ATI LPN Mental Health 2023 II

ATI LPN Mental Health 2023 II Related

Review ATI LPN Mental Health 2023 II related questions and content

Nurses' Notes
0230:
• Serum toxicology screen: Alcohol: 60 mg/dL (80 to 200 mg/dL mild to moderate intoxication)
Vital Signs
0200:
• Temperature: 38.6°C (101.5°F)
• Heart rate: 104/min
• Respiratory rate: 18/min
• Blood pressure: 158/96 mm Hg
• Oxygen saturation: 98% on room air
0415:
• Temperature: 38.6°C (101.5°F)
• Heart rate: 108/min
• Respiratory rate: 20/min
• Blood pressure: 148/94 mm Hg
• Oxygen saturation: 98% on room air

Provider's Note
0230: Client diagnosis: delirium secondary to a urinary tract infection and dehydration. Will transfer client to medical-surgical unit.
Laboratory Results
0230:
• Serum toxicology screen: Alcohol: 60 mg/dL (80 to 200 mg/dL mild to moderate intoxication)

A nurse is caring for a 65-year-old male client in the emergency department (ED). Which of the following interventions should the nurse include in the client's care? Select the 3 interventions the nurse should implement.

  • A. Maintain a low stimulation environment.
  • B. Alternate nursing staff daily.
  • C. Provide client with limited information about diagnosis.
  • D. Approach client slowly.
  • E. Reorient client to person, place, and time frequently.
Correct Answer: A,D,E

Rationale: Maintaining a low stimulation environment, approaching slowly, and frequent reorientation address delirium symptoms by reducing agitation, building trust, and improving orientation, based on the client’s confused state.

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A nurse is assisting with the care of a client who has dementia. Which of the following actions should the nurse take?

  • A. Provide the client with a dark environment for sleeping.
  • B. Repeat orientation tasks until the client gives a correct response.
  • C. Give the client a list of foods to choose from for dinner.
  • D. Make a personal introduction to the client at each interaction.
Correct Answer: D

Rationale: Making a personal introduction at each interaction helps establish connection and reduce confusion for clients with dementia, who often have short-term memory loss.

A nurse is reinforcing teaching about a new prescription for haloperidol with a client who has schizophrenia. Which of the following statements by the client indicates an understanding of the teaching?

  • A. I may be more sensitive to the sun while taking this medication.
  • B. The medication may cause urinary incontinence.
  • C. I may experience a metallic taste while taking this medication.
  • D. The medication may cause ringing in my ears.
Correct Answer: A

Rationale: Haloperidol can increase photosensitivity, causing the skin to be more sensitive to sunlight, potentially leading to sunburn. Patients should be advised to use sunscreen and wear protective clothing. This statement shows the client understands a key side effect.

A nurse is caring for a client who has an opioid use disorder. The nurse should anticipate that the provider will prescribe which of the following medications for treatment?

  • A. Phenobarbital.
  • B. Diazepam.
  • C. Chlordiazepoxide.
  • D. Buprenorphine.
Correct Answer: D

Rationale: Buprenorphine is a partial opioid agonist used in medication-assisted treatment for opioid use disorder, helping to reduce cravings and withdrawal symptoms. It’s specifically indicated for this condition.

A nurse is collecting data from a client who has anorexia nervosa. Which of the following findings should the nurse expect?

  • A. Cold extremities.
  • B. Diarrhea.
  • C. Tooth erosion.
  • D. Lanugo.
Correct Answer: A,C,D

Rationale: Cold extremities, tooth erosion, and lanugo are common in anorexia nervosa. Poor circulation causes cold extremities, vomiting erodes teeth, and lanugo grows to conserve heat due to fat loss, reflecting the disorder’s physical impact.

A nurse is reinforcing teaching with a client who started taking haloperidol decanoate 125 mg IM 1 month ago. Which of the following statements by the client should the nurse address?

  • A. I check my blood pressure once a week.
  • B. I chew sugar-free gum several times daily.
  • C. I haven't had a drink of alcohol since I started taking these injections.
  • D. I spend several hours a day outside gardening when it's sunny.
Correct Answer: D

Rationale: Spending several hours outside in the sun could increase the risk of photosensitivity, a side effect of haloperidol. The nurse should address this to educate the client on protective measures like sunscreen use.

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