ATI LPN
ATI LPN Mental Health Exam I Questions
Extract:
Question 1 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 2 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 3 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%).
Question 4 of 5
A nurse is assisting with planning of care for a client following a suicide attempt. Which of the following interventions is an appropriate suicide precaution?
Correct Answer: A
Rationale: Inspect the client's personal belongings. Inspecting the client's personal belongings helps to ensure that the client does not have access to items that could be used for self-harm, such as sharp objects or medications. Assign the client to a private room. Assigning a client who has attempted suicide to a private room can increase isolation and the risk of self-harm, as they are not easily observed. Tuck bedcovers over client's hands and arms. This intervention is not effective and could potentially restrict the client's movement, increasing feelings of distress. Remove utensils from the client's meal trays. Removing utensils, especially sharp ones, from meal trays helps to prevent the client from using them to harm themselves.
Question 5 of 5
A person who wants to die slashes his wrists and is critically injured but does not die. This is an example of which of the following?
Correct Answer: A
Rationale: Direct self-destructive behavior: Direct self-destructive behavior refers to actions taken with the intent to cause immediate harm or death, such as slashing one's wrists. Indirect self-destructive behavior: Indirect self-destructive behavior refers to actions that can harm oneself over time, such as substance abuse or reckless driving, without the immediate intention to die. Parasuicidal behavior: Parasuicidal behavior involves actions that are intended to cause self-harm but not necessarily result in death, often seen as a cry for help. Maladaptive self-destructive behavior: Maladaptive self-destructive behavior is a broader term that can include a variety of harmful actions, not necessarily with the intention of suicide.