ATI LPN
ATI LPN Mental Health Exam I Questions
Extract:
Question 1 of 5
Which of the following is an impulse control disorder?
Correct Answer: A
Rationale: Pyromania: Pyromania is an impulse control disorder characterized by the recurrent urge to set fires. Deceitfulness: Deceitfulness is more associated with antisocial personality disorder rather than impulse control disorders. Aggressive conduct: Aggressive conduct is associated with conduct disorder, not specifically with impulse control disorders. Serious rule violations: Serious rule violations are characteristic of conduct disorder.
Question 2 of 5
A nurse is reinforcing teaching about alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: B
Rationale: Disulfiram will prevent my cravings for alcohol.' Disulfiram (Antabuse) is a medication that causes a severe adverse reaction when alcohol is consumed, acting as a deterrent. It does not prevent cravings for alcohol. 'One should expect hand tremors to start less than 24 hours after I stop drinking.' Hand tremors are one of the early signs of alcohol withdrawal and typically begin within 6 to 12 hours after the last drink. 'Withdrawal symptoms should last about 5 to 7 days once they begin.' Alcohol withdrawal symptoms usually peak within 24 to 48 hours and can last up to 72 hours, though some symptoms may persist longer in severe cases. 'It is important that I take Vitamin C to prevent liver cirrhosis or other liver damage.' While vitamin supplementation is important for overall health, taking Vitamin C does not specifically prevent liver cirrhosis or other liver damage.
Question 3 of 5
A nurse is sitting in the day room at an acute care mental health facility with a group of clients who are watching television. Suddenly one of the client's jumps up screaming and runs out of the room. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Ignore the incident since it is an attention-seeking behavior: Ignoring the incident is not appropriate because the client may be in distress or at risk of harm. Stay with the group and ask another client to go and check on the situation: Asking another client to check on the situation is not appropriate, as it is the nurse's responsibility to ensure the safety of all clients. Follow the client to determine the cause of the behavior: Following the client allows the nurse to assess and intervene appropriately to ensure the client's safety and address the cause of the behavior. Ask the group what they think about the client's behavior: Discussing the behavior with the group is not appropriate in an emergency situation and does not address the immediate needs of the distressed client.
Question 4 of 5
A nurse should suspect which disorder when a client is able to move his arm in private but states to others that his arm is paralyzed?
Correct Answer: C
Rationale: Personality disorder: Personality disorders involve enduring patterns of behavior and inner experiences that deviate from the norm, but they do not typically include symptoms like claimed paralysis. Hypochondriasis: Hypochondriasis (now classified as illness anxiety disorder) involves excessive worry about having a serious illness but does not involve actual loss of function. Conversion disorder: Conversion disorder involves neurological symptoms that cannot be explained by medical evaluation. Symptoms can include paralysis, blindness, or other neurological deficits that are inconsistent with medical findings and often arise in response to psychological stress. Cyclothymic disorder: Cyclothymic disorder involves chronic fluctuating moods but does not typically include conversion symptoms like paralysis.
Question 5 of 5
An abuser with severe aggression is prescribed medication for his condition. Which of the following may be prescribed?
Correct Answer: A
Rationale: Atypical antipsychotic: Atypical antipsychotics can be used to manage severe aggression and agitation, especially in individuals with underlying psychiatric disorders. Hypnotic: Hypnotics are used for sleep disorders and are not indicated for managing aggression. Antipyretics: Antipyretics are used to reduce fever and are not relevant to treating aggression. Antabuse: Antabuse (disulfiram) is used to treat alcohol dependence and is not indicated for managing aggression.