ATI LPN
Pediatric Mental Health Depression NCLEX Questions Quizlet Questions
Question 1 of 5
A patient with Antisocial PD comes to the nurses station at 11:00pm requesting to phone a lawyer. The unit rule states, 'No phone calls after 10:00pm.' The patient insists on discussing the process for filing for a divorce immediately. Which of the following responses is therapeutic for this patient?
Correct Answer: C
Rationale: Enforcing rules calmly (C) sets limits for antisocial PD, countering manipulation. Allowing (A) undermines policy, questioning (B) engages manipulatively, and shaming (D) is non-therapeutic.
Question 2 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 3 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 4 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.
Question 5 of 5
During an initial patient interview, the psychiatric and mental health nurse begins by asking the patient to describe his or her:
Correct Answer: A
Rationale: Starting with the current situation (A) builds rapport and context, grounding the interview. Feelings (B), history (C), and thoughts (D) follow naturally.