ATI LPN
ATI LPN Mental Health Level 4 test II Questions
Question 1 of 5
A nurse is caring for a client who is experiencing a panic attack. Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: Offer the client high-calorie fluids: This is not a priority during a panic attack. Addressing physical needs comes later. Administer an antianxiety medication to the client: Medication may be part of treatment but is not the immediate priority. Teach the client relaxation exercises: Relaxation exercises are valuable but should be introduced after the acute phase of the panic attack has passed. Remain with the client in a quiet area. Remaining with the client provides reassurance, safety, and emotional support, which are critical during a panic attack.
Question 2 of 5
The nurse is in a maternal/child unit and is caring for a new parent. The new parent expresses concern about their safety in the home. The nurse provides the client with an intimate partner violence crisis center number. Which of the following is a way the nurse can evaluate the client's response to the safety plan?
Correct Answer: B
Rationale: The client explains they are not planning to leave their home: This indicates denial or hesitation, which does not reflect engagement with the safety plan. The client puts the number of the crisis center into their phone. Storing the crisis center number demonstrates that the client acknowledges its importance and takes a step toward implementing the safety plan. The client thinks their home will be safer now that there is a baby in the house: This reflects false hope and lack of understanding of the risks of intimate partner violence. The client thanks the nurse for the information: While polite, this response does not indicate the client has taken action or internalized the safety plan.
Question 3 of 5
A nurse in an emergency department often sees victims of intimate partner violence. Which of the following actions should the nurse take when caring for victims of violence?
Correct Answer: B
Rationale: Provide the client with strategies for interacting with others in social situations: This is not directly related to addressing intimate partner violence and does not prioritize safety or support. Provide the client with information on resources in the community to support victims of violence. Offering resources empowers clients to make informed decisions and provides them with the support they may need to address their situation. Tell the client ways to avoid making their partner angry to prevent intimate partner violence: This response implies victim-blaming and is inappropriate. The responsibility for violence lies with the perpetrator, not the victim. The nurse instructs the client on ways to behave to prevent making their partner angry: Like the previous option, this implies victim-blaming and is not supportive or empowering for the client.
Question 4 of 5
A nurse is talking to a client who is explaining about her home situation and the intimate partner violence she recently experienced. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: 'I'd like to hear more about how you are feeling.' This response demonstrates empathy and encourages the client to express her feelings, which is critical for emotional support. 'Let's talk about what is going on at work.': This dismisses the client's concerns and shifts focus away from the abuse. 'Now that you have come for help, you will feel much better.': This is dismissive and minimizes the client's experience. 'Why do you think your partner is angry with you?': This implies blame and can further traumatize the client.
Question 5 of 5
A nurse is collecting data from a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?
Correct Answer: B
Rationale: Constant need to talk about the event: Clients with PTSD often avoid discussing the trauma due to distress. Increasing feelings of anger: Anger and irritability are common emotional responses in PTSD due to heightened arousal and difficulty regulating emotions. Sleeping 12 hr or more each day: PTSD is typically associated with insomnia or nightmares, not hypersomnia. Increasing sense of attachment to others: Clients with PTSD often experience emotional detachment and difficulty maintaining close relationships.