ATI LPN
ATI LPN Mental Health Level 4 test II Questions
Extract:
Question 1 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 2 of 5
A nurse is preparing to administer olanzapine 7.5 mg PO to a client who has schizophrenia. Available is olanzapine 2.5 mg tablets. How many tablets should the nurse plan to administer? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 3
Rationale: Dose ordered: 7.5 mg. Available: 2.5 mg per tablet. Tablets required: 7.5 / 2.5 = 3.
Correct Answer: 3 tablets.
Question 3 of 5
A nurse is caring for a client following reported physical abuse. The client is quiet and withdrawn. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Invite a family member to be present for the nursing history: This may discourage the client from sharing truthful information if the family member is the perpetrator. Display disapproval toward the perpetrator: Displaying judgment can increase the client's distress and reduce their openness. Probe the client to offer a factual account of the abuse: Pressuring the client to share details can retraumatize them. Be direct and honest when communicating with the client. Direct, honest communication helps build trust, which is essential for abused clients who may feel vulnerable.
Question 4 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 5 of 5
A nurse is reinforcing teaching with a newly licensed nurse who is caring for a client undergoing cognitive behavioral therapy for the treatment of aggression. Which of the following statements by the newly licensed nurse about aggressive behaviors indicates an understanding of the teaching? (Select All that Apply.)
Correct Answer: A,B,E,F
Rationale: Clients who live in areas of high crime are at an increased risk for developing anger and aggression: Exposure to crime can increase stress and risk of aggression. B. Families who have financial hardships are at an increased risk for developing anger and aggression: Financial stress is a known risk factor for family conflict and aggression. C. Clients who live in suburban areas are at an increased risk for developing anger and aggression: Suburban living is not typically associated with increased aggression risk. D. Clients who live in areas of high pollution are at an increased risk for developing anger and aggression: While pollution impacts physical health, its direct correlation with aggression is not well-supported. E. Families who live in low-income housing are at an increased risk for developing anger and aggression: Limited resources and environmental stressors in low-income housing can increase aggression risks. F. Smoking during pregnancy can place the child at an increased risk for developing anger and aggression: Prenatal exposure to nicotine has been linked to behavioral issues, including aggression.