ATI LPN
Test Bank for Psychiatric Nursing: Contemporary Practice
Chapter 35 Questions
Question 1 of 5
The nurse is preparing to interview a 6-year-old girl and her mother in an outpatient psychiatric setting. To establish a treatment alliance with the child, the nurse should:
Correct Answer: C
Rationale: Acknowledging the child?s potential fear (
C) validates her emotions, fostering trust and a treatment alliance. Claiming to watch Sesame Street (
A) may seem inauthentic, standing over the child (
B) is intimidating, and interviewing alone (
D) may be premature for a young child.
Question 2 of 5
A nurse is interviewing a 12-year-old child in an outpatient psychiatric setting. Which of the following would be most appropriate for the nurse to say to establish a high degree of credibility?
Correct Answer: B
Rationale: Asking about the child?s best friend (
B) is age-appropriate and non-threatening, building rapport and credibility. Asking about parents (
A) may feel confrontational, offering a teddy bear (
C) is too juvenile for a 12-year-old, and giving advice (
D) is judgmental and undermines trust.
Question 3 of 5
To establish rapport with a 10-year-old child who is hospitalized in a psychiatric setting, which statement by the nurse would be most appropriate?
Correct Answer: D
Rationale: Playing a game like checkers (
D) is an engaging, non-threatening way to build rapport with a 10-year-old. Comparing to a fairy tale (
A) may confuse, mentioning assessment tools (
B) is too clinical, and drawing (
C) may feel directive before trust is established.
Question 4 of 5
The nurse is caring for an adolescent in the outpatient psychiatric setting. To help the adolescent feel more in control of the initial therapy sessions, which statement by the nurse would be most appropriate?
Correct Answer: D
Rationale: Allowing the adolescent to opt out of uncomfortable topics (
D) empowers them and enhances control. Promising confidentiality (
A) may conflict with legal obligations, questioning distrust (
B) may alienate, and focusing on parental care (
C) shifts attention from the adolescent?s autonomy.
Question 5 of 5
A child and the child?s family visit a psychiatric outpatient setting because the parent is concerned about the child?s behavior at school. The child scores 65 on the Global Assessment of Functioning (GAF) scale. The nurse interprets this finding as which of the following?
Correct Answer: D
Rationale: A GAF score of 65 indicates mild symptoms with generally good functioning, suggesting outpatient treatment (
D) is appropriate. Inpatient therapy (
A) is for lower scores, homicidal thoughts (
B) are not indicated by this score, and school functioning (
C) is not specifically supported.