ATI LPN
Pediatric Mental Health Depression NCLEX Questions Quizlet Questions
Question 1 of 5
A client with Borderline PD approaches the nurse complaining about inattentive staff. The client blames the nursing staff for the client’s feelings of unimportance. The nurse’s best therapeutic response would include which of the following statements?
Correct Answer: D
Rationale: Exploring feelings (D) therapeutically validates the client’s emotions, common in borderline PD, fostering trust. Team meeting (A) deflects, direct confrontation (B) may escalate, and journaling (C) avoids engagement.
Question 2 of 5
Which of the following nursing diagnoses would be most appropriate for a client with schizotypal personality disorder?
Correct Answer: D
Rationale: Schizotypal PD involves odd beliefs like magical thinking and ideas of reference, making impaired thought processes (D) most appropriate. Hand washing (A) is OCD, self-mutilation (B) borderline, and violence (C) antisocial.
Question 3 of 5
A client with paranoid personality disorder is discussing current problems with a nurse. What is the most important intervention for the nurse to implement?
Correct Answer: D
Rationale: Clarifying thoughts and beliefs (D) builds trust and addresses mistrust in paranoid PD without confrontation. Frustration (A), interaction (B), and defense mechanisms (C) are less immediate priorities.
Question 4 of 5
A 17-year-old, female patient with anorexia nervosa has just been released from the hospital. To facilitate recovery at home, the psychiatric-mental health nurse instructs the family to:
Correct Answer: D
Rationale: Joining family meals (D) normalizes eating behavior and provides support, key for anorexia recovery. Sneaking (A) assumes deceit, cooking focus (B) may trigger, and privacy (C) isolates.
Question 5 of 5
A supervisor observes inconsistency in the psychiatric-mental health nurse’s behavior toward a patient; the nurse is unreasonably concerned, overly kind, or irrationally hostile. The most appropriate explanation is that the nurse is displaying:
Correct Answer: A
Rationale: Countertransference (A) occurs when a nurse’s unresolved feelings affect patient interactions, explaining inconsistency. Empathic resonance (B) is positive, splitting (C) is patient-driven, and transference (D) is patient-to-nurse.