ATI LPN
ATI LPN Mental Health Level 4 test II Questions
Extract:
Question 1 of 5
A nurse is caring for a client who witnessed her brother's homicide and has posttraumatic stress disorder (PTSD). Which of the following findings should the nurse expect?
Correct Answer: A
Rationale: The client is easily startled by loud voices. Hypervigilance and being easily startled are hallmark symptoms of PTSD. The client talks constantly about the traumatic experience: Clients with PTSD often avoid discussing their trauma. The client reports satisfying personal relationships with family and close friends: PTSD can strain relationships due to emotional withdrawal and hypervigilance. The client is constantly drowsy and sleeps 11-12 hours daily: Clients with PTSD often experience insomnia or sleep disturbances, not prolonged sleep.
Question 2 of 5
Which questions below are appropriate to ask Patient Jane? Select all that apply.
Correct Answer: B,C,D
Rationale: Why don't you leave? This question can come across as judgmental and may make Jane feel defensive or unsupported. B. Is there a safe place to go if you need to? Asking about a safe place respects her autonomy and helps assess her safety plan. C. Do you have children, and are they safe? Ensures the welfare of potential dependents who may also be at risk. D. Are you concerned about your safety? Allows Jane to express concerns about her current situation without feeling pressured. E. You can get help; we can hide you! Offering to 'hide' someone could create unrealistic expectations and might compromise her safety. F. Who is hurting you? This is enough now! This confrontational approach may escalate Jane's fear and deter her from sharing information. G. Please stop the madness. This is dismissive and lacks empathy, making it highly inappropriate in a trauma-informed care approach.
Question 3 of 5
A nurse working at a middle school suspects that a student is experiencing physical abuse after collecting data from the student. Which of the following actions should the nurse take next?
Correct Answer: A
Rationale: Make a report to Child Protective Services (CPS). Nurses are mandated reporters and must report suspected abuse to the appropriate authorities, such as CPS, to ensure the safety of the child. Call the police and report the suspected abuse: While police involvement may be necessary, CPS is the primary agency for child welfare and abuse cases. Alert the school office to call parents: Informing the parents could place the child at further risk if the parents are the perpetrators. Call the child's guardian to have the child's pediatrician confirm the suspected abuse: This delays reporting and does not ensure immediate intervention to protect the child.
Question 4 of 5
A nurse is caring for a 9-year-old child in a pediatric clinic. The client's parent shares that they left an abusive partner a year ago and is in a safe place. Which of the following should the nurse identify as a sign the impact violence may have had on the child?
Correct Answer: C
Rationale: The child participates in school activities: Participation in activities may suggest resilience and a return to normalcy, rather than a sign of trauma. The child talks about best friends at school: Positive social interactions suggest healthy coping and adjustment. The child reports abdominal pain at night when going to bed. Psychosomatic symptoms such as abdominal pain are common in children who have experienced trauma or stress. These physical complaints often reflect unresolved emotional distress. The child is doing well in school: Academic success is not typically associated with trauma symptoms and may reflect stability.
Question 5 of 5
A nurse is caring for an adolescent who has experienced abuse and neglect since early childhood. The nurse should understand that this is an example of which of the following types of trauma?
Correct Answer: B
Rationale: Histrionic trauma: This term is not used in trauma classification. Chronic trauma: Chronic trauma refers to repeated and prolonged exposure to traumatic events, such as ongoing abuse or neglect over a long period. Vicarious trauma: This occurs when someone experiences trauma indirectly, such as through exposure to another person's trauma. Acute trauma: Acute trauma results from a single, isolated event rather than repeated occurrences.