ATI LPN
ATI LPN Mental Health Level 4 test II Questions
Extract:
Question 1 of 5
A nurse in the emergency department is caring for a client who reports having experienced sexual abuse. The nurse should identify which of the following findings are consistent with the client's report? (Select All that Apply.)
Correct Answer: A,B,C,E
Rationale: The client has anal bleeding: Physical trauma such as bleeding may occur from sexual abuse. B. The client complains of pelvic soreness: Pelvic soreness is a common physical manifestation following sexual assault. C. The client has bruising around the breasts: Bruising in areas commonly targeted during assault can indicate abuse. D. The client has a scar on their inner thigh: A scar is indicative of past injury but does not directly confirm recent sexual abuse. E. The client's underwear is bloody: Blood-stained undergarments may be evidence of trauma.
Question 2 of 5
A nurse is caring for a client who has an anxiety disorder. Which of the following findings should the nurse recognize as a manifestation of mild anxiety?
Correct Answer: C
Rationale: Incoherent speech: This is a symptom of severe or panic-level anxiety, not mild anxiety. Chest pain: This is associated with more severe anxiety, particularly panic attacks. Irritability: Mild anxiety can cause irritability and heightened awareness of surroundings, which may manifest as restlessness or slight tension. Insomnia: While it can occur with anxiety, it is more commonly linked to moderate or severe levels.
Question 3 of 5
A nurse is talking to a client who is explaining about her home situation and the intimate partner violence she recently experienced. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: 'I'd like to hear more about how you are feeling.' This response demonstrates empathy and encourages the client to express her feelings, which is critical for emotional support. 'Let's talk about what is going on at work.': This dismisses the client's concerns and shifts focus away from the abuse. 'Now that you have come for help, you will feel much better.': This is dismissive and minimizes the client's experience. 'Why do you think your partner is angry with you?': This implies blame and can further traumatize the client.
Question 4 of 5
A nurse is collecting data from a client who reports that he has obsessive-compulsive disorder (OCD). Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Unaware of compulsions: Clients with OCD are typically aware of their compulsions but feel driven to perform them to reduce anxiety. B. Rule-conscious behavior: OCD often involves strict adherence to rules or rituals to reduce anxiety. C. Perfectionist behavior: Clients with OCD may display an excessive need for order and control, which manifests as perfectionism. D. Irrational fear of certain objects: This is more characteristic of specific phobias than OCD. E. Difficulty relaxing: The persistent intrusive thoughts and compulsions can make it challenging for clients with OCD to relax.
Question 5 of 5
A nurse is preparing to administer imipramine to a client who has depression. The provider prescribes 100 mg PO every 12 hr. Available is imipramine hydrochloride 25 mg tablets. How many tablets should the nurse plan to administer with each dose? (Round your answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 4
Rationale: The correct answer, indicated as 4 Dose ordered: 100 mg. Available: 25 mg per tablet. Tablets required: 100 / 25 = 4.
Correct Answer: 4 tablets.