ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 35 Questions
Question 1 of 5
A nurse is interviewing a 12-year-old boy who has been diagnosed with depression. The client?s depression was triggered by the death of his father 2 years ago. The nurse interprets which comment made by the boy as reflecting egocentrism?
Correct Answer: A
Rationale: Blaming himself for his father?s death (
A) reflects egocentrism, a developmental trait where the child believes their actions directly cause external events. Sadness (
B), normal grieving (
C), and loss acknowledgment (
D) are typical grief responses, not egocentrism.
Question 2 of 5
A nurse is performing an assessment interview of a 14-year-old boy who is being admitted to an adolescent substance abuse unit. His parents are concerned about their son?s repeated problems at school that they associate with his drug use. The boy stalks into the office, abruptly sits down, crosses his arms, and says, Okay, ask your stupid questions, but don?t expect me to cooperate! Which response by the nurse would be most appropriate?
Correct Answer: D
Rationale: Acknowledging the adolescent?s upset feelings and inviting discussion (
D) validates emotions and encourages engagement. Criticizing attitude (
A) alienates, delaying the interview (
B) dismisses the moment, and questioning anger (
C) may feel confrontational.
Question 3 of 5
After completing the mental status assessment of a 9-year-old boy, the nurse documents the findings. Which of the following would the nurse document as reflecting the child?s motor activity? Select all that apply.
Correct Answer: B,C,E,F
Rationale: Motor activity includes short attention span (
B), hyperalertness (
C), nail biting (E), and temper tantrums (F), as they reflect observable behaviors. Favorite story (
A) and park visits (
D) are not motor-related.
Question 4 of 5
A nurse is preparing to assess a 9-year-old child who has been sexually abused. Which of the following would be the priority for the nurse?
Correct Answer: D
Rationale: Ensuring a safe and supportive environment (
D) is the priority to reduce trauma and build trust during assessment. Timing (
A), documentation (
B), and dolls (
C) are secondary to creating a secure setting for the child.
Question 5 of 5
A group of nursing students is reviewing information about temperament and its effect on the child?s behavior. The students demonstrate understanding of the concept when they identify which of the following as characteristic of temperament. Select all that apply.
Correct Answer: C,D
Rationale: Temperament includes activity level (
C) and adaptability (
D), innate traits influencing behavior. Emotional bonding (
A) and growth processes (
B) are developmental, and insecurity (E) is a state, not a temperament trait.