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Practice Question

A client with PTSD experiences exaggerated startle response. The client is paranoid and hypervigilant. Which nursing intervention is most appropriate?

Answer Choices:

Correct Answer:

Provide a structured environment with predictable routines, and consistent staff

Rationale:

🔷 Clients with PTSD benefit from stability, routine, and predictability, which reduce hypervigilance and increase a sense of control and safety.

🔷 A structured environment reduces triggers that may exacerbate startle responses or paranoia.

🔷 Consistent staffing builds trust and rapport, which are essential in trauma-informed care.

🔷 Sudden changes or chaos in care can intensify symptoms such as flashbacks or panic.

🔷 This approach also facilitates the use of therapeutic interventions like grounding or coping skills.

Want to practice more questions like this?

This question is from RN ATI Mental Health Exam 3 which contains 51 questions.

More Questions from This Exam
A patient with bipolar II disorder is most likely to experience:

Answer Choices:

A. Persistent low-grade depression without hypomania
B. Psychosis during manic episodes
C. Hypomanic episodes alternating with major depressive episodes
D. Severe manic episodes
Which patient is at the highest risk of developing postpartum depression?

Answer Choices:

A. A mother who had a healthy pregnancy and delivery
B. A first-time mother with a supportive partner
C. A mother with a history of depression and minimal social support
D. A mother with no family history of mental illness
A patient with a history of bipolar I disorder is prescribed fluoxetine (Prozac) for a depressive episode. What is the nurse's priority action?

Answer Choices:

A. Assess the patient for gastrointestinal side effects.
B. Monitor the patient closely for signs of mania.
C. Administer the medication as ordered
D. Educate the patient about potential weight gain
From Exam
RN ATI Mental Health Exam 3

51 Questions

View Full Exam Start Practicing
Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN ATI Mental Health
  • Answer Choices: 4
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