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 reported experiencing abuse at home. Which of the following actions should be a priority for the nurse?
Correct Answer: A
Rationale: Assess for risk of immediate harm to patient or children: The priority is to ensure the immediate safety of the client and any children involved. If there is a risk of harm, emergency services or protective measures must be initiated. Implement the safety plan: Implementing the safety plan is important but secondary to assessing the immediate risk. Without first understanding the level of danger, the safety plan might not address urgent needs. Refer the client to a community support group: This is a valuable intervention for long-term support but is not the priority in an acute situation where immediate risk must be assessed. Instruct the client on how to leave the relationship: While planning for leaving the relationship is critical, it is not the immediate priority, especially if the client or children are in danger.
Question 2 of 5
A nurse is preparing to administer imipramine to a client who has depression. The provider prescribes 100 mg PO every 12 hr. Available is imipramine hydrochloride 25 mg tablets. How many tablets should the nurse plan to administer with each dose? (Round your answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 4
Rationale: The correct answer, indicated as 4 Dose ordered: 100 mg. Available: 25 mg per tablet. Tablets required: 100 / 25 = 4.
Correct
Answer: 4 tablets.
Question 3 of 5
The nurse is in a maternal/child unit and is caring for a new parent. The new parent expresses concern about their safety in the home. The nurse provides the client with an intimate partner violence crisis center number. Which of the following is a way the nurse can evaluate the client's response to the safety plan?
Correct Answer: B
Rationale: The client explains they are not planning to leave their home: This indicates denial or hesitation, which does not reflect engagement with the safety plan. The client puts the number of the crisis center into their phone. Storing the crisis center number demonstrates that the client acknowledges its importance and takes a step toward implementing the safety plan. The client thinks their home will be safer now that there is a baby in the house: This reflects false hope and lack of understanding of the risks of intimate partner violence. The client thanks the nurse for the information: While polite, this response does not indicate the client has taken action or internalized the safety plan.
Question 4 of 5
A nurse is preparing to administer olanzapine 7.5 mg PO to a client who has schizophrenia. Available is olanzapine 2.5 mg tablets. How many tablets should the nurse plan to administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 3
Rationale: Dose ordered: 7.5 mg. Available: 2.5 mg per tablet. Tablets required: 7.5 / 2.5 = 3.
Correct
Answer: 3 tablets.
Question 5 of 5
A nurse in an emergency department often sees victims of intimate partner violence. Which of the following actions should the nurse take when caring for victims of violence?
Correct Answer: B
Rationale: Provide the client with strategies for interacting with others in social situations: This is not directly related to addressing intimate partner violence and does not prioritize safety or support. Provide the client with information on resources in the community to support victims of violence. Offering resources empowers clients to make informed decisions and provides them with the support they may need to address their situation. Tell the client ways to avoid making their partner angry to prevent intimate partner violence: This response implies victim-blaming and is inappropriate. The responsibility for violence lies with the perpetrator, not the victim. The nurse instructs the client on ways to behave to prevent making their partner angry: Like the previous option, this implies victim-blaming and is not supportive or empowering for the client.