ATI LPN
Pediatrics Mental Health Cognition Questions Questions
Question 1 of 5
An 18 yr old client was hospitalized for anorexia nervosa. After 1 week of treatment, the nursing team met to evaluate the client’s progress. Signs of improvement would be indicated by
Correct Answer: C
Rationale: Weight gain (C) is a primary indicator of improvement in anorexia nervosa, reflecting nutritional progress. Talking (A), attending groups (B), and shaping up (D) are less objective or may indicate resistance.
Question 2 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 3 of 5
What is the most appropriate short-term goal for a client with paranoid personality disorder and impaired social skills?
Correct Answer: D
Rationale: Identifying feelings hindering social interaction (D) targets mistrust and improves skills in paranoid PD. Feedback (A) may overwhelm, anxiety (B) is secondary, and self-mutilation (C) is irrelevant.
Question 4 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 5 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.