ATI LPN
ATI LPN Mental Health Level 4 test II Questions
Extract:
Question 1 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 2 of 5
A nurse is caring for four clients at an urgent care center. Which of the following clients should the nurse suspect has been physically abused?
Correct Answer: B
Rationale: A 6-year-old child who has a fracture of the tibia and fibula, which reportedly occurred while riding a bicycle: This injury is consistent with a common childhood accident and does not strongly suggest abuse. A 9-month-old infant who sustained near drowning when he reportedly climbed into the tub and turned on the water: This explanation is implausible for a 9-month-old, as infants lack the motor skills and strength to climb into a tub and turn on water, raising suspicion of abuse or neglect. A 3-year-old toddler with scalding burns over the face and chest reportedly sustained when the child pulled on tablecloth, spilling a cup of tea on himself: This is a plausible accident for a curious toddler and does not immediately suggest abuse. A 14-month-old toddler who is reportedly learning to walk and has several bruises on bony prominences of the lower legs and elbows: Bruises in these areas are typical for a toddler learning to walk and do not strongly indicate abuse.
Question 3 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.
Question 4 of 5
A nurse is caring for a 9-year-old child in a pediatric clinic. The client's parent shares that they left an abusive partner a year ago and is in a safe place. Which of the following should the nurse identify as a sign the impact violence may have had on the child?
Correct Answer: C
Rationale: The child participates in school activities: Participation in activities may suggest resilience and a return to normalcy, rather than a sign of trauma. The child talks about best friends at school: Positive social interactions suggest healthy coping and adjustment. The child reports abdominal pain at night when going to bed. Psychosomatic symptoms such as abdominal pain are common in children who have experienced trauma or stress. These physical complaints often reflect unresolved emotional distress. The child is doing well in school: Academic success is not typically associated with trauma symptoms and may reflect stability.
Question 5 of 5
A nurse is caring for an older adult client whom the nurse suspects has experienced abuse by a nonpartner. Which of the following principles does the nurse demonstrate by reporting their concern to a supervisor?
Correct Answer: D
Rationale: Human dignity: While reporting supports the client's dignity, this principle focuses more on respecting inherent worth rather than safety. Ethical decision-making: This refers to the process of resolving ethical dilemmas but is not specific to reporting abuse. Trusting relationships: While trust is important, this principle does not directly relate to reporting suspected abuse. Nonmaleficence: Nonmaleficence is the ethical principle of doing no harm. Reporting suspected abuse aligns with the nurse's responsibility to protect the client from harm.