ATI LPN
ATI LPN Mental Health Level 4 Exam Questions
Extract:
Question 1 of 5
If a silence is heard between sounds when auscultating blood pressure, it is termed a(n)
Correct Answer: C
Rationale: The correct answer, indicated as C.
Rationale: A pulse deficit refers to a condition where there is a difference between the radial and apical pulse rates, not a phenomenon heard during blood pressure measurement. Diastolic pressure is the point at which sounds fade away or become muffled, but the silence between sounds refers to a different concept, not the actual diastolic pressure. An auscultatory gap is the term used to describe a silent interval between the systolic and diastolic sounds during blood pressure measurement. This can lead to inaccurately low readings if not identified. A widened pulse pressure refers to a larger-than-normal difference between systolic and diastolic pressure, which is not related to the auscultatory silence.
Question 2 of 5
A nurse is collecting data from a client who has obsessive-compulsive personality disorder. Which of the following findings should the nurse include?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Obsessive-compulsive personality disorder is characterized by a preoccupation with orderliness, perfectionism, and a need for control. Believing achievements are superior is a hallmark of narcissistic personality disorder, not obsessive-compulsive personality disorder. Requiring excessive advice is more typical of dependent personality disorder. Using physical appearance to gain attention is characteristic of histrionic personality disorder.
Question 3 of 5
A nurse is preparing to administer buspirone 25 mg PO. Available is buspirone 10 mg scored tablets. How many tablets should the nurse plan to administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2.5
Rationale: The correct answer, indicated as 2.5.
Rationale:
To determine how many tablets to administer, divide the prescribed dose by the available dose per tablet: 25 mg / 10 mg/tablet = 2.5 tablets. Thus, the nurse should administer 2.5 tablets of buspirone.
Question 4 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: B
Rationale: The correct answer, indicated as B.
Rationale: Telling parents not to talk about the attempt may reflect withdrawal or denial but does not necessarily indicate ongoing suicidal intent. Giving away personal possessions, such as a CD collection, is a common behavior in adolescents with suicidal intent, as they may believe they won't need these items in the future. Wanting to spend more time with peers than parents could indicate normal adolescent development, rather than a sign of suicidal intent. Preferring to eat meals while watching TV is not a concerning behavior in the context of suicide risk.
Question 5 of 5
A nurse is assisting with the plan of care for a client who is in the manic phase of bipolar disorder. Which of the following interventions should the nurse recommend to include?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Seclusion is not generally recommended for mania unless necessary for safety; it may increase feelings of isolation. Group activities are often not recommended for clients in the manic phase, as they may become overstimulated and disruptive. A stimulating environment may increase hyperactivity and agitation. Short rest periods are recommended for clients in a manic state to help manage their energy levels and prevent exhaustion.