ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 10 : The Psychiatric-Mental Health Nursing Process Questions
Question 1 of 5
The nurse is reviewing the assessment data of a patient diagnosed with a mental illness. The patient is to be prescribed medication to treat the illness. The nurse would identify changes in which laboratory values as being the least significant?
Correct Answer: A
Rationale: Hemoglobin levels, related to oxygen-carrying capacity, are less directly relevant to psychiatric medication management compared to liver function (ALT) and kidney function (BUN, creatinine), which affect drug metabolism and excretion. Abnormal hemoglobin may indicate anemia but is less critical for psychotropic drugs.
Question 2 of 5
A nurse is performing a biopsychosocial assessment of a patient with depression. Which of the following would the nurse assess as part of the psychological domain? Select all that apply.
Correct Answer: A,C,D
Rationale: The psychological domain includes cognitive and emotional functions such as abstract reasoning (
A), mood (
C), and orientation (
D). Medication use (
B) is part of the biological domain, and self-care (E) relates to the social or functional domain.
Question 3 of 5
During assessment, the nurse asks a patient to explain what the following means: 'A penny saved is a penny earned.' The nurse is assessing which of the following?
Correct Answer: D
Rationale: Interpreting proverbs like 'A penny saved is a penny earned' requires abstract reasoning, the ability to understand and analyze abstract concepts. Affect involves emotional expression, attention is focus, and concentration is sustained mental effort.
Question 4 of 5
The nurse is reviewing the drawing that a patient completed as a self-portrait. The nurse observes that the drawing lacks arms and feet. The nurse interprets this as indicating which of the following? Select all that apply.
Correct Answer: A,B,C,D
Rationale: In psychiatric art assessment, missing body parts like arms and feet can indicate low self-esteem (
A), powerlessness (
B), insecurity (
C), and inadequacy (
D), reflecting feelings of incompleteness or diminished self-worth. All apply based on standard interpretations.
Question 5 of 5
A nurse identifies a nursing diagnosis of chronic low self-esteem. Which statement by a patient would support this nursing diagnosis?
Correct Answer: A,B,C,D
Rationale: All statements reflect negative self-perception, supporting chronic low self-esteem: feeling ugly (
A), undesirable (
B), physically flawed (
C), and incompetent (
D). Each directly indicates diminished self-worth, a hallmark of the diagnosis.