ATI LPN
ATI PN Mental Health 2023 Questions
Extract:
Nurses’ Notes
Admission:
• Gastrointestinal upset
• Uncoordinated gait
• Client fell asleep during assessment
12 hr later:
• Client reports blurred vision
• Pale, dry mucous membranes
• Urine output 40 mL/hr
Medical History
• History of bipolar disorder
• Water toxicity
Vital Signs
Admission:
• Temperature 37.7°C (99.9°F)
• Respiratory rate 18/min
• Pulse rate 84/min
• BP 130/84 mmHg
12 hr later:
• Temperature 37°C (98.6°F)
• Respiratory rate 16/min
• Pulse rate 96/min
• BP 88/50 mm Hg
Diagnostic Results
Admission:
• Lithium level 1.8 mEq/L (less than 1.5 mEq/L)
• Glucose level 90 mg/dL (74 to 106 mg/dL)
• Sodium 133 mEq/L (135 to 145 mEq/L)
12 hr later:
• Lithium level 1.2 mEq/L (less than 1.5 mEq/L)
• Glucose level 80 mg/dL (74 to 106 mg/dL)
• Sodium 134 mEq/L (135 to 145 mEq/L)
Question 1 of 5
The nurse is collecting data from the client 12 hr. later. How should the nurse interpret the following findings? For each potential finding, specify whether the finding is an indication of potential improvement or an indication of potential worsening condition.
| Options | indication of potential improvement | indication of potential worsening condition |
|---|---|---|
| Vital signs | ||
| Mucous membranes | ||
| Vision | ||
| Lithium level | ||
| Urine output |
Correct Answer:
Rationale: Low vital signs (
A), dry membranes (
B), and blurred vision (
C) suggest worsening (dehydration/toxicity). Lower lithium (
D) and normal urine (E) indicate improvement.
Extract:
Question 2 of 5
A client is becoming increasingly agitated, anxious, and tense. The nurse notes a clenched jaw and a change in the pitch of the client’s voice. Which of the following interventions should the nurse implement first?
Correct Answer: D
Rationale: Verbal de-escalation is the least restrictive first step to manage agitation safely. Restraints (
A), medication (
B), and seclusion (
C) escalate intervention levels.
Question 3 of 5
A nurse in a mental health clinic is collecting data from a client to determine the client’s risk for suicide. Which of the following findings should the nurse identify as a risk factor for suicide? (Select all that apply)
Correct Answer: A,B,D,E
Rationale: Guns (
A), past attempts (
B), alcohol disorder (
D), and terminal illness (E) increase suicide risk. Marriage (
C) is typically protective unless troubled.
Question 4 of 5
A nurse on a mental health unit is assisting with developing an in-service for staff members about legal issues. Which of the following examples should the nurse include as an example of libel?
Correct Answer: D
Rationale: Libel is written defamation; false documentation fits this. A is negligence, B is battery, and C is assault.
Question 5 of 5
A nurse is contributing to the plan of care for a client who has a new prescription for lithium. Which of the following interventions should the nurse recommend?
Correct Answer: B
Rationale: Administering lithium with meals reduces GI upset, a common side effect. Potassium (
A) isn’t affected, caloric intake (
C) isn’t indicated, and hypoglycemia (
D) isn’t a lithium risk.