ATI LPN
Pediatrics Mental Health Cognition Questions Questions
Question 1 of 5
A client tells the nurse that his co-workers are sabotaging the computer. When the nurse asks questions, the client becomes argumentative. What is the most appropriate intervention for the nurse to implement?
Correct Answer: C
Rationale: Clear and consistent speech (C) de-escalates paranoia and argumentation by providing calm, predictable communication, avoiding confrontation. Venting (A) may escalate, denial (B) invalidates, and isolation (D) is punitive.
Question 2 of 5
A couple in counseling reports fighting with their son when they are angry with each other. This behavior typifies:
Correct Answer: D
Rationale: Triangulation (D) involves pulling a third party (son) into a conflict, as seen here. Coalition (A) is an alliance, indirect communication (B) lacks a third party, and transference (C) is emotional projection.
Question 3 of 5
Older adults have reached Erikson’s developmental stage of ego integrity when they:
Correct Answer: B
Rationale: Ego integrity (B) involves reflecting on life with acceptance and purpose, per Erikson. Acknowledgment (A) is partial, regret (C) is despair, and punishment (D) is negative.
Question 4 of 5
A psychiatric-mental health nurse, who is teaching a couple how to use positive reinforcement techniques with their child, recommends:
Correct Answer: D
Rationale: Rewarding positive behaviors (D) reinforces recurrence, per behavioral theory. Agreeing (A) lacks reinforcement, control (B) is impractical, and removing consequences (C) is negative reinforcement.
Question 5 of 5
The psychiatric-mental health nurse knows that the patient’s spouse clearly understands the side effects of lithium carbonate (Eskalith), when he or she says:
Correct Answer: A
Rationale: Tremors (A) are a lithium side effect warranting a doctor call. Water (B) is good but not specific, salt-free (C) is incorrect (salt is needed), and 1.6 mEq/L (D) is toxic.