ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
A husband is yelling and swearing at his wife during an argument. He also is pacing and pounding his fist. This pattern of behavior is consistent with which stage in the assault cycle?
Correct Answer: C
Rationale: Recovery stage: The recovery stage occurs after the crisis has passed and the individual begins to calm down and return to baseline behavior. Crisis stage: The crisis stage involves the peak of aggression, often resulting in physical violence. Escalation stage: The escalation stage involves increasing agitation and aggressive behaviors, such as yelling, swearing, pacing, and fist-pounding, before reaching a crisis. Trigger stage: The trigger stage involves the initial event or situation that provokes the individual's anger or aggression.
Question 2 of 5
A nurse is caring for a client who has hypertension and is to start taking atenolol. The nurse should instruct the client to monitor for which of the following findings as an adverse effect of this medication?
Correct Answer: B
Rationale: Atenolol, a beta-blocker, slows heart rate by blocking beta-1 receptors, making bradycardia a key adverse effect to monitor (normal adult heart rate: 60–100 BPM; bradycardia <60 BPM). Cough is linked to ACE inhibitors, not beta-blockers. Constipation and headaches are not typical atenolol side effects; gastrointestinal and neurological effects are less common.
Question 3 of 5
The most therapeutic caregiver intervention for a client with anger and aggression is which of the following?
Correct Answer: C
Rationale: Share findings with other caregivers. Sharing information with other caregivers is important for continuity of care but is not a direct intervention for managing anger and aggression. Set limits on client behaviors. Setting limits on behavior is necessary, but it should be done within the context of a trusting relationship. Establish and maintain a trusting relationship: Building a trusting relationship is the foundation for effective therapeutic interventions, including managing anger and aggression. Offer prn medication: Offering prn medication can help manage symptoms but should be part of a broader therapeutic strategy.
Question 4 of 5
A nurse is reinforcing teaching with a young adult female client who has been prescribed lisinopril. Which of the following instructions should the nurse plan to include? (Select all that apply)
Correct Answer: B, D, E
Rationale: Lisinopril, an ACE inhibitor, requires specific instructions:
B) Pregnancy is a contraindication due to fetal harm risk, necessitating immediate notification.
D) A persistent dry cough is a common side effect due to bradykinin buildup, requiring reporting. E) Blood pressure monitoring is essential to assess efficacy.
A) Cholesterol monitoring isn’t directly tied to lisinopril, which targets blood pressure, not lipids.
C) Potassium-rich foods should be moderated, not increased, due to hyperkalemia risk with ACE inhibitors.
Question 5 of 5
A nurse is collecting data from a client who has peripheral arterial disease (PAD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Intermittent claudication—exercise-induced leg pain relieved by rest—is a hallmark of PAD due to reduced arterial blood flow. Darkened skin occurs but is less specific. Warm extremities and edema suggest venous, not arterial, issues. Claudication directly reflects PAD’s ischemic nature.