ATI LPN
ATI Mental Health Practice A 2023
1. A patient is experiencing a manic episode. Which intervention is most effective?
- A. Encouraging the patient to participate in group activities
- B. Providing a low-stimulation environment
- C. Allowing the patient to move freely around the unit
- D. Engaging the patient in competitive games
Correct answer: B
Rationale: During a manic episode, individuals may be overwhelmed by stimuli. Providing a low-stimulation environment can help reduce excessive sensory input and minimize exacerbation of manic behaviors. This intervention aims to create a calm and structured setting that supports the individual in managing their symptoms effectively.
2. A new mother expresses concern about her baby's frequent hiccups. What should the nurse explain about newborn hiccups?
- A. Hiccups are a sign of respiratory distress in newborns.
- B. Hiccups indicate the baby is overeating.
- C. Hiccups are common and usually harmless in newborns.
- D. Hiccups are caused by a lack of burping.
Correct answer: C
Rationale: Newborn hiccups are common and usually harmless. They are typically caused by the baby's immature diaphragm and tend to resolve on their own. It is essential for parents to understand that hiccups in newborns are a normal phenomenon and do not necessarily indicate any underlying health issue. Choice A is incorrect because hiccups are not a sign of respiratory distress in newborns. Choice B is incorrect as hiccups do not indicate the baby is overeating. Choice D is also incorrect as hiccups are not solely caused by a lack of burping.
3. Dietary guidelines are most useful for:
- A. limiting portion sizes.
- B. designing a personal food plan.
- C. making smart food choices.
- D. avoiding excessive nutrient intakes.
Correct answer: C
Rationale: Dietary guidelines are designed to assist individuals in making smart food choices by providing recommendations on what to eat to maintain good health. While portion sizes may be a part of these guidelines, they are not the primary focus. Designing a personal food plan involves individual preferences and needs, which may go beyond general guidelines. Avoiding excessive nutrient intakes is important, but dietary guidelines aim to provide balanced recommendations rather than just focusing on avoiding excess.
4. A nurse on a postpartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse see first?
- A. A client who gave birth 1 day ago and needs Rho(D) immune globulin
- B. A client who gave birth 3 days ago and reports breast fullness
- C. A client who gave birth 12 hours ago and reports an increase in urinary output
- D. A client who gave birth 8 hours ago and is saturating a perineal pad every hour
Correct answer: D
Rationale: The nurse should see the client saturating a perineal pad every hour first. This client may be experiencing postpartum hemorrhage, which is a medical emergency requiring immediate assessment and intervention. The other options describe clients with less urgent needs. The client needing Rho(D) immune globulin can wait, the breast fullness in the client who gave birth 3 days ago can be addressed after managing the postpartum hemorrhage, and an increase in urinary output in a client who gave birth 12 hours ago is not indicative of an immediate emergency like postpartum hemorrhage.
5. Ted, a former executive, is now unemployed due to manic episodes at work. He was diagnosed with bipolar I 8 years ago. Ted has a history of IV drug abuse, which resulted in hepatitis C. He is taking his lithium exactly as scheduled, a fact that both Ted’s wife and his blood tests confirm. To reduce Ted’s mania, the psychiatric nurse practitioner recommends:
- A. Clonazepam (Klonopin)
- B. Fluoxetine (Prozac)
- C. Electroconvulsive therapy (ECT)
- D. Lurasidone (Latuda)
Correct answer: D
Rationale: Lurasidone (Latuda) is an atypical antipsychotic medication commonly used in the treatment of bipolar disorder. It can help manage symptoms of mania by stabilizing mood and reducing the intensity of manic episodes. Given Ted's history of bipolar I disorder and the need to address his manic symptoms, Lurasidone (Latuda) is a suitable recommendation by the psychiatric nurse practitioner to aid in managing Ted's condition effectively.
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