ATI LPN
Psychiatric Mental Health Nursing 8th Edition
Chapter 3 Questions
Question 1 of 5
The nurse understands that crises are self-limiting. This implies that upon evaluation of crisis intervention, the nurse should assess for which outcome?
Correct Answer: C
Rationale: Crises usually last 4 to 6 weeks. At resolution, the person either returns to their precrisis level of functioning, functions at a higher level, or stabilizes at a lower level. Returning to precrisis functioning is a positive outcome. Identifying causes may lead to guilt, and persistent anger at 4 to 6 weeks suggests an unfavorable outcome.
Question 2 of 5
A patient who has been working on controlling impulsive behavior shows a strengthening ego through which of the following behaviors?
Correct Answer: B
Rationale: The ego mediates between the id's impulsive desires and the superego's moral constraints. Weighing advantages and disadvantages before deciding reflects mature, adaptive ego functioning, unlike the other options which indicate impulsivity, control, or unrelated social behavior.
Question 3 of 5
A patient has just been told she has cervical cancer. When asked about how this is impacting her, she states 'It's just an infection, it will clear up.' The statement indicates
Correct Answer: D
Rationale: The patient's statement reflects denial, an ego defense mechanism used unconsciously to protect against the emotional pain of a serious diagnosis like cervical cancer. Education or referrals are premature until the denial is addressed, and the statement does not indicate an inability to express feelings.
Question 4 of 5
A teenaged client is playing a video game when the nurse says it is time to go to sleep. The teen says angrily, 'You sound just like my mother at home!' and continues to play the video game. The nurse understands that this statement likely indicates
Correct Answer: B
Rationale: Transference occurs when a client projects attitudes or feelings from past relationships, such as those with a parent, onto the therapist. The teen's reaction reflects this dynamic, not necessarily ineffective parenting, a disorder, or the need for limit-setting.
Question 5 of 5
A patient reports a pattern of being suspicious and mistrusting of others, causing difficulty in sustaining lasting relationships. Which stage according to Erikson's psychosocial development was not successfully completed?
Correct Answer: A
Rationale: Failure to develop trust during Erikson's trust vs. mistrust stage can lead to suspicion and difficulty in relationships throughout life. The other stages (autonomy, initiative, industry) focus on different developmental tasks not directly related to trust issues.