ATI LPN
LPN Custom Mental Health Questions
Extract:
Question 1 of 5
Nurses Notes Day 1 1030: A 35-year-old client who has schizophrenia is admitted. Diagnosed 15 years ago Brought in by partner and states client has remained in room for the last several days and movements are delayed. Day 1 1730: Client refuses to eat or drink. Client appears withdrawn and does not engage in conversation. Client has flat affect. Does not want to go to therapy session and wants to sleep. Clients movements are slow. A nurse is caring for a client who has schizophrenia. Exhibits: Select the '3' findings that should indicate to the nurse the client is experiencing negative symptoms related to their schizophrenia.
Correct Answer: B,D,E
Rationale: The '3' findings that should indicate to the nurse that the client is experiencing negative symptoms related to their schizophrenia are: B. Lack of motivation; D. Lack of energy; E. Withdrawn. Negative symptoms in schizophrenia involve deficits or reductions in normal emotional and behavioral functioning. In the provided nurse's notes: Blood pressure: Blood pressure is not mentioned in the nurse's notes, and it is not directly indicative of negative symptoms in schizophrenia. B. Lack of motivation: The client refusing to eat or drink, not engaging in conversation, and not wanting to go to therapy sessions are indicative of a lack of motivation, which is a negative symptom. C. Change in behavior: While there is a change in behavior mentioned in the notes (refusing to eat or drink, not engaging in conversation), the specific behavioral changes described are more closely associated with negative symptoms. Negative symptoms involve a reduction or loss of normal functions. D. Lack of energy: The client's slow movements and desire to sleep suggest a lack of energy, another negative symptom associated with schizophrenia. E. Withdrawn: The client's withdrawal from social interaction, as evidenced by not engaging in conversation and wanting to sleep, is characteristic of withdrawal, which is a negative symptom.
Extract:
Diagnostic Results: Sodium: 135 mEq/L (expected reference range 136 to 145 mEq/L), Potassium 2.9 mEq/L (expected reference range 3.5 to 5 mEq/L), Chloride: 94 mEq/L (expected reference range 98 to 106 mEq/L), Phosphate: 3.1 mg/dL (expected reference range 3 to 4.5 mg/dL), Magnesium: 2 mg/dL (expected reference range 1.3 to 2.1 mg/dL), Glucose 74 mg/dL (expected reference range 74 to 106 mg/dL).
Question 2 of 5
A nurse working in a mental health facility is admitting a client. Exhibits: A nurse is assisting with initiating the client's plan of care. Complete the following sentence by using the list of options (Separate using a comma). The nurse should first address the client's ___ followed by the client's ___
Correct Answer: A,B
Rationale: The nurse should first address the client's cardiac status followed by the client's nutritional status. Cardiac status: Potassium levels are critically low, which can significantly impact cardiac function. Nutritional status: The client has multiple electrolyte imbalances, which could be related to nutrition or absorption issues.
Extract:
Question 3 of 5
A nurse observes a client sitting alone in her room crying. As the nurse approaches her, the client states, 'I'm feeling sad. I don't want to talk now.' Which of the following responses should the nurse make?
Correct Answer: C
Rationale: It will help you feel better if you talk about it.' While talking can be therapeutic, pushing the client to talk when they're not ready may be counterproductive and increase their distress. 'Come on out and get involved with the game the other clients are playing.' Encouraging the client to engage in activities may not be suitable when she is expressing a need for solitude and is not ready to participate. 'I'll stay with you for a few minutes.' This response reflects the nurse's willingness to provide support without pressuring the client to talk. It acknowledges the client's feelings and offers a comforting and nonintrusive presence. It respects the client's desire for solitude while still showing empathy and availability. 'I'll come back when you feel like talking.' This response leaves the client alone, which may be appropriate if that's what the client prefers. However, offering to stay for a few minutes communicates immediate support without pressure.
Question 4 of 5
A nurse is caring for a group of clients in a mental health facility. Which of the following clients recommend the physician or nurse practitioner see first?
Correct Answer: B
Rationale: A client taking olanzapine who experiences dizziness upon standing: While dizziness is a potential side effect, it is not as immediately concerning as the symptoms in the client taking clozapine. Orthostatic hypotension is a known side effect of some antipsychotic medications, and the client may need to be assessed for orthostatic changes. A client taking clozapine who has a sore throat and mild fever. Clozapine is an atypical antipsychotic that can cause agranulocytosis, a potentially life-threatening condition characterized by a severe reduction in white blood cell count. A sore throat and mild fever can be early signs of infection, and it's crucial to evaluate the client promptly for any indications of agranulocytosis. Regular monitoring of complete blood counts is essential for clients taking clozapine. A client taking risperidone who has gained 5 lb in 3 weeks: Weight gain is a side effect of many antipsychotic medications, including risperidone. While it's important to monitor weight changes, gaining 5 lb in 3 weeks is not as urgent as potential signs of agranulocytosis in the client taking clozapine. A client taking chlorpromazine who is napping frequently throughout the day: Frequent napping may be related to sedation, a common side effect of chlorpromazine. While it's important to assess and address sedation, it is not as urgent as potential signs of infection or agranulocytosis in the client taking clozapine.
Question 5 of 5
A nurse is reinforcing teaching with a client who takes diazepam (Valium). Which of the following information should the nurse include?
Correct Answer: C
Rationale: A single dose of diazepam is unlikely to cause side effects' is not accurate. Diazepam, like any medication, can have side effects even with a single dose. Common side effects include drowsiness, dizziness, and muscle weakness. 'Grapefruit juice inactivates this medication' is not specifically true for diazepam. However, grapefruit juice can interact with certain medications by inhibiting their metabolism in the liver, leading to increased levels of the drug in the bloodstream. It's essential to check for specific drug interactions, but this statement is not a key consideration for diazepam. 'Diazepam can cause drowsiness' is an important piece of information to include because diazepam is a benzodiazepine medication that can have sedative effects. Alerting the client to the potential for drowsiness is crucial to prevent any safety issues, such as falls or accidents. 'Avoid foods that contain tyramine' is not relevant to diazepam. Tyramine is associated with certain foods and can be a concern with medications called monoamine oxidase inhibitors (MAOIs). Diazepam is not an MAOI, so this advice does not apply to its use.