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.
Extract:
Nurse Notes
Client: Doug Smith
Patient presents with symptoms of anxiety escalated to a panic attack. Patient reports chest pain, tingling in fingers, and difficulty breathing, with a sense of impending doom. Patient appears anxious and distressed, with rapid shallow breathing. SPO2 levels initially low due to hyperventilation. Provided reassurance to the patient and explained that symptoms are related to a panic attack, not a heart attack.
Vital signs
• Temperature: 36.7°C (98.1°F)
• Heart rate: 110 bpm
• Respiratory rate: 28 breaths/min
• Blood pressure: 140/90 mmHg
• Oxygen saturation: 94% on room air (increased to 98% with 2L O2 via nasal cannula)
EKG
Normal sinus rhythm. Mild tachycardia noted.
Provider orders
02 @ 2L keep SPO2 > 92%
ABGS
CBC, BMP
UA with reflex
Psych evaluation and treat
0.5 mg IVP Ativan- One-time order give now
No Caffeine, limit processed foods and sugar/carbs in diet
Question 2 of 5
Doug has been seen in the ER for his anxiety that has escalated to a panic attack. He thought he was dying because his symptoms were very similar to a heart attack with tingling in his fingers, pain in his chest, and difficulty breathing. He was even starting to feel out of sorts due to his lack of oxygen related to his low SPO2 levels related to his hyperventilation. In class we discussed it being caused by respiratory alkalosis. In the left column there are items that will require follow up by either the nurse or Doug to maintain a successful plan of care upon discharge. If they are for the nurse she must educate Doug, if they are for Doug, he must comply with the plan...either way if they require follow up, place a check in the FOLLOW UP Column, if they don't place a check in the N/A Column. Each item will have one check in one of the columns.
| Options | Follow Up | N/A |
|---|---|---|
| Controlling son's success | ||
| Focus on the Positives | ||
| Better Relationship with Son | ||
| Techniques to Manage Stress | ||
| Energy Drinks | ||
| Conflict Resolution |
Correct Answer: B,C,D,E,F
Rationale: A (N/
A) Controlling son's success: This does not directly relate to Doug's health or anxiety management plan, so it falls under N/A. Focus on the positives: Encouraging positive thinking can improve Doug's coping skills, making it a follow-up item. Better relationship with son: Addressing family dynamics can improve Doug's overall mental health, requiring follow-up. Techniques to manage stress: Essential for managing anxiety and preventing future panic attacks, requiring follow-up. Energy drinks: Caffeine can exacerbate anxiety symptoms, making this a follow-up item. Conflict resolution: Managing interpersonal conflict is key to reducing stress, requiring follow-up.
Extract:
Question 3 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 4 of 5
A nurse is reviewing a pamphlet about sertraline with a client who has post-traumatic stress disorder. Which of the following client statements indicates understanding of the information?
Correct Answer: B
Rationale: This medication can cause a dry cough.': A dry cough is not a common side effect of sertraline. 'I should call the provider if I experience excessive sweating and muscle twitching.' Excessive sweating and muscle twitching could indicate serotonin syndrome, a potentially life-threatening condition associated with SSRIs like sertraline. Early recognition and prompt intervention are crucial. 'This medication can cause harmless, temporary changes to my ability to taste and smell.': Changes in taste or smell are not typical side effects of sertraline. This statement is incorrect and does not reflect the drug's known side effect profile. 'I need to decrease my sodium intake while on this medication.': Sodium intake is not typically affected by sertraline use. However, sertraline can cause hyponatremia in some cases, especially in older adults.
Question 5 of 5
Which questions below are appropriate to ask Patient Jane? Select all that apply.
Correct Answer: B,C,D
Rationale: Why don't you leave? This question can come across as judgmental and may make Jane feel defensive or unsupported. B. Is there a safe place to go if you need to? Asking about a safe place respects her autonomy and helps assess her safety plan. C. Do you have children, and are they safe? Ensures the welfare of potential dependents who may also be at risk. D. Are you concerned about your safety? Allows Jane to express concerns about her current situation without feeling pressured. E. You can get help; we can hide you! Offering to 'hide' someone could create unrealistic expectations and might compromise her safety. F. Who is hurting you? This is enough now! This confrontational approach may escalate Jane's fear and deter her from sharing information. G. Please stop the madness. This is dismissive and lacks empathy, making it highly inappropriate in a trauma-informed care approach.