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 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 2 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 3 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 4 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 5 of 5
A nurse is caring for a client who is experiencing a panic attack. Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: Offer the client high-calorie fluids: This is not a priority during a panic attack. Addressing physical needs comes later. Administer an antianxiety medication to the client: Medication may be part of treatment but is not the immediate priority. Teach the client relaxation exercises: Relaxation exercises are valuable but should be introduced after the acute phase of the panic attack has passed. Remain with the client in a quiet area. Remaining with the client provides reassurance, safety, and emotional support, which are critical during a panic attack.