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 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.
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 collecting data from a 6-year-old child who has experienced violence at school. Which of the following data collection strategies should the nurse use?
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.
Question 5 of 5
A nurse is caring for a client who has obsessive compulsive disorder (OCD) and is constantly picking up after others and cleaning in the day room. The nurse should recognize the client's actions as which of the following?
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.