ATI LPN
ATI LPN Mental Health Level 4 test II Questions
Extract:
Question 1 of 5
A nurse is preparing to administer imipramine to a client who has depression. The provider prescribes 100 mg PO every 12 hr. Available is imipramine hydrochloride 25 mg tablets. How many tablets should the nurse plan to administer with each dose? (Round your answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 4
Rationale: The correct answer, indicated as 4 Dose ordered: 100 mg. Available: 25 mg per tablet. Tablets required: 100 / 25 = 4.
Correct Answer: 4 tablets.
Question 2 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 3 of 5
A nurse in an emergency department often sees victims of intimate partner violence. Which of the following actions should the nurse take when caring for victims of violence?
Correct Answer: B
Rationale: Provide the client with strategies for interacting with others in social situations: This is not directly related to addressing intimate partner violence and does not prioritize safety or support. Provide the client with information on resources in the community to support victims of violence. Offering resources empowers clients to make informed decisions and provides them with the support they may need to address their situation. Tell the client ways to avoid making their partner angry to prevent intimate partner violence: This response implies victim-blaming and is inappropriate. The responsibility for violence lies with the perpetrator, not the victim. The nurse instructs the client on ways to behave to prevent making their partner angry: Like the previous option, this implies victim-blaming and is not supportive or empowering for the client.
Question 4 of 5
Which questions below are appropriate to ask Patient Jane? Select all that apply.
Correct Answer: B,C,D
Rationale: Why don't you leave? This question can come across as judgmental and may make Jane feel defensive or unsupported. B. Is there a safe place to go if you need to? Asking about a safe place respects her autonomy and helps assess her safety plan. C. Do you have children, and are they safe? Ensures the welfare of potential dependents who may also be at risk. D. Are you concerned about your safety? Allows Jane to express concerns about her current situation without feeling pressured. E. You can get help; we can hide you! Offering to 'hide' someone could create unrealistic expectations and might compromise her safety. F. Who is hurting you? This is enough now! This confrontational approach may escalate Jane's fear and deter her from sharing information. G. Please stop the madness. This is dismissive and lacks empathy, making it highly inappropriate in a trauma-informed care approach.
Question 5 of 5
A client is pacing in the hallway with clenched fists and a flushed face. They are yelling and cursing loudly. Which phase of the aggression cycle is this client in?
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.