ATI LPN
ATI LPN Mental Health Exam I 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 becomes verbally abusive when the nurse enters her room. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Maintain eye contact until the behavior stops. Maintaining eye contact can be perceived as confrontational and may escalate the situation. Tell the client her behavior is disappointing. Telling the client her behavior is disappointing is judgmental and not therapeutic. Punish the client for the behavior. Punishing the client is not appropriate or therapeutic. Leave the client's room. Leaving the room can help de-escalate the situation by removing the immediate trigger for the client's anger.
Question 3 of 5
A nurse is sitting in the day room at an acute care mental health facility with a group of clients who are watching television. Suddenly one of the client's jumps up screaming and runs out of the room. Which of the following actions should the nurse take?
Correct Answer: C
Rationale: Ignore the incident since it is an attention-seeking behavior: Ignoring the incident is not appropriate because the client may be in distress or at risk of harm. Stay with the group and ask another client to go and check on the situation: Asking another client to check on the situation is not appropriate, as it is the nurse's responsibility to ensure the safety of all clients. Follow the client to determine the cause of the behavior: Following the client allows the nurse to assess and intervene appropriately to ensure the client's safety and address the cause of the behavior. Ask the group what they think about the client's behavior: Discussing the behavior with the group is not appropriate in an emergency situation and does not address the immediate needs of the distressed client.
Question 4 of 5
An abuser with severe aggression is prescribed medication for his condition. Which of the following may be prescribed?
Correct Answer: A
Rationale: Atypical antipsychotic: Atypical antipsychotics can be used to manage severe aggression and agitation, especially in individuals with underlying psychiatric disorders. Hypnotic: Hypnotics are used for sleep disorders and are not indicated for managing aggression. Antipyretics: Antipyretics are used to reduce fever and are not relevant to treating aggression. Antabuse: Antabuse (disulfiram) is used to treat alcohol dependence and is not indicated for managing aggression.
Question 5 of 5
A nurse is caring for a client who is experiencing alcohol withdrawal. Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: Anxiety and diaphoresis: Anxiety and diaphoresis (excessive sweating) are common symptoms of alcohol withdrawal, along with tremors, agitation, and insomnia. Muscle aches and chills: Muscle aches and chills are not typical symptoms of alcohol withdrawal. They are more associated with other conditions, such as infections. Arrhythmia and respiratory depression: While severe alcohol withdrawal can lead to arrhythmias, respiratory depression is not a common symptom of alcohol withdrawal. Fatigue and depression: Fatigue and depression may occur after the acute withdrawal phase but are not primary symptoms of initial alcohol withdrawal.