ATI LPN
ATI PN Mental Health 2023 Questions
Extract:
Provider’s Note
0230:
Client diagnosis: delirium secondary to a urinary tract infection and dehydration.
Laboratory Results
0230:
Serum toxicology screen:
Alcohol: 60 mg/dL (80 to 200 mg/dL mild to moderate intoxication)
Vital Signs
0200:
Temperature 38.6°C (101.5°F)
Heart rate 104/min
Respiratory rate 18/min
Blood pressure 158/96 mm Hg
Oxygen saturation 98% on room air
Nurses’ Notes
0205:
Client brought to the ED by police after being found wandering on the street. Client able to provide identity to police but not able to identify place or time. Family notified.
Client confused and agitated. Appearance is disheveled. Mucous membranes dry. Lungs clear and equal, heart rhythm regular.
During data collection, client states, “Can you ask that person to leave my room?” Client is pointing to an empty chair.
0230:
Client’s adult child arrived to the ED and went to client’s room. Client identified family member. Client is pacing and agitated, and states, “I don’t understand why I am here.” Adult child asks nurse to talk outside of room and states, “I don’t know why they are so confused. They are not normally like this.” Adult child states client has past medical history of hypertension and alcohol-related cirrhosis. Upon returning to room, client voided 250 mL of dark yellow, cloudy urine.
Question 1 of 5
The nurse has reviewed the nurses’ notes, provider’s note, and laboratory results at 0230. Exhibits For each client finding, click to specify if the finding is consistent with delirium or Alzheimer’s disease. Each finding may support more than one disease process.
| Options | Delirium | Alzheimer’s Disease |
|---|---|---|
| Agitation | ||
| Current medical diagnosis | ||
| Sudden onset of confusion | ||
| Hallucinations |
Correct Answer:
Rationale: Agitation (
A) and hallucinations (
D) occur in both; diagnosis (
B) of delirium and sudden confusion (
C) are delirium-specific, unlike Alzheimer’s gradual onset.
Extract:
Question 2 of 5
A nurse is caring for a client who becomes extremely agitated. The nurse should document which of the following de-escalation techniques?
Correct Answer: C
Rationale: Diversion redirects the client’s attention to reduce agitation, a recognized de-escalation technique. Therapeutic hold (
A) and restraint (
B) are restrictive measures, not de-escalation, and time-out (
D) involves isolation rather than active de-escalation.
Question 3 of 5
A nurse is collecting data for a health history from a client who has antisocial personality disorder. Which of the following clinical findings is associated with this disorder?
Correct Answer: B
Rationale: Exploiting others is core to ASPD. Anxiety (
A), blunted affect (
C), and withdrawal (
D) align with other disorders.
Question 4 of 5
A nurse is participating in a community program about eating disorders. Which of the following information about bulimia nervosa should the nurse include in the presentation?
Correct Answer: A
Rationale: Normal weight in bulimia makes it less obvious. B excludes other purging methods, C misstates binge eating, and D lacks evidence for diabetes risk.
Question 5 of 5
A nurse is reinforcing teaching with a client who has bipolar disorder and has a new prescription for lithium. To address possible adverse effects, the nurse should include that which of the following laboratory values will be monitored while the client is taking this medication?
Correct Answer: C
Rationale: Lithium can elevate uric acid, risking gout, requiring monitoring. Sodium (
A) affects lithium levels but isn’t primary, liver (
B) isn’t key, and ESR (
D) is unrelated.