ATI LPN
ATI LPN Mental Health Level 4 test II Questions
Extract:
Question 1 of 5
A client is pacing in the hallway with clenched fists and a flushed face. They are yelling and cursing loudly. Which phase of the aggression cycle is this client in?
Correct Answer: B
Rationale: Triggering: This phase involves initial stressors or triggers leading to aggression but lacks the intense behavioral and physical symptoms described. Escalation: The escalation phase is characterized by increasing tension, verbal aggression, and physical manifestations like pacing or clenched fists. The client's behavior suggests they are moving toward a potential crisis. Anger: Anger is an emotion, not a phase of the aggression cycle. It may be present during multiple phases. Crisis: The crisis phase involves loss of control and actual aggressive or violent actions, which has not occurred yet in this scenario.
Question 2 of 5
Select which statement about ANGER is true.
Correct Answer: C
Rationale: Expressing anger openly and directly usually leads to arguments: Open and direct expression of anger does not necessarily lead to arguments. When communicated assertively and respectfully, it can lead to constructive problem-solving and understanding. Angry feelings are a negative response to a situation: Anger itself is not inherently negative. It is a normal human emotion. How anger is expressed determines whether it has positive or negative consequences. Anger results from being frustrated, hurt, or afraid: Anger is a natural emotional response that often arises when an individual experiences frustration, hurt, or fear. Understanding the root cause of anger is essential for addressing and managing it effectively. Suppressing anger is a sign of maturity: Suppressing anger can lead to unresolved emotions and physical or psychological stress. Maturity involves expressing anger in a healthy and constructive manner, not suppressing it.
Question 3 of 5
A nurse is preparing to administer olanzapine 7.5 mg PO to a client who has schizophrenia. Available is olanzapine 2.5 mg tablets. How many tablets should the nurse plan to administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 3
Rationale: Dose ordered: 7.5 mg. Available: 2.5 mg per tablet. Tablets required: 7.5 / 2.5 = 3.
Correct Answer: 3 tablets.
Question 4 of 5
A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?
Correct Answer: C
Rationale: 'A family member took me fishing several times when I was a kid.': This statement indicates positive childhood experiences, not factors contributing to aggression. 'My parent was physically abused as a child.': While a family history of abuse is relevant, direct experiences of abuse are more strongly linked to aggressive behavior. 'My parent used their fists to hit me as a child.' Experiencing physical abuse as a child is a significant risk factor for developing aggressive behavior as an adult. 'I drink a glass of wine occasionally with dinner.': Moderate alcohol consumption does not typically contribute to aggression.
Question 5 of 5
A nurse is collecting the medical history of a client. The client reports that they have experienced violence in the past with a previous partner. What is an immediate concern of the nurse?
Correct Answer: A
Rationale: The client reports that they have no social support system, but has an appointment with a caseworker in two weeks. Lack of a social support system poses a risk for isolation, depression, and potential difficulty accessing resources. Immediate intervention may be required to provide emotional and practical support. The client reports that they are experiencing frequent gastrointestinal issues: While important, these may be psychosomatic and can be addressed after ensuring the client's emotional and physical safety. The client reports that they are currently living in a safe place: Being in a safe environment is reassuring and not an immediate concern. The client reports that they are currently going to counseling: Ongoing counseling is a positive step toward healing and does not require immediate intervention.