ATI LPN
ATI LPN Mental Health Level 4 test II Questions
Extract:
Question 1 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.
Question 2 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 3 of 5
A nurse in the emergency department is caring for a client who reports having experienced sexual abuse. The nurse should identify which of the following findings are consistent with the client's report? (Select All that Apply.)
Correct Answer: A,B,C,E
Rationale: The client has anal bleeding: Physical trauma such as bleeding may occur from sexual abuse. B. The client complains of pelvic soreness: Pelvic soreness is a common physical manifestation following sexual assault. C. The client has bruising around the breasts: Bruising in areas commonly targeted during assault can indicate abuse. D. The client has a scar on their inner thigh: A scar is indicative of past injury but does not directly confirm recent sexual abuse. E. The client's underwear is bloody: Blood-stained undergarments may be evidence of trauma.
Question 4 of 5
A nurse is caring for a client who is experiencing a panic attack. Which of the following actions is the nurse's priority?
Correct Answer: D
Rationale: Offer the client high-calorie fluids: This is not a priority during a panic attack. Addressing physical needs comes later. Administer an antianxiety medication to the client: Medication may be part of treatment but is not the immediate priority. Teach the client relaxation exercises: Relaxation exercises are valuable but should be introduced after the acute phase of the panic attack has passed. Remain with the client in a quiet area. Remaining with the client provides reassurance, safety, and emotional support, which are critical during a panic attack.
Extract:
Nurse Notes
Client: Doug Smith
Patient presents with symptoms of anxiety escalated to a panic attack. Patient reports chest pain, tingling in fingers, and difficulty breathing, with a sense of impending doom. Patient appears anxious and distressed, with rapid shallow breathing. SPO2 levels initially low due to hyperventilation. Provided reassurance to the patient and explained that symptoms are related to a panic attack, not a heart attack.
Vital signs
• Temperature: 36.7°C (98.1°F)
• Heart rate: 110 bpm
• Respiratory rate: 28 breaths/min
• Blood pressure: 140/90 mmHg
• Oxygen saturation: 94% on room air (increased to 98% with 2L O2 via nasal cannula)
EKG
Normal sinus rhythm. Mild tachycardia noted.
Provider orders
02 @ 2L keep SPO2 > 92%
ABGS
CBC, BMP
UA with reflex
Psych evaluation and treat
0.5 mg IVP Ativan- One-time order give now
No Caffeine, limit processed foods and sugar/carbs in diet
Question 5 of 5
Doug has been seen in the ER for his anxiety that has escalated to a panic attack. He thought he was dying because his symptoms were very similar to a heart attack with tingling in his fingers, pain in his chest, and difficulty breathing. He was even starting to feel out of sorts due to his lack of oxygen related to his low SPO2 levels related to his hyperventilation. In class we discussed it being caused by respiratory alkalosis. In the left column there are items that will require follow up by either the nurse or Doug to maintain a successful plan of care upon discharge. If they are for the nurse she must educate Doug, if they are for Doug, he must comply with the plan...either way if they require follow up, place a check in the FOLLOW UP Column, if they don't place a check in the N/A Column. Each item will have one check in one of the columns.
| Options | Follow Up | N/A |
|---|---|---|
| Controlling son's success | ||
| Focus on the Positives | ||
| Better Relationship with Son | ||
| Techniques to Manage Stress | ||
| Energy Drinks | ||
| Conflict Resolution |
Correct Answer: B,C,D,E,F
Rationale: A (N/
A) Controlling son's success: This does not directly relate to Doug's health or anxiety management plan, so it falls under N/A. Focus on the positives: Encouraging positive thinking can improve Doug's coping skills, making it a follow-up item. Better relationship with son: Addressing family dynamics can improve Doug's overall mental health, requiring follow-up. Techniques to manage stress: Essential for managing anxiety and preventing future panic attacks, requiring follow-up. Energy drinks: Caffeine can exacerbate anxiety symptoms, making this a follow-up item. Conflict resolution: Managing interpersonal conflict is key to reducing stress, requiring follow-up.