ATI LPN
ATI LPN Mental Health Level 4 test II Questions
Extract:
Question 1 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 2 of 5
A nurse is collecting data from a client who has posttraumatic stress disorder (PTSD) following a sexual assault. Which of the following is an expected finding?
Correct Answer: B
Rationale: Constant need to talk about the event: Clients with PTSD often avoid discussing the trauma due to distress. Increasing feelings of anger: Anger and irritability are common emotional responses in PTSD due to heightened arousal and difficulty regulating emotions. Sleeping 12 hr or more each day: PTSD is typically associated with insomnia or nightmares, not hypersomnia. Increasing sense of attachment to others: Clients with PTSD often experience emotional detachment and difficulty maintaining close relationships.
Question 3 of 5
A nurse is caring for a 9-year-old child in a pediatric clinic. The client's parent shares that they left an abusive partner a year ago and is in a safe place. Which of the following should the nurse identify as a sign the impact violence may have had on the child?
Correct Answer: C
Rationale: The child participates in school activities: Participation in activities may suggest resilience and a return to normalcy, rather than a sign of trauma. The child talks about best friends at school: Positive social interactions suggest healthy coping and adjustment. The child reports abdominal pain at night when going to bed. Psychosomatic symptoms such as abdominal pain are common in children who have experienced trauma or stress. These physical complaints often reflect unresolved emotional distress. The child is doing well in school: Academic success is not typically associated with trauma symptoms and may reflect stability.
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 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.