ATI LPN
ATI Mental Health Practice A 2023
1. Which intervention is most appropriate for a patient experiencing a severe manic episode?
- A. Providing a structured and low-stimulation environment
- B. Encouraging the patient to engage in group activities
- C. Providing detailed information about the patient's condition
- D. Allowing the patient to have unsupervised time
Correct answer: A
Rationale: During a severe manic episode, it is crucial to provide a structured and low-stimulation environment to help manage the symptoms effectively. This environment aims to reduce stimuli that can exacerbate manic behavior and provide a sense of predictability and safety for the individual. Group activities, detailed information provision, or unsupervised time may not be suitable during a severe manic episode as they can potentially worsen the condition or pose safety risks.
2. A client with hypokalemia is commonly expected to present with which of the following findings?
- A. Muscle weakness
- B. Nausea
- C. Tingling sensation
- D. Increased thirst
Correct answer: A
Rationale: The correct answer is A: Muscle weakness. Hypokalemia is characterized by low potassium levels in the blood, which can lead to muscle weakness. This occurs because potassium is essential for proper muscle function, and a deficiency can impair muscle strength. Nausea (choice B) is not a typical finding associated with hypokalemia. Tingling sensation (choice C) is more commonly linked to issues like nerve damage or poor blood circulation, rather than hypokalemia. Increased thirst (choice D) is not a direct symptom of hypokalemia; it is more commonly seen in conditions like diabetes or dehydration.
3. A nurse is caring for a client who has syndrome of inappropriate antidiuretic hormone secretion (SIADH). Which of the following findings should the nurse expect?
- A. Polyuria.
- B. Dehydration.
- C. Hyponatremia.
- D. Hyperglycemia.
Correct answer: C
Rationale: The correct answer is C: Hyponatremia. In SIADH, there is excessive release of antidiuretic hormone, causing water retention and dilutional hyponatremia. Polyuria (choice A) is increased urination, which is not a typical finding in SIADH. Dehydration (choice B) is the loss of body fluids, which is opposite to the fluid retention seen in SIADH. Hyperglycemia (choice D) is elevated blood sugar levels and is not directly related to SIADH.
4. Which term specifically refers to positive actions taken to help others?
- A. Beneficence
- B. Justice
- C. Autonomy
- D. Non-maleficence
Correct answer: A
Rationale: The correct answer is A, 'Beneficence.' Beneficence is the ethical principle that involves taking positive actions to help others. Choice B, 'Justice,' pertains to fairness and equity in treatment, not specifically positive actions. Choice C, 'Autonomy,' relates to respecting individuals' rights to make their own decisions, not necessarily taking actions to help others. Choice D, 'Non-maleficence,' focuses on the obligation to avoid causing harm rather than actively helping others.
5. A client with burn injuries covering their upper body is concerned about their altered appearance. Which of the following statements should the nurse make?
- A. “It is okay to not want to touch the burned areas of your body.”
- B. “Cosmetic surgery should be performed within the next year to be effective.”
- C. “Reconstructive surgery can completely restore your previous appearance.”
- D. “It could be helpful for you to attend a support group for people who have burn injuries.”
Correct answer: D
Rationale: The nurse should encourage the client to attend a support group for individuals with burn injuries. Support groups can provide emotional support, promote acceptance of altered appearance, and help the client cope with the changes. Choice A is incorrect because it may not address the client's emotional needs. Choice B is incorrect as suggesting a timeline for cosmetic surgery may not be appropriate without considering the client's physical and emotional readiness. Choice C is incorrect as reconstructive surgery may not completely restore the client's previous appearance and may set unrealistic expectations.
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