ATI LPN
LPN ATI Mental Health Psychosocial Questions
Extract:
Question 1 of 5
The night nurse reports that the client, who is hospitalized with major depressive disorder, has been unable to sleep until late at night. The client gets up, paces the hallway, wrings their hands, and appears teary. Which interventions should the nurse advocate to add to the care plan? Select all that apply.
Correct Answer: C,D,E
Rationale: Arranging for the client to receive at least 20 minutes of natural sunlight each day can improve sleep patterns. Serving the client a glass of warm milk in the evening can promote comfort and relaxation to aid sleepiness. Suggesting that the client take a warm bath before going to bed can be a part of a relaxing activity before bedtime. Naps can disrupt sleep patterns, and exercise before bed can increase alertness.
Question 2 of 5
A score of 1 to 10 on the Global Assessment Functioning (GAF) scale would indicate that a client was at risk for:
Correct Answer: A,B
Rationale: A score of 1 to 10 on the Global Assessment Functioning (GAF) scale indicates that a client is in persistent danger of severely hurting self or others or has a persistent inability to maintain minimal personal hygiene, which includes serious impairment in functioning.
Question 3 of 5
When communicating with an angry patient, the nurse must first:
Correct Answer: A
Rationale: When communicating with an angry patient, the nurse must first listen actively. Active listening allows the nurse to identify the key issues and work through them methodically.
Question 4 of 5
Feelings of worthlessness, guilt, and despair are expressed in a female client's every thought, movement, and activity. Her physical health has declined and she is often unable to eat. What is the client experiencing?
Correct Answer: C
Rationale: The feelings of worthlessness, guilt, and despair expressed in every thought, movement, and activity, along with a decline in physical health and often being unable to eat, indicate that the client is experiencing severe depression.
Question 5 of 5
A patient returned from a procedure after receiving general anesthesia and is aggressive and confused. The nurse knows that the patient is experiencing:
Correct Answer: A
Rationale: A patient who returned from a procedure after receiving general anesthesia and is aggressive and confused is experiencing delirium. Delirium is a sudden, reversible state often triggered by factors like anesthesia.