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 reinforcing teaching with the spouse of a client about how to take a blood pressure. Which of the following actions by the spouse indicates a need for further instruction?
Correct Answer: C
Rationale: The correct answer, indicated as C.
Rationale: Wrapping the blood pressure cuff snugly around the arm is correct, as the cuff needs to be secure to ensure an accurate reading. Centering the cuff bladder over the brachial artery is correct, as this is necessary for accurate blood pressure measurement. Placing the client's arm above the level of the heart is incorrect. The arm should be at heart level to ensure the accuracy of the reading. If the arm is elevated, it could result in a falsely low reading. Checking the instrument gauge to ensure the reading starts at zero is correct. This step is important to ensure the accuracy of the measurement.
Question 3 of 5
A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: Telling parents not to talk about the attempt may reflect withdrawal or denial but does not necessarily indicate ongoing suicidal intent. Giving away personal possessions, such as a CD collection, is a common behavior in adolescents with suicidal intent, as they may believe they won't need these items in the future. Wanting to spend more time with peers than parents could indicate normal adolescent development, rather than a sign of suicidal intent. Preferring to eat meals while watching TV is not a concerning behavior in the context of suicide risk.
Question 4 of 5
A nurse is caring for a client who is experiencing auditory hallucinations. Which of the following responses should the nurse make first?
Correct Answer: B
Rationale: The correct answer, indicated as B.
Rationale: While the voices may be part of the illness, it is important to acknowledge the client's experience without dismissing it. Acknowledging the client's experience ('I know you hear the voices, but I do not') is important in establishing rapport and validating their reality. Asking how often the voices are heard can be useful, but acknowledging the client's perception should be the first priority. Asking what the voices are telling the client may come later, after the client's experience has been acknowledged.
Question 5 of 5
A nurse is preparing to administer clonazepam 1 mg PO. Available is clonazepam 0.5 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 2
Rationale: The correct answer, indicated as 2.
Rationale: The nurse needs to administer 1 mg of clonazepam, and since each tablet is 0.5 mg, the nurse should give 2 tablets to provide the correct dose. Calculation: 1 mg / 0.5 mg per tablet = 2 tablets.