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 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 2 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 3 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.
Question 4 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 5 of 5
A nurse is caring for four clients at an urgent care center. Which of the following clients should the nurse suspect has been physically abused?
Correct Answer: B
Rationale: A 6-year-old child who has a fracture of the tibia and fibula, which reportedly occurred while riding a bicycle: This injury is consistent with a common childhood accident and does not strongly suggest abuse. A 9-month-old infant who sustained near drowning when he reportedly climbed into the tub and turned on the water: This explanation is implausible for a 9-month-old, as infants lack the motor skills and strength to climb into a tub and turn on water, raising suspicion of abuse or neglect. A 3-year-old toddler with scalding burns over the face and chest reportedly sustained when the child pulled on tablecloth, spilling a cup of tea on himself: This is a plausible accident for a curious toddler and does not immediately suggest abuse. A 14-month-old toddler who is reportedly learning to walk and has several bruises on bony prominences of the lower legs and elbows: Bruises in these areas are typical for a toddler learning to walk and do not strongly indicate abuse.