ATI LPN
ATI LPN Mental Health Level 4 test II Questions
Extract:
Question 1 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 2 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 3 of 5
A nurse is caring for a client who has obsessive-compulsive disorder (OCD). Which of the following actions is appropriate for the nurse to take?
Correct Answer: B
Rationale: Use negative reinforcement techniques to prevent the client from performing rituals: Negative reinforcement is not a therapeutic or evidence-based approach for managing OCD. Determine the client's level of anxiety: Anxiety levels often influence compulsive behaviors. Assessing the client's anxiety helps guide interventions to manage it effectively. Encourage avoidance of situations that increase anxiety: Avoidance reinforces the OCD cycle and is not a constructive coping strategy. Interrupt the compulsive behavior: Abruptly interrupting rituals can increase the client's anxiety and distress.
Question 4 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 5 of 5
A nurse is caring for an adolescent who has experienced abuse and neglect since early childhood. The nurse should understand that this is an example of which of the following types of trauma?
Correct Answer: B
Rationale: Histrionic trauma: This term is not used in trauma classification. Chronic trauma: Chronic trauma refers to repeated and prolonged exposure to traumatic events, such as ongoing abuse or neglect over a long period. Vicarious trauma: This occurs when someone experiences trauma indirectly, such as through exposure to another person's trauma. Acute trauma: Acute trauma results from a single, isolated event rather than repeated occurrences.