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 talking to a client who is explaining about her home situation and the intimate partner violence she recently experienced. Which of the following responses should the nurse make?
Correct Answer: A
Rationale: 'I'd like to hear more about how you are feeling.' This response demonstrates empathy and encourages the client to express her feelings, which is critical for emotional support. 'Let's talk about what is going on at work.': This dismisses the client's concerns and shifts focus away from the abuse. 'Now that you have come for help, you will feel much better.': This is dismissive and minimizes the client's experience. 'Why do you think your partner is angry with you?': This implies blame and can further traumatize the client.
Question 3 of 5
A nurse is caring for an older adult client whom the nurse suspects has experienced abuse by a nonpartner. Which of the following principles does the nurse demonstrate by reporting their concern to a supervisor?
Correct Answer: D
Rationale: Human dignity: While reporting supports the client's dignity, this principle focuses more on respecting inherent worth rather than safety. Ethical decision-making: This refers to the process of resolving ethical dilemmas but is not specific to reporting abuse. Trusting relationships: While trust is important, this principle does not directly relate to reporting suspected abuse. Nonmaleficence: Nonmaleficence is the ethical principle of doing no harm. Reporting suspected abuse aligns with the nurse's responsibility to protect the client from harm.
Question 4 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 5 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.