Questions 25

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ATI LPN Mental Health Exam I Questions

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Question 1 of 5

The nurse should most suspect which of the following when presented with an older, mentally impaired woman who is depressed and underweight and has poor personal hygiene?

Correct Answer: A

Rationale: Neglect: Neglect is characterized by the failure to meet the basic needs of an individual, including food, shelter, clothing, and medical care. The signs of depression, underweight, and poor personal hygiene are consistent with neglect. Emotional abuse: Emotional abuse involves behaviors that harm an individual's self-worth or emotional well-being, such as name-calling, shaming, or isolating. While emotional abuse could be present, the physical signs of underweight and poor hygiene point more towards neglect. Physical abuse: Physical abuse involves causing physical harm through actions such as hitting, slapping, or burning. There are no direct signs of physical trauma mentioned in the scenario, making physical abuse less likely. Exploitation: Exploitation involves taking advantage of an individual for personal gain, often financially. The scenario does not provide information about financial or other forms of exploitation.

Question 2 of 5

A nurse is caring for a client who is threatening to commit suicide. Which of the following questions should the nurse ask?

Correct Answer: D

Rationale: What will you accomplish by taking your life?' This question is not therapeutic and may be perceived as judgmental or dismissive. 'What happened to you in the past to make you so desperate?' This question focuses on past events and may not address the immediate crisis. 'Why do you feel depressed enough to end your life?' This question is less direct and may not elicit a specific plan, which is crucial for assessing risk. 'How will you carry out your plan?' This question is direct and helps to determine if the client has a specific plan, which is a key factor in assessing the immediacy and severity of the suicide risk.

Question 3 of 5

A nurse is assisting with planning of care for a client following a suicide attempt. Which of the following interventions is an appropriate suicide precaution?

Correct Answer: A

Rationale: Inspect the client's personal belongings. Inspecting the client's personal belongings helps to ensure that the client does not have access to items that could be used for self-harm, such as sharp objects or medications. Assign the client to a private room. Assigning a client who has attempted suicide to a private room can increase isolation and the risk of self-harm, as they are not easily observed. Tuck bedcovers over client's hands and arms. This intervention is not effective and could potentially restrict the client's movement, increasing feelings of distress. Remove utensils from the client's meal trays. Removing utensils, especially sharp ones, from meal trays helps to prevent the client from using them to harm themselves.

Question 4 of 5

A nurse recognizes unexplained fussiness and irritability in an infant, as well as unexplained injuries. The nurse should suspect which of the following?

Correct Answer: D

Rationale: Sexual abuse: While sexual abuse can cause physical and emotional symptoms, the combination of unexplained injuries and fussiness/irritability is more suggestive of physical trauma. Neglect: Neglect involves failure to provide for the child's basic needs, which can lead to developmental issues, but is less likely to cause unexplained injuries. Munchausen syndrome by proxy: Munchausen syndrome by proxy involves a caregiver fabricating or inducing illness in a child for attention. It can cause unexplained injuries, but the focus is more on medical symptoms. Shaken baby syndrome: Shaken baby syndrome results from violently shaking an infant, leading to physical injuries, irritability, and fussiness. It fits the description of unexplained injuries and behavioral changes.

Question 5 of 5

Which method of suicide is more characteristic of women?

Correct Answer: D

Rationale: Drowning: Drowning is not a common method of suicide among women. Gunshot: Gunshot is more commonly associated with men as a method of suicide. Hanging: Hanging is more commonly associated with men as a method of suicide. Overdose with pills: Women are more likely to attempt suicide using pills or other medications, which is often seen as a less violent method compared to others.

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