawal, worsening depression.
Question 5 of 5
Which medication would the nurse expect to be prescribed for a client with moderate stages of Alzheimer's disease?
Correct Answer: C
Rationale: Risperidone is an antipsychotic used for behavioral issues in dementia, not cognitive decline. Alprazolam is an anxiolytic, not indicated for Alzheimer’s cognitive symptoms. Donepezil is a cholinesterase inhibitor commonly prescribed to improve cognition and slow symptom progression in moderate Alzheimer’s. Haloperidol, an antipsychotic, treats agitation but doesn’t enhance cognition and has higher side effect risks.