Psychiatric Crisis Intervention Practice Exam for Practical Nurses

ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 1 of 18

Serving as a member on a crisis team, an adult psychiatric and mental health nurse practitioner provides crisis intervention to the survivors of a plane crash. Forty-eight hours after the accident, the survivors describe vivid flashbacks, startle reactions, and disrupted sleep patterns. The nurse practitioner responds by:

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ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 2 of 18

Which factors are most essential for the nurse to assess when providing crisis intervention foe a client?

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ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 3 of 18

Which method would a nurse use to determine a client's potential risk for suicide?

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ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 4 of 18

A nurse is part of a multidisciplinary team working with groups of depressed patients. Half the patients receive supportive interventions and antidepressant medication. The other half receives only medication. The team measures outcomes for each group. Which type of study is evident?

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ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 5 of 18

While the nurse was taking her blood pressure, the patient suddenly stated. 'They are talking about me!' She was referring to other patients who were waiting for their consultation. Which of the following should be the APPROPRIATE nursing action?

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ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 6 of 18

A client with panic disorder experiences an acute attack while the nurse is completing an admission assessment. List the following interventions according to their level of priority.

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ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 7 of 18

Which of the following outcome criteria is appropriate for the client with dementia?

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ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 8 of 18

An outpatient mental health clinic-based adult psychiatric and mental health nurse practitioner treats a 32-year-old patient who has diabetes and a major depressive disorder. The patient reports an improved and stable mood on a trial of duloxetine (Cymbalta), but experiences continued neuropathic pain. The nurse practitioner's initial intervention is to:

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ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 9 of 18

The nurse explains to a mental health care technician that a client's obsessive-compulsive behaviors are related to unconscious conflict between id impulses and the superego (or conscience). On which of the following theories does the nurse base this statement?

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ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 10 of 18

For 12 years, a 65-year-old patient with bipolar affective disorder has been treated with lithium (Eskalith) 900 mg daily. When oral hydrochlorothiazide (HCTZ) 12.5 mg daily is added for hypertension, the patient develops nausea, vomiting, ataxia, and muscle weakness and the patient's serum lithium level is $2.0 \mathrm{mEq} / \mathrm{L}$. The interaction of the lithium and the thiazide diuretic has induced:

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ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 11 of 18

Which of the following patients is at the HIGHEST risk for suicide?

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ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 12 of 18

A mother telephones an adult psychiatric and mental health nurse practitioner to report that her 13-year-old son has been unusually active, irritable, and unable to sleep for more than a few hours each night. The adolescent has been diagnosed with a major depressive disorder and has been taking fluoxetine (Prozac) for six weeks. The nurse practitioner is most concerned about the possibility that:

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ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 13 of 18

An 11-year-old child diagnosed with conduct disorder is admitted to the psychiatric unit for treatment. Which of the following behaviors would the nurse assess?

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ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 14 of 18

Prior to administering chlorpromazine (Thorazine) to an agitated client, the nurse should:

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ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 15 of 18

When a nursing student expresses concerns about how mental health nurses lose all their nursing skills, the best response by the mental health nurse is:

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ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 16 of 18

A woman, aged 29, is admitted to the mental health hospital and diagnosed with Major Depressive Disorder with suicidal ideation. Her husband, aged 32, died in a tragic car accident 2 months prior to her admission. The nurse understands that the patient is experiencing

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ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 17 of 18

Which of the following actions would NOT be helpful when dealing with Paranoid Hallucinations?

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ATI LPN · Psychiatric Crisis Intervention Practice Exam for Practical Nurses

Question 18 of 18

Marie, age 56, is the mother of five children. Her youngest child, who had been living at home and attending the local college, recently graduated and accepted a job in another state. Marie has never worked outside the home and has devoted her life to satisfying the needs of her husband and children. Since the departure of her last child from home, Marie has become increasingly dependent. Her husband is very concerned and takes her to the local mental health center. What is this type of crisis called?

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