ATI LPN
ATI LPN Mental Health Level 4 test II Questions
Extract:
Question 1 of 5
A nurse is caring for a client following reported physical abuse. The client is quiet and withdrawn. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Invite a family member to be present for the nursing history: This may discourage the client from sharing truthful information if the family member is the perpetrator. Display disapproval toward the perpetrator: Displaying judgment can increase the client's distress and reduce their openness. Probe the client to offer a factual account of the abuse: Pressuring the client to share details can retraumatize them. Be direct and honest when communicating with the client. Direct, honest communication helps build trust, which is essential for abused clients who may feel vulnerable.
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 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 4 of 5
A nurse is collecting the medical history of a client. The client reports that they have experienced violence in the past with a previous partner. What is an immediate concern of the nurse?
Correct Answer: A
Rationale: The client reports that they have no social support system, but has an appointment with a caseworker in two weeks. Lack of a social support system poses a risk for isolation, depression, and potential difficulty accessing resources. Immediate intervention may be required to provide emotional and practical support. The client reports that they are experiencing frequent gastrointestinal issues: While important, these may be psychosomatic and can be addressed after ensuring the client's emotional and physical safety. The client reports that they are currently living in a safe place: Being in a safe environment is reassuring and not an immediate concern. The client reports that they are currently going to counseling: Ongoing counseling is a positive step toward healing and does not require immediate intervention.
Question 5 of 5
A nurse is caring for a client who witnessed her brother's homicide and has posttraumatic stress disorder (PTSD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The client is easily startled by loud voices. Hypervigilance and being easily startled are hallmark symptoms of PTSD. The client talks constantly about the traumatic experience: Clients with PTSD often avoid discussing their trauma. The client reports satisfying personal relationships with family and close friends: PTSD can strain relationships due to emotional withdrawal and hypervigilance. The client is constantly drowsy and sleeps 11-12 hours daily: Clients with PTSD often experience insomnia or sleep disturbances, not prolonged sleep.