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 collecting data from a 6-year-old child who has experienced violence at school. Which of the following data collection strategies should the nurse use?
Correct Answer: C
Rationale: Have the child carefully repeat the events of the trauma: Asking a young child to recount traumatic events can retraumatize them and is unlikely to yield accurate information due to developmental limitations. Interview the child without caregiver present: While some information may need to be gathered privately, involving caregivers can provide comfort and support unless the caregiver is suspected of being involved in the violence. Have toys or drawing materials available for the child. Using toys or drawing materials provides a nonthreatening way for the child to express their feelings and experiences, as children often communicate better through play or art rather than direct verbal interaction. Focus on the physical domain of health: While physical health is important, the emotional and psychological effects of trauma are equally critical to address.
Question 3 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 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 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.