ATI LPN
ATI Mental Health Proctored Exam 2019
1. When caring for a client with anorexia nervosa, which of the following examples demonstrates the nurse’s use of interpersonal communication?
- A. The nurse discusses the client’s weight loss during a health care team meeting
- B. The nurse examines their own personal feelings about clients with anorexia nervosa
- C. The nurse asks the client about their personal body image perception
- D. The nurse presents an educational session about anorexia nervosa to a large group of adolescents
Correct answer: C
Rationale: Interpersonal communication involves engaging in a conversation where the nurse asks the client about their personal body image perception. This demonstrates a direct interaction aimed at understanding the client's feelings and thoughts, which is essential in providing holistic care to individuals with anorexia nervosa. Choices A, B, and D do not directly involve the nurse-client interaction that characterizes interpersonal communication. A is more related to team communication, B focuses on the nurse's personal reflection, and D pertains to delivering educational content to a group rather than engaging in a one-on-one conversation with a client.
2. A nurse is teaching a client about the use of duloxetine. Which of the following should be included?
- A. It is an antidepressant medication
- B. It can cause weight gain
- C. Monitor for liver function
- D. It has no side effects
Correct answer: C
Rationale: The correct answer is C: 'Monitor for liver function.' Duloxetine is an antidepressant medication, not an antipsychotic, so choice A is incorrect. One of the common side effects of duloxetine is weight gain, making choice B incorrect. Choice D, stating that duloxetine has no side effects, is inaccurate as all medications have the potential for side effects. Monitoring liver function is crucial with duloxetine because it can impact liver function, emphasizing the importance of regular checks to ensure the client's safety.
3. Nutrients interact in the body to regulate metabolic processes, build and repair tissue, and to:
- A. provide energy.
- B. control cellular wastes.
- C. control hormone levels.
- D. regulate absorption.
Correct answer: A
Rationale: The correct answer is A: provide energy. Nutrients play a crucial role in providing energy for the body's various functions. While they do help in regulating metabolic processes and in building and repairing tissue, the primary function related to energy production. Choices B, C, and D are incorrect as nutrients are not primarily responsible for controlling cellular wastes, hormone levels, or absorption.
4. A nurse is performing a newborn assessment and notes a soft, swollen area on the newborn's scalp that does not cross the suture line. Which of the following should the nurse document?
- A. Cephalohematoma
- B. Caput succedaneum
- C. Subdural hematoma
- D. Molding
Correct answer: A
Rationale: The correct answer is A, cephalohematoma. A cephalohematoma is a collection of blood between the periosteum and the skull that does not cross the suture line. It is caused by trauma during birth and typically resolves on its own. Choice B, caput succedaneum, is characterized by diffuse edema over a newborn's scalp that crosses suture lines. Choice C, subdural hematoma, is a more serious condition involving bleeding between the dura mater and the brain. Choice D, molding, refers to the shaping of the fetal head during passage through the birth canal. Therefore, the nurse should document cephalohematoma in this scenario as it aligns with the description of a soft, swollen area on the newborn's scalp that does not cross the suture line.
5. A client has undergone a myelogram, and a nurse is providing post-procedure care. Which action should be included in the nursing care plan?
- A. Encourage ambulation after the procedure
- B. Maintain the prone position for 12 hours
- C. Evaluate the client's distal pulses on the affected side
- D. Encourage oral fluid intake
Correct answer: C
Rationale: The correct action to include in the nursing care plan for a client post-myelogram is to evaluate the client's distal pulses on the affected side. This is crucial to assess circulation and detect any potential complications such as impaired blood flow or vascular issues. Encouraging ambulation after the procedure (Choice A) is not typically recommended immediately post-myelogram, as the client may need to rest. Maintaining the prone position for 12 hours (Choice B) is an outdated practice and is no longer part of standard care post-myelogram. Encouraging oral fluid intake (Choice D) is generally beneficial for hydration but is not a specific priority related to post-myelogram care.
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