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 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 obsessive compulsive disorder (OCD) and is constantly picking up after others and cleaning in the day room. The nurse should recognize the client's actions as which of the following?
Correct Answer: B
Rationale: Limiting the amount of time available for interaction with others: While this may occur incidentally, it is not the primary motivation for the client's behavior. Decreasing anxiety to a tolerable level. Compulsive behaviors in OCD are typically performed to reduce or manage anxiety. Cleaning and organizing are common coping mechanisms for clients with OCD. Focusing attention on useful tasks: The behavior is driven by anxiety, not productivity or utility. Manipulating and controlling others' behavior: OCD compulsions are typically not manipulative; they are self-directed responses to internal distress.
Question 4 of 5
A nurse is caring for a client who has panic disorder. The client tells the nurse she is suddenly feeling very apprehensive, has a sense that something catastrophic is going to happen, and that she sees bugs flying around her room. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Reinforce reality with the client. While reinforcing reality can help in addressing the client's hallucinations (seeing bugs), it may not be the immediate priority when the client is experiencing severe panic. Instruct the client to take deep breaths: Helping the client to take deep breaths can provide immediate relief from acute anxiety by promoting relaxation and helping to reduce the physiological symptoms of panic. Once the client is calmer, other interventions can be considered. Assist the client to identify the cause of the anxiety: Insight into triggers is more appropriate after the acute episode resolves. Administer an antianxiety medication to the client: While this may be necessary, it is not the immediate first action in this scenario.
Question 5 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.