ATI LPN Mental Health Level 4 test II | Nurselytic

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.

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.

Correct Answer: A

Rationale: The client reports that they have no social support system, but has an appointment with a caseworker in two weeks. Lack of a social support system poses a risk for isolation, depression, and potential difficulty accessing resources. Immediate intervention may be required to provide emotional and practical support. The client reports that they are experiencing frequent gastrointestinal issues: While important, these may be psychosomatic and can be addressed after ensuring the client's emotional and physical safety. The client reports that they are currently living in a safe place: Being in a safe environment is reassuring and not an immediate concern. The client reports that they are currently going to counseling: Ongoing counseling is a positive step toward healing and does not require immediate intervention.

Correct Answer: B

Rationale: Triggering: This phase involves initial stressors or triggers leading to aggression but lacks the intense behavioral and physical symptoms described. Escalation: The escalation phase is characterized by increasing tension, verbal aggression, and physical manifestations like pacing or clenched fists. The client's behavior suggests they are moving toward a potential crisis. Anger: Anger is an emotion, not a phase of the aggression cycle. It may be present during multiple phases. Crisis: The crisis phase involves loss of control and actual aggressive or violent actions, which has not occurred yet in this scenario.

Correct Answer: B,C,D,E,F

Rationale: A (N/
A) Controlling son's success: This does not directly relate to Doug's health or anxiety management plan, so it falls under N/A. Focus on the positives: Encouraging positive thinking can improve Doug's coping skills, making it a follow-up item. Better relationship with son: Addressing family dynamics can improve Doug's overall mental health, requiring follow-up. Techniques to manage stress: Essential for managing anxiety and preventing future panic attacks, requiring follow-up. Energy drinks: Caffeine can exacerbate anxiety symptoms, making this a follow-up item. Conflict resolution: Managing interpersonal conflict is key to reducing stress, requiring follow-up.