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 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 3 of 5
A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?
Correct Answer: C
Rationale: 'A family member took me fishing several times when I was a kid.': This statement indicates positive childhood experiences, not factors contributing to aggression. 'My parent was physically abused as a child.': While a family history of abuse is relevant, direct experiences of abuse are more strongly linked to aggressive behavior. 'My parent used their fists to hit me as a child.' Experiencing physical abuse as a child is a significant risk factor for developing aggressive behavior as an adult. 'I drink a glass of wine occasionally with dinner.': Moderate alcohol consumption does not typically contribute to aggression.
Question 4 of 5
A nurse is preparing to administer fluoxetine 30 mg PO for a client who has depression and cannot swallow capsules. Available is fluoxetine 20 mg/5 mL oral solution. How many mL should the nurse plan to administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 7.5
Rationale: The correct answer, indicated as 7.5 Dose ordered: 30 mg. Available concentration: 20 mg/5 mL. Volume required: (Dose required / Concentration) × Volume of solution = (30 / 20) × 5 = 7.5 mL.
Question 5 of 5
A nurse is reinforcing teaching with a newly licensed nurse who is caring for a client undergoing cognitive behavioral therapy for the treatment of aggression. Which of the following statements by the newly licensed nurse about aggressive behaviors indicates an understanding of the teaching? (Select All that Apply.)
Correct Answer: A,B,E,F
Rationale: Clients who live in areas of high crime are at an increased risk for developing anger and aggression: Exposure to crime can increase stress and risk of aggression. B. Families who have financial hardships are at an increased risk for developing anger and aggression: Financial stress is a known risk factor for family conflict and aggression. C. Clients who live in suburban areas are at an increased risk for developing anger and aggression: Suburban living is not typically associated with increased aggression risk. D. Clients who live in areas of high pollution are at an increased risk for developing anger and aggression: While pollution impacts physical health, its direct correlation with aggression is not well-supported. E. Families who live in low-income housing are at an increased risk for developing anger and aggression: Limited resources and environmental stressors in low-income housing can increase aggression risks. F. Smoking during pregnancy can place the child at an increased risk for developing anger and aggression: Prenatal exposure to nicotine has been linked to behavioral issues, including aggression.