ATI LPN
ATI LPN Mental Health Exam I Questions
Extract:
Question 1 of 5
A nurse is reinforcing teaching about alcohol withdrawal with a client who has a history of alcohol use disorder. Which of the following client statements indicates an understanding of the teaching?
Correct Answer: B
Rationale: Disulfiram will prevent my cravings for alcohol.' Disulfiram (Antabuse) is a medication that causes a severe adverse reaction when alcohol is consumed, acting as a deterrent. It does not prevent cravings for alcohol. 'One should expect hand tremors to start less than 24 hours after I stop drinking.' Hand tremors are one of the early signs of alcohol withdrawal and typically begin within 6 to 12 hours after the last drink. 'Withdrawal symptoms should last about 5 to 7 days once they begin.' Alcohol withdrawal symptoms usually peak within 24 to 48 hours and can last up to 72 hours, though some symptoms may persist longer in severe cases. 'It is important that I take Vitamin C to prevent liver cirrhosis or other liver damage.' While vitamin supplementation is important for overall health, taking Vitamin C does not specifically prevent liver cirrhosis or other liver damage.
Question 2 of 5
An elderly male client is hospitalized immediately after attempting suicide. Which of the following is implemented as a suicide precaution?
Correct Answer: B
Rationale: Facilitate time alone for the client. Allowing time alone is not appropriate for a suicidal client as it increases the risk of self-harm. Make a no self-harm contract. A no self-harm contract can be part of a suicide prevention plan, where the client agrees to not harm themselves and to seek help if they feel the urge to do so. Administer antianxiety medication: While medication can help with anxiety, it is not a primary intervention for immediate suicide prevention. Prevent family/friend visitation for 48 hours: Preventing visitation can increase feelings of isolation and is not an appropriate intervention for suicide prevention.
Question 3 of 5
The most therapeutic caregiver intervention for a client with anger and aggression is which of the following?
Correct Answer: C
Rationale: Share findings with other caregivers. Sharing information with other caregivers is important for continuity of care but is not a direct intervention for managing anger and aggression. Set limits on client behaviors. Setting limits on behavior is necessary, but it should be done within the context of a trusting relationship. Establish and maintain a trusting relationship: Building a trusting relationship is the foundation for effective therapeutic interventions, including managing anger and aggression. Offer prn medication: Offering prn medication can help manage symptoms but should be part of a broader therapeutic strategy.
Question 4 of 5
A nurse is caring for a client who becomes verbally abusive when the nurse enters her room. Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Maintain eye contact until the behavior stops. Maintaining eye contact can be perceived as confrontational and may escalate the situation. Tell the client her behavior is disappointing. Telling the client her behavior is disappointing is judgmental and not therapeutic. Punish the client for the behavior. Punishing the client is not appropriate or therapeutic. Leave the client's room. Leaving the room can help de-escalate the situation by removing the immediate trigger for the client's anger.
Question 5 of 5
The use of cocaine is higher in which group of people?
Correct Answer: B
Rationale: Hispanic Americans: While substance use varies among populations, Hispanic Americans do not have the highest reported rates of cocaine use. Whites: In terms of drug use by race, White Americans have the highest rates of drug use and abuse. This is likely due to a variety of factors, including socio-economic status, access to drugs, and cultural factors. Asian Americans: Asian Americans typically report lower rates of cocaine use compared to other groups. African Americans: African Americans report lower lifetime use of cocaine, at 8.5%, compared to White Americans (17.6%) and Hispanics (11.1%).