Mental Health Nursing Exam for Practical Nurses

ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 1 of 24

A client with type 1 diabetes is diagnosed with a psychosis and is to receive haloperidol (Haldol). Which response should a nurse anticipate with this drug combination?

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 2 of 24

Accompanied by many family members, a 16-year-old Chinese-American female patient is admitted to the unit with reports of sadness and suicidal ideation. The patient and her family emigrated from mainland China five years ago. Regarding the family, the psychiatric and mental health nurse:

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 3 of 24

A patient refuses to acknowledge a recent traumatic event and insists that it never happened. This defense mechanism is best described as:

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 4 of 24

What medication should the nurse expect to administer to actively reverse the overdose sedative effects of benzodiazepines?

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 5 of 24

A client with a diagnosis of borderline personality disorder has negative feelings toward the other clients on the unit and considers them all to be 'bad.' Which defense was the client using when this statement was made?

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 6 of 24

The parents of a toddler who was recently diagnosed with moderate retardation discuss their child's future independent functioning. What should the nurse conclude?

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 7 of 24

Barriers to therapeutic communication include:

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 8 of 24

A client is brought to the psychiatric clinic by family members, who tell the admitting nurse that the client repeatedly drives while intoxicated despite their pleas to stop. During an interview with the nurse, which statement by the client most strongly supports a diagnosis of psychoactive substance abuse?

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 9 of 24

A client with schizophrenia is actively psychotic, and a new medication regimen is prescribed. A student nurse asks the primary nurse, 'Which of the prescribed medications will be most helpful for reducing psychotic signs and symptoms?' What should the nurse respond?

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 10 of 24

A patient who is admitted to the psychiatric unit with a diagnosis of obsessive-compulsive disorder spends a significant amount of time during the day and night washing their hands. On the third hospital day, the patient reports feeling better and more comfortable with the staff and other patients. The psychiatric-mental health nurse knows that the most appropriate nursing intervention is to:

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 11 of 24

Before discharge of an anxious client, the nurse should teach the family that anxiety can be recognized as:

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 12 of 24

A psychiatricmental health nurse is working on a committee that is developing programs that integrate the objectives for mental health and mental disorders as identified in Healthy People 2020. Which type of program would be least appropriate?

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 13 of 24

A nurse reminds a client that it is time for group therapy. The client responds by yelling at the nurse, 'You are always telling me what to do, just like my father!' What defense mechanism is the client using?

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 14 of 24

Lithium is used as a:

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 15 of 24

When providing care to a patient, the psychiatricmental health nurse is implementing the therapeutic use of self. The nurse is applying the concepts based on the work of which individual?

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 16 of 24

The nurse is aware that the medication of choice to prevent or treat alcohol withdrawal symptoms is which of the following?

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 17 of 24

A client with a history of violence is becoming increasingly agitated. Which nursing intervention will most likely increase the risk of acting out behavior?

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 18 of 24

A patient reports an intense, overwhelming fear of driving a car. The fear has disrupted all elements of the patient's life. The patient does not go to the grocery store unless driven by someone else, has relinquished their job, and has few social contacts. The patient's treatment plan includes:

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 19 of 24

A supervisor observes inconsistency in the psychiatric-mental health nurse's behavior toward a patient, the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying:

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 20 of 24

A child in the first grade is murdered, and counseling is planned for the other children in the school. What should a nurse identify first before assessing a child's response to a crisis?

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 21 of 24

A 24-year-old client with anorexia nervosa tells the nurse, 'When I look in the mirror, I hate what I see. I look so fat and ugly.' Which strategy should the nurse use to deal with the client's distorted perceptions and feelings?

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 22 of 24

A patient is being discharged after spending six days in the hospital, due to depression with suicidal ideation. The psychiatric-mental health nurse knows that an important outcome has been met when the patient states:

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 23 of 24

Eighteen hours after undergoing an emergency appendectomy, a client with a reported history of social drinking displays these vital signs: temperature, 101.6 F (38.7 C); heart rate, 126 beats/minute; respiratory rate, 24 breaths/minute; and blood pressure, 140/96 mmHg. The client exhibits gross hand tremors and is screaming for someone to kill the bugs in the bed. The nurse should suspect:

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ATI LPN · Mental Health Nursing Exam for Practical Nurses

Question 24 of 24

Which of the following drugs should the nurse prepare to administer to a client with a toxic acetaminophen (Tylenol) level?

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