ATI LPN
ATI LPN Mental Health Exam IV Questions
Extract:
Question 1 of 5
A nurse is caring for a client who is receiving warfarin therapy to prevent deep vein thrombosis. Which of the following medications should the nurse have available in the event of an overdose?
Correct Answer: B
Rationale: Vitamin K reverses warfarin overdose by restoring clotting factors (II, VII, IX, X), countering its anticoagulant effect. Epinephrine (
A) treats anaphylaxis, atropine (
C) bradycardia, and protamine (
D) heparin—not warfarin. Vitamin K is the specific antidote.
Question 2 of 5
A husband is yelling and swearing at his wife during an argument. He also is pacing and pounding his fist. This pattern of behavior is consistent with which stage in the assault cycle?
Correct Answer: C
Rationale: Recovery stage: The recovery stage occurs after the crisis has passed and the individual begins to calm down and return to baseline behavior. Crisis stage: The crisis stage involves the peak of aggression, often resulting in physical violence. Escalation stage: The escalation stage involves increasing agitation and aggressive behaviors, such as yelling, swearing, pacing, and fist-pounding, before reaching a crisis. Trigger stage: The trigger stage involves the initial event or situation that provokes the individual's anger or aggression.
Question 3 of 5
A nurse is contributing to the plan of care for a client who is admitted with deep vein thrombosis (DVT) of the left leg. Which of the following interventions should the nurse include in the plan?
Correct Answer: D
Rationale: Monitoring platelet levels ensures safety during anticoagulant therapy for DVT (e.g., heparin-induced thrombocytopenia risk). Ice (
A) isn’t standard (warmth is used), vasodilators (
B) don’t treat clots, and fluids (
C) prevent thickening, not restricted. Platelets are key for bleeding risk.
Question 4 of 5
A nurse is making a home visit for a 16-year-old adolescent who attempted suicide. Which of the following behaviors should alert the nurse that the adolescent still has suicidal intent?
Correct Answer: A
Rationale: Planning to give his CD collection to his girlfriend: Giving away prized possessions is a common warning sign of suicidal intent, indicating that the person is preparing for their absence. Preferring to eat his meals while watching TV: This behavior is relatively normal and does not necessarily indicate suicidal intent. Stating that he wants to be with his peers more than with his parents: Wanting to spend time with peers is typical for adolescents and does not specifically indicate suicidal intent. Telling his parents that he doesn't want to talk about the attempt: Not wanting to discuss the attempt could be due to embarrassment, guilt, or other reasons, but it is not as direct an indicator of ongoing suicidal intent as giving away possessions.
Question 5 of 5
Which of the following is a common characteristic of an abuser?
Correct Answer: D
Rationale: Secure with self: Abusers are often insecure and may have low self-esteem. They may project a false sense of confidence but are not truly secure with themselves. Blames self for own problems: Abusers typically blame others for their problems and take little responsibility for their actions. Control of emotions: Abusers often have poor control of their emotions, leading to aggressive and violent behaviors. History of substance abuse: Substance abuse is commonly found in the history of abusers. It can exacerbate abusive behavior and reduce impulse control.