ATI LPN
ATI LPN Mental Health Level 4 test II Questions
Extract:
Question 1 of 5
A nurse is collecting data from a client who reports that he has obsessive-compulsive disorder (OCD). Which of the following findings should the nurse expect? (Select all that apply.)
Correct Answer: B,C,E
Rationale: Unaware of compulsions: Clients with OCD are typically aware of their compulsions but feel driven to perform them to reduce anxiety. B. Rule-conscious behavior: OCD often involves strict adherence to rules or rituals to reduce anxiety. C. Perfectionist behavior: Clients with OCD may display an excessive need for order and control, which manifests as perfectionism. D. Irrational fear of certain objects: This is more characteristic of specific phobias than OCD. E. Difficulty relaxing: The persistent intrusive thoughts and compulsions can make it challenging for clients with OCD to relax.
Question 2 of 5
A nurse is caring for a client who has an anxiety disorder. Which of the following findings should the nurse recognize as a manifestation of mild anxiety?
Correct Answer: C
Rationale: Incoherent speech: This is a symptom of severe or panic-level anxiety, not mild anxiety. Chest pain: This is associated with more severe anxiety, particularly panic attacks. Irritability: Mild anxiety can cause irritability and heightened awareness of surroundings, which may manifest as restlessness or slight tension. Insomnia: While it can occur with anxiety, it is more commonly linked to moderate or severe levels.
Question 3 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.
Question 4 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 5 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.