ATI LPN
ATI LPN Mental Health Level 4 test II Questions
Extract:
Question 1 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 2 of 5
A nurse in the emergency department is caring for a client who reports having experienced sexual abuse. The nurse should identify which of the following findings are consistent with the client's report? (Select All that Apply.)
Correct Answer: A,B,C,E
Rationale: The client has anal bleeding: Physical trauma such as bleeding may occur from sexual abuse. B. The client complains of pelvic soreness: Pelvic soreness is a common physical manifestation following sexual assault. C. The client has bruising around the breasts: Bruising in areas commonly targeted during assault can indicate abuse. D. The client has a scar on their inner thigh: A scar is indicative of past injury but does not directly confirm recent sexual abuse. E. The client's underwear is bloody: Blood-stained undergarments may be evidence of trauma.
Question 3 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.
Question 4 of 5
A nurse is conducting a home health visit for an older adult client who lives with family members. The nurse notices that the client has multiple unusual bruises, and, based on several other factors, the nurse suspects that the client has been physically abused. Which of the following actions should the nurse take first?
Correct Answer: B
Rationale: Check the bruises at the next visit to the client's home: Delaying action could place the client at further risk of harm. Immediate reporting is necessary. Follow the agency's guidelines for reporting suspected abuse. Nurses are mandatory reporters, and suspected abuse must be reported immediately according to the agency's protocols. This ensures the safety of the client and initiates the appropriate investigation. Institute more frequent visits to the client's home: While increased visits may provide additional monitoring, this is not the priority when abuse is suspected. Arrange referral for family therapy to deal with home stressors: Referring for therapy may be beneficial long-term but is not the first step when abuse is suspected.
Question 5 of 5
Select which statement about ANGER is true.
Correct Answer: C
Rationale: Expressing anger openly and directly usually leads to arguments: Open and direct expression of anger does not necessarily lead to arguments. When communicated assertively and respectfully, it can lead to constructive problem-solving and understanding. Angry feelings are a negative response to a situation: Anger itself is not inherently negative. It is a normal human emotion. How anger is expressed determines whether it has positive or negative consequences. Anger results from being frustrated, hurt, or afraid: Anger is a natural emotional response that often arises when an individual experiences frustration, hurt, or fear. Understanding the root cause of anger is essential for addressing and managing it effectively. Suppressing anger is a sign of maturity: Suppressing anger can lead to unresolved emotions and physical or psychological stress. Maturity involves expressing anger in a healthy and constructive manner, not suppressing it.