ATI LPN
ATI LPN Mental Health Level 4 Exam Questions
Extract:
Question 1 of 5
The nurse is teaching the family of a client about the signs and symptoms of major depression prior to the discharge of their loved one from an inpatient stay after a suicide attempt. Which statement by a family member warrants further education by the nurse?
Correct Answer: C
Rationale: The correct answer, indicated as C.
Rationale: Encouraging physical activity, like a daily walk, is a positive way to support the client's mental health and can help with symptoms of depression. Setting timers for medications and meals is a helpful strategy to ensure the client adheres to the prescribed treatment plan. Letting the client have complete freedom without offering support or asking questions is a risky approach. The nurse should encourage family involvement and monitoring, as clients recovering from a suicide attempt need continued emotional support and guidance. Engaging with the client about their feelings and daily goals can help maintain communication and provide emotional support.
Question 2 of 5
A nurse is collecting data from a client who has paranoid personality disorder. Which of the following findings should the nurse expect?
Correct Answer: D
Rationale: The correct answer, indicated as D.
Rationale: Requiring frequent reassurance is not typical of paranoid personality disorder. This is more common in dependent or avoidant personality disorders. Lack of feelings of remorse is more characteristic of antisocial personality disorder. An inflated sense of self is more characteristic of narcissistic personality disorder. Suspiciousness of others is a hallmark of paranoid personality disorder. Clients with this disorder often exhibit distrust and suspicion of others, believing that others are plotting against them.
Question 3 of 5
A nurse must be alert when a client is giving away possessions, getting his/her life in order, or making vague goodbyes to people. Which of the following should the nurse be concerned about?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: A depressive state may involve feelings of hopelessness, but giving away possessions and saying goodbyes are signs of potential suicidal intent. Suicidal intent is the primary concern in this situation. These behaviors are commonly seen when a client is preparing to end their life. A plan to relocate would not typically involve giving away possessions or saying goodbyes in such a manner. Elopement with a partner is not a typical behavior associated with suicidal intent.
Question 4 of 5
A nurse in an acute mental health unit is assisting with the admission of a client who has bipolar disorder. Which of the following findings indicates that the client is experiencing acute mania?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Disorganized speech is a symptom of acute mania, where the client may speak rapidly and jump from one topic to another. Auditory hallucinations (hearing voices) are not typical of acute mania; they are more commonly associated with psychosis or schizophrenia. Dressing in all black is not indicative of acute mania and could be a sign of depression. Weight gain is not a symptom of acute mania. Instead, it may be related to other factors such as medications or depression.
Question 5 of 5
A nurse on a mental health unit is caring for a client who refuses to follow instructions and states that the unit rules do not apply to them. The nurse should identify that these findings are manifestations of which of the following personality disorders?
Correct Answer: A
Rationale: The correct answer, indicated as A.
Rationale: Antisocial personality disorder is characterized by disregard for rules and the rights of others. Clients with this disorder often challenge authority and refuse to follow rules. Schizotypal personality disorder involves eccentric behavior and thinking, but it is not associated with defiance of rules. Histrionic personality disorder is characterized by attention-seeking behavior, not by defiance of rules. Narcissistic personality disorder involves a sense of entitlement and superiority, but it does not necessarily involve direct defiance of rules.